WHAT THE LAW DOINCongress, in plain words

The law › Title 42, The Public Health and Welfare › Chapter 7

42 U.S.C. 1397ee: Payments to States

Created in 1997 by the Balanced Budget Act of 1997 (Public Law 105-33). Changed by 17 later laws. 1 bill in this Congress would change it; 1 new law this Congress changed it.

14 other sections of the Code cite this one, including 29 U.S.C. 1181, 42 U.S.C. 300gg–3, 42 U.S.C. 1396d, 42 U.S.C. 1396e, 42 U.S.C. 1396e–1.

This Congress

  • H.R. 1 An act to provide for reconciliation pursuant to title II of H. Con. Res. 14. · became law · changed (h)
  • H.R. 9877 Health Equity and Accountability Act of 2026 · introduced · would change (a), (c), (d), (g)

How it got here

2022

  • Pub. L. 117–328, §5111(c)(2)(A), substituted "through September 30, 2029" for "through September 30, 2027" in heading. (Consolidated Appropriations Act, 2023) Law text · (d)
  • Pub. L. 117–328, §5111(c)(2)(B), substituted "September 30, 2029" for "September 30, 2027" in two places in introductory provisions. (Consolidated Appropriations Act, 2023) Law text · (d)
  • Pub. L. 117–328, §5111(c)(3)(A), substituted "through 2029" for "through 2027" in heading. (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5111(c)(3)(B), substituted "through 2029" for "through 2027". (Consolidated Appropriations Act, 2023) Law text · (g)

2021

  • Pub. L. 117–2 added par. (12). (American Rescue Plan Act of 2021) Law text · (c)

2020

  • Pub. L. 116–117 substituted "subchapter IV of chapter 33 of title 31" for "Improper Payments Information Act of 2002". Law text · (c), (11)

2018

  • Pub. L. 115–120, §3005, inserted "and during the period that begins on October 1, 2019, and ends on September 30, 2020, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall be increased by 11.5 percentage po… Law text · (b)
  • Pub. L. 115–123, §50101(f)(1)(A), substituted "through September 30, 2027" for "through September 30, 2023" in heading. (Bipartisan Budget Act of 2018) Law text · (d)
  • Pub. L. 115–120, §3002(f)(1)(A), substituted "through September 30, 2023" for "until October 1, 2019" in heading. Law text · (d)
  • Pub. L. 115–123, §50101(f)(1)(B), substituted "2027" for "2023" in two places in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (d)
  • Pub. L. 115–120, §3002(f)(1)(B), in introductory provisions, substituted "2023, as" for "2019, as" and "During the period that begins on October 1, 2019, and ends on September 30, 2023, the preceding sentence shall only apply with respect to children in families whose income does not exceed 300 per… Law text · (d)
  • Pub. L. 115–123, §50101(d)(1), substituted "through 2027" for "through 2023" in heading. (Bipartisan Budget Act of 2018) Law text · (g)
  • Pub. L. 115–120, §3002(d)(1)(A), substituted "through 2023" for "through 2017" in heading. Law text · (g)
  • Pub. L. 115–123, §50101(d)(2), substituted "2027" for "2023". (Bipartisan Budget Act of 2018) Law text · (g)
  • Pub. L. 115–120, §3002(d)(1)(B), substituted "2023" for "2017". Law text · (g)

2015

  • Pub. L. 114–10, §301(c)(1), substituted "2017" for "2015" in heading. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (g)
  • Pub. L. 114–10, §301(c)(2), substituted "2017" for "2015". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (g)

