ADDITIONAL GRANTS TO PUERTO RICO, THE VIRGIN ISLANDS, GUAM, AND AMERICAN SAMOA; LIMITATION ON TOTAL PAYMENTS
Sec. 1108. [42 U.S.C. 1308] (a) Limitation on Total Payments to Each Territory.—
(1) In general.—Notwithstanding any other provision of this Act (except for paragraph (2) of this subsection), the total amount certified by the Secretary of Health and Human Services under titles I, X, XIV, and XVI, under parts A and E of title IV, and under subsection (b) of this section, for payment to any territory for a fiscal year shall not exceed the ceiling amount for the territory for the fiscal year.
(2) Certain payments disregarded.—Paragraph (1) of this subsection shall be applied without regard to any payment made under section 403(a)(2), 403(a)(4), 403(a)(5), 403(c)(3),406, 413(f), or 474(a)(6).[18]
(b) Entitlement to Matching Grant.—[19]
(1) In general.—Each territory shall be entitled to receive from the Secretary for each fiscal year a grant in an amount equal to 75 percent of the amount (if any) by which—
(A) the total expenditures of the territory during the fiscal year under the territory programs funded under parts A and E of title IV, including any amount paid to the State under part A of title IV that is transferred in accordance with section 404(d) and expended under the program to which transferred; exceeds
(B) the sum of—
(i) the amount of the family assistance grant payable to the territory without regard to section 409; and
(ii) the total amount expended by the territory during fiscal year 1995 pursuant to parts A and F of title IV (as so in effect), other than for child care.
(2) Appropriation.—Out of any money in the Treasury of the United States not otherwise appropriated, there are appropriated for each of fiscal years 2017 and 2018[20], such sums as are necessary for grants under this paragraph.
(c) Definitions.—As used in this section:
(1) Territory.—The term “territory” means Puerto Rico, the Virgin Islands, Guam, and American Samoa.
(2) Ceiling amount.—The term “ceiling amount” means, with respect to a territory and a fiscal year, the mandatory ceiling amount with respect to the territory, reduced for the fiscal year in accordance with subsection (e), and reduced by the amount of any penalty imposed on the territory under any provision of law specified in subsection (a) during the fiscal year.
(3) Family assistance grant.—The term “family assistance grant” has the meaning given such term by section 403(a)(1)(B).
(4) Mandatory ceiling amount.—The term “mandatory ceiling amount” means—
(A) $107,255,000 with respect to Puerto Rico;
(B) $4,686,000 with respect to Guam;
(C) $3,554,000 with respect to the Virgin Islands; and
(D) $1,000,000 with respect to American Samoa.
(5) Total amount expended by the territory.—The term “total amount expended by the territory”—
(A) does not include expenditures during the fiscal year from amounts made available by the Federal Government; and
(B) when used with respect to fiscal year 1995, also does not include—
(i) expenditures during fiscal year 1995 under subsection (g) or (i) of section 402 (as in effect on September 30, 1995); or
(ii) any expenditures during fiscal year 1995 for which the territory (but for section 1108, as in effect on September 30, 1995) would have received reimbursement from the Federal Government.
(d) Authority To Transfer Funds to Certain Programs.—A territory to which an amount is paid under subsection (b) of this section may use the amount in accordance with section 404(d).
(f) Subject to subsection (g) and section 1935(a)(1)(B), the total amount certified by the Secretary under title XIX with respect to a fiscal year for payment to—
(1) Puerto Rico shall not exceed (A) $116,500,000 for fiscal year 1994 and (B) for each succeeding fiscal year the amount provided in this paragraph for the preceding fiscal year increased by the percentage increase in the medical care component of the consumer price index for all urban consumers (as published by the Bureau of Labor Statistics) for the twelve-month period ending in March preceding the beginning of the fiscal year, rounded to the nearest $100,000;
(2) the Virgin Islands shall not exceed (A) $3,837,500 for fiscal year 1994, and (B) for each succeeding fiscal year the amount provided in this paragraph for the preceding fiscal year increased by the percentage increase referred to in paragraph (1)(B), rounded to the nearest $10,000;
(3) Guam shall not exceed (A) $3,685,000 for fiscal year 1994, and (B) for each succeeding fiscal year the amount provided in this paragraph for the preceding fiscal year increased by the percentage increase referred to in paragraph (1)(B), rounded to the nearest $10,000;
(4) Northern Mariana Islands shall not exceed (A) $1,110,000 for fiscal year 1994, and (B) for each succeeding fiscal year the amount provided in this paragraph for the preceding fiscal year increased by the percentage increase referred to in paragraph (1)(B), rounded to the nearest $10,000; and
(5) American Samoa shall not exceed (A) $2,140,000 for fiscal year 1994, and (B) for each succeeding fiscal year the amount provided in this paragraph for the preceding fiscal year increased by the percentage increase referred to in paragraph (1)(B), rounded to the nearest $10,000.
(g)[22] Medicaid Payments to Territories for Fiscal Year 1998 and Thereafter.—
(1) Fiscal year 1998,— With respect to fiscal year 1998, the amounts otherwise determined for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa under subsection (f) for such fiscal year shall be increased by the following amounts:
(A) For Puerto Rico, $30,000,000.
(B) For the Virgin Islands, $750,000.
(C) For Guam, $750,000.
(D) For the Northern Mariana Islands, $500,000.
(E) For American Samoa, $500,000.
(2) Fiscal year 1999 and thereafter.—[23]Notwithstanding subsection (f), and subject to subparagraphs (3) and (5) and section 1323(a)(2) of the Patient Protection and Affordable Care Act , with respect to any fiscal year thereafter, the total amount certified by the Secretary under title XIX for payment to—
(A) Puerto Rico shall not exceed—
(i) except as provided in clause (ii), the sum of the amount provided in this subsection for the preceding fiscal year increased by the percentage increase in the medical care component of the Consumer Price Index for all urban consumers (as published by the Bureau of Labor Statistics) for the 12-month period ending in March preceding the beginning of the fiscal year, rounded to the nearest $100,000; and
(ii) for each of fiscal years 2020 through 2021, the amount specified in paragraph (6) for each such fiscal year;
(B) the Virgin Islands shall not exceed—
(i) except as provided in clause (ii), the sum of the sum of the amount provided in this subsection for the preceding fiscal year increased by the percentage increase referred to in subparagraph (A), rounded to the nearest $10,000; and
(ii) for each of fiscal years 2020 through 2021, $126,000,000;
(C) Guam shall not exceed—
(i) except as provided in clause (ii), the sum of the amount provided in this subsection for the preceding fiscal year increased by the percentage increase referred to in subparagraph (A), rounded to the nearest $10,000; and
(ii) for each of fiscal years 2020 through 2021, $127,000,000;
(D) the Northern Mariana Islands shall not exceed—
(i) except as provided in clause (ii), the sum of the amount provided in this subsection for the preceding fiscal year increased by the percentage increase referred to in subparagraph (A), rounded to the nearest $10,000; and
(ii) for each of fiscal years 2020 through 2021, $60,000,000; and
(E) American Samoa shall not exceed—
(i) except as provided in clause (ii), the sum of the amount provided in this subsection for the preceding fiscal year increased by the percentage increase referred to in subparagraph (A), rounded to the nearest $10,000.
(ii) for each of fiscal years 2020 through 2021, $84,000,000.
For each fiscal year after fiscal year 2021, the total amount certified for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa under subsection (f) and this subsection for the fiscal year shall be determined as if the preceding subparagraphs were applied to each of fiscal years 2020 through 2021 without regard to clause (ii) of each such subparagraph.
(3) Fiscal years 2006 and 2007 for certain insular areas—The amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa for fiscal year 2006 and fiscal year 2007 shall be increased by the following amounts:
(A) For Puerto Rico, $12,000,000 for fiscal year 2006 and $12,000,000 for fiscal year 2007.
(B) For the Virgin Islands, $2,500,000 for fiscal year 2006 and $5,000,000 for fiscal year 2007.
(C) For Guam, $2,500,000 for fiscal year 2006 and $5,000,000 for fiscal year 2007.
(D) For the Northern Mariana Islands, $1,000,000 for fiscal year 2006 and $2,000,000 for fiscal year 2007.
(E) For American Samoa, $2,000,000 for fiscal year 2006 and $4,000,000 for fiscal year 2007.
Such amounts shall not be taken into account in applying paragraph (2) for fiscal year 2007 but shall be taken into account in applying such paragraph for fiscal year 2008 and subsequent fiscal years.