2010

  • Pub. L. 111–148, §2102(a)(3), struck out ", respectively" before semicolon. (Patient Protection and Affordable Care Act) Law text · (a), (II)
  • Pub. L. 111–148, §2102(a)(4), struck out subcl. (IV). Text read as follows: "As of October 1, 2011, any amounts set aside under section 1397kk(a)(3) of this title that are not expended by September 30, 2011." (Patient Protection and Affordable Care Act) Law text · (a)
  • Pub. L. 111–148, §2101(c), inserted "or any children enrolled on or after October 1, 2013" before period at end. (Patient Protection and Affordable Care Act) Law text · (a)
  • Pub. L. 111–148, §10203(c)(1), substituted "2015" for "2013". (Patient Protection and Affordable Care Act) Law text · (b)
  • Pub. L. 111–148, §2101(a), inserted at end "Notwithstanding the preceding sentence, during the period that begins on October 1, 2013, and ends on September 30, 2019, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall b… (Patient Protection and Affordable Care Act) Law text · (b)
  • Pub. L. 111–148, §10203(b)(4)(A), inserted dash after "relative to" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (c)
  • Pub. L. 111–148, §10203(b)(4), substituted semicolon for period before "and" at end. (Patient Protection and Affordable Care Act) Law text · (c)
  • Pub. L. 111–148, §2102(a)(5), substituted "section 1396b(a)(3)(G)" for "section 1396b(a)(3)(F)". (Patient Protection and Affordable Care Act) Law text · (c)
  • Pub. L. 111–148, §10203(b)(3)(A), inserted "if the offering of such a subsidy is cost-effective, as defined for purposes of paragraph (3)(A)" before period at end of first sentence. (Patient Protection and Affordable Care Act) Law text · (c)
  • Pub. L. 111–148, §10203(b)(3)(B), (C), redesignated subpar. (N) as (M) and struck out former subpar. (M). Prior to amendment, text read as follows: "Premium assistance subsidies for qualified employer-sponsored coverage offered under this paragraph shall be deemed to meet t… (Patient Protection and Affordable Care Act) Law text · (c), (N)
  • Pub. L. 111–148, §2101(b)(2), inserted ", except as required under section 1396a(e)(14) of this title" before period at end. (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §2101(b)(1), added par. (3). (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §10203(c)(2)(A)(i), inserted "as a condition of receiving payments under section 1396b(a) of this title," after "2019,". (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §10203(c)(2)(A)(ii)–(iv), added cl. (ii) and redesignated former cl. (ii) as (iii). (Patient Protection and Affordable Care Act) Law text · (d), (iii)
  • Pub. L. 111–148, §10203(c)(2)(B), substituted "screened for eligibility for medical assistance under the State plan under subchapter XIX or a waiver of that plan and, if found eligible, enrolled in such plan or a waiver. In the case of such children who, as a result of such scree… (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §10201(g), inserted at end "For purposes of eligibility for premium assistance for the purchase of a qualified health plan under section 36B of the Internal Revenue Code of 1986 and reduced cost-sharing under section 18071 of this title, children described in the preceding sentence… (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §10203(c)(2)(C), added subpar. (C). (Patient Protection and Affordable Care Act) Law text · (d)
  • Pub. L. 111–148, §10203(d)(2)(C)(i), substituted "2015" for "2013" in heading. (Patient Protection and Affordable Care Act) Law text · (g)
  • Pub. L. 111–148, §10203(d)(2)(C)(ii), substituted "2015" for "2013". (Patient Protection and Affordable Care Act) Law text · (g)

2009

  • Pub. L. 111–3, §§113(a)(1), 201(b)(1)(A), substituted "(or, in the case of expenditures described in subparagraph (D)(iv), the higher of 75 percent or the sum of the enhanced FMAP plus 5 percentage points)" for "(or, in the case of expenditures described in subparagraph (B), the Fed… (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (a)
  • Pub. L. 111–3, §113(a)(2), added subpar. (B) "[reserved]" and struck out former subpar. (B) which read as follows: "for the provision of medical assistance on behalf of a child during a presumptive eligibility period under section 1396r–1a of this title;". (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (a)
  • Pub. L. 111–3, §201(b)(1)(B), added cl. (iv) and redesignated former cl. (iv) as (v). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (a), (v)
  • Pub. L. 111–3, §104, added pars. (3) and (4). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (a), (4)
  • Pub. L. 111–3, §202(b), added subpar. (C). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §211(c)(2), added cl. (ii). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §302(b), added cl. (iii). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §601(a)(2), added cl. (iv). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §301(a)(2)(A), substituted "relative to" for "relative to the amounts that the State would have paid to obtain comparable coverage only of the targeted low-income children involved," and added cls. (i) and (ii). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §114(a), added par. (8). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §211(c)(1), added par. (9). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §301(a)(1), added par. (10). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §601(a)(1), added par. (11). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (c)
  • Pub. L. 111–3, §107(a)(1), inserted "subject to paragraph (4)," after "Notwithstanding any other provision of law," and substituted "or 2008" for "2008, or 2009". (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (g)
  • Pub. L. 111–3, §107(a)(2), added par. (4). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (g)