(4) Exclusion of Certain Expenditures from Payment Limits.—[24]With respect to fiscal years beginning with fiscal year 2009, if Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa qualify for a payment under subparagraph (A)(i), (B), or (F) of section 1903(a)(3) for a calendar quarter of such fiscal year, and with respect to fiscal years beginning with fiscal year 2017, if Puerto Rico qualifies for a payment under section 1903(a)(6) for a calendar quarter (beginning on or after July 1, 2017) of such fiscal year, and with respect to fiscal years beginning with fiscal year 2018, if the Virgin Islands qualifies for a payment under section 1903(a)(6) for a calendar quarter (beginning on or after January 1, 2018) of such fiscal year, the payment shall not be taken into account in applying subsection (f) (as increased in accordance with paragraphs (1), (2), (3) and (5) of this subsection) to such commonwealth or territory for such fiscal year.
(A) Subject to subparagraphs (B), (C), (D), (E), and (F), the Secretary shall increase the amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa (after the application of subsection (f) and the preceding paragraphs of this subsection) for the period beginning July 1, 2011, and ending on September 30, 2019, by such amounts that the total additional payments under title XIX to such territories equals $6,300,000,000 for such period. The Secretary shall increase such amounts in proportion to the amounts applicable to such territories under this subsection and subsection (f) on the date of enactment of this paragraph[26]
(B) The amount of the increase otherwise provided under subparagraph (A) for Puerto Rico shall be further increased by $295,900,000.
(C) Subject to subparagraphs (D) and (F), for the period beginning January 1, 2018, and ending September 30, 2019—
(i) the amount of the increase otherwise provided under subparagraphs (A) and (B) for Puerto Rico shall be further increased by $3,600,000,000; and
(ii) the amount of the increase otherwise provided under subparagraph (A) for the Virgin Islands shall be further increased by $106,931,000.
(D) For the period described in subparagraph (C), the amount of the increase otherwise provided under subparagraph (A)—
(i) for Puerto Rico shall be further increased by $1,200,000,000 if the Secretary certifies that Puerto Rico has taken reasonable and appropriate steps during such period, in accordance with a timeline established by the Secretary, to—
(I) implement methods, satisfactory to the Secretary, for the collection and reporting of reliable data to the Transformed Medicaid Statistical Information System (T- MSIS) (or a successor system); and
(II) demonstrate progress in establishing a State medicaid fraud control unit described in section 1903(q); and
(ii) for the Virgin Islands shall be further increased by $35,644,000 if the Secretary certifies that the Virgin Islands has taken reasonable and appropriate steps during such period, in accordance with a timeline established by the Secretary, to meet the conditions for certification specified in subclauses (I) and (II) of clause (i).
(E) Subject to subparagraph (F), for the period beginning January 1, 2019, and ending September 30, 2019, the amount of the increase otherwise provided under subparagraph (A) for the Northern Mariana Islands shall be further increased by $36,000,000.
(F)[27] Notwithstanding any other provision of title XIX—
(i) during the period in which the additional funds provided under subparagraphs (C), (D) and (E) are available for Puerto Rico, the Virgin Islands, and the Northern Mariana Islands respectively, with respect to payments from such additional funds for amounts expended by Puerto Rico and the Virgin Islands under such title, the Secretary shall increase the Federal medical assistance percentage or other rate that would otherwise apply to such payments to 100 percent; and
(ii) for the period beginning January 1, 2019, and ending September 30, 2019, with respect to payments to Guam and American Samoa from the additional funds provided under subparagraph (A), the Secretary shall increase the Federal medical assistance percentage or other rate that would otherwise apply to such payments to 100 percent.
(G)[28] Not later than September 30, 2019, Guam and American Samoa shall each submit a plan to the Secretary outlining the steps each such territory shall take to collect and report reliable data to the Transformed Medicaid Statistical Information System (T–MSIS) (or a successor system).
(6)Application to puerto rico for fiscal years 2020 through 2021.—[29]
(A) In general.—Subject to subparagraph (B), the amount specified in this paragraph is—
(i) for fiscal year 2020, $2,623,188,000; and
(ii) for fiscal year 2021, $2,719,072,000.