2007

  • Pub. L. 110–173 substituted "2008, or 2009" for "or 2008". (Medicare, Medicaid, and SCHIP Extension Act of 2007) Law text · (g)
  • Pub. L. 110–92 substituted "2007, or 2008" for "or 2007". Law text · (g)
  • Pub. L. 109–482 substituted "2005, 2006, or 2007" for "or 2005". (National Institutes of Health Reform Act of 2006) Law text · (g)

2006

  • Pub. L. 109–171, §6102(b), inserted "and may not include coverage of a nonpregnant childless adult" after "section 1397aa of this title)" and "For purposes of the preceding sentence, a caretaker relative (as such term is defined for purposes of carrying out section 1396u–1 of this t… (Deficit Reduction Act of 2005) Law text · (c)
  • Pub. L. 109–171 substituted "2001, 2004, or 2005" for "or 2001". (Deficit Reduction Act of 2005) Law text · (g)

2003

  • Pub. L. 108–74 added subsec. (g). Law text · (g)
  • Pub. L. 108–127 substituted "184" for "185" the first place appearing, inserted "August 1, 1994, or" before "July 1, 1995", and inserted before period at end ", or, in the case of a State that had a statewide waiver in effect under section 1315 of this title with respect to subchapt… Law text · (g)

2000

  • Pub. L. 106–554, §1(a)(6) [title VIII, §802(a)], added subsec. heading, par. (1) heading, introductory provisions, and subpars. (A) and (B), struck out former subsec. heading and introductory provisions, redesignated former pars. (1) and (2) as subpars. (C) and (D), respectively, of pa… (Consolidated Appropriations Act, 2001) Law text · (a)
  • Pub. L. 106–554, §1(a)(6) [title VIII, §802(d)(4)(A)], substituted "the amount of payment that may be made under subsection (a) for a fiscal year for expenditures for items described in paragraph (1)(D) of such subsection shall not exceed 10 percent of the total amount of expendi… (Consolidated Appropriations Act, 2001) Law text · (c)
  • Pub. L. 106–554, §1(a)(6) [title VIII, §802(d)(4)(B)], substituted "described in subsection (a)(1)(D)" for "described in subsection (a)(2)" in introductory provisions. (Consolidated Appropriations Act, 2001) Law text · (c)
  • Pub. L. 106–554, §1(a)(6) [title VIII, §802(d)(4)(C)], substituted "Except as provided in subparagraph (A) or (B) of subsection (a)(1) or any other provision of law," for "Except as otherwise provided by law,". (Consolidated Appropriations Act, 2001) Law text · (c)
  • Pub. L. 106–554, §1(a)(6) [title VIII, §802(e)], substituted "enhanced FMAP under the fourth sentence of section 1396d(b) of this title" for "enhanced FMAP under section 1396d(u) of this title". (Consolidated Appropriations Act, 2001) Law text · (d)

1999

  • Pub. L. 106–113 inserted "in" after "described". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)

1997

  • Pub. L. 105–100, §162(5), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: "Except as provided in this paragraph, payment shall not be made under subsection (a) of this section for expenditures for items described in subsectio… Law text · (c)
  • Pub. L. 105–100, §162(7), added subsec. (f). Law text · (f)

Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.