(B)Additional increase for puerto rico.—
(i) In general.—For each of fiscal years 2020 through 2021, the amount specified in this paragraph for the fiscal year shall be equal to the amount specified for such fiscal year under subparagraph (A) increased by $200,000,000 if the Secretary certifies that, with respect to such fiscal year, Puerto Rico’s State plan under title XIX (or a waiver of such plan) establishes a reimbursement floor, implemented through a directed payment arrangement plan, for physician services that are covered under the Medicare part B fee schedule in the Puerto Rico locality established under section 1848(b) that is not less than 70 percent of the payment that would apply to such services if they were furnished under part B of title XVIII during such fiscal year.
(ii) Application to managed care.—In certifying whether Puerto Rico has established a reimbursement floor under a directed payment arrangement plan that satisfies the requirements of clause (i)—
(I) for fiscal year 2020, the Secretary shall apply such requirements to payments for physician services under a managed care contract entered into or renewed after the date of enactment of this paragraph and disregard payments for physician services under any managed care contract that was entered into prior to such date; and
(II) for each of fiscal years 2020 through 2021—
(aa) the Secretary shall disregard payments made under sub-capitated arrangements for services such as primary care case management; and
(bb) if the reimbursement floor for physician services applicable under a managed care contract satisfies the requirements of clause (i) for the fiscal year in which the contract is entered into or renewed, such reimbursement floor shall be deemed to satisfy such requirements for the subsequent fiscal year.
(7)Puerto rico program integrity requirements.—[30]
(A)In general.—
(i) Program integrity lead.—Not later than 6 months after the date of enactment of this paragraph, the agency responsible for the administration of Puerto Rico’s Medicaid program under title XIX shall designate an officer (other than the director of such agency) to serve as the Program Integrity Lead for such program.
(ii) PERM requirement.—Not later than 18 months after the date of enactment of this paragraph, Puerto Rico shall publish a plan, developed by Puerto Rico in coordination with the Administrator of the Centers for Medicare & Medicaid Services and approved by the Administrator, for how Puerto Rico will develop measures to satisfy the payment error rate measurement (PERM) requirements under subpart Q of part 431 of title 42, Code of Federal Regulations (or any successor regulation).
(iii) Contracting reform.—Not later than 12 months after the date of enactment of this paragraph, Puerto Rico shall publish a contracting reform plan to combat fraudulent, wasteful, or abusive contracts under Puerto Rico’s Medicaid program under title XIX that includes—
(I) metrics for evaluating the success of the plan; and
(II) a schedule for publicly releasing status reports on the plan.
(iv) MEQC.—Not later than 18 months after the date of enactment of this paragraph, Puerto Rico shall publish a plan, developed by Puerto Rico in coordination with the Administrator of the Centers for Medicare & Medicaid Services and approved by the Administrator, for how Puerto Rico will comply with the Medicaid eligibility quality control (MEQC) requirements of subpart P of part 431 of title 42, Code of Federal Regulations (or any successor regulation).
(B)FMAP reduction for failure to meet additional requirements.—
(i) In general.—For each fiscal quarter during the period beginning on January 1, 2020, and ending on September 30, 2021:
(I) For every clause under subparagraph (A) with respect to which Puerto Rico does not fully satisfy the requirements described in the clause (including requirements imposed under the terms of a plan described in the clause) in the fiscal quarter, the Federal medical assistance percentage applicable to Puerto Rico under section 1905(ff) shall be reduced by the number of percentage points determined for the clause and fiscal quarter under subclause (II).
(II) The number of percentage points determined under this subclause with respect to a clause under subparagraph (A) and a fiscal quarter shall be the number of percentage points (not to exceed 2.5 percentage points) equal to—
(aa) 0.25 percentage points; multiplied by
(bb) the total number of consecutive fiscal quarters for which Puerto Rico has not fully satisfied the requirements described in such clause.
(ii) Exception for extenuating circumstances of reasonable progress.—For purposes of clause (i), Puerto Rico shall be deemed to have fully satisfied the requirements of a clause under subparagraph (A) (including requirements imposed under the terms of a plan described in the clause) for a fiscal quarter if—
(I) the Secretary approves an application from Puerto Rico describing extenuating circumstances that prevented Puerto Rico from fully satisfying the requirements of the clause; or
(II) in the case of a requirement imposed under the terms of a plan described in a clause under subparagraph (A), Puerto Rico has made objectively reasonable progress towards satisfying such terms and has submitted a timely request for an exception to the imposition of a penalty to the Secretary.
(8)Program integrity lead requirement for the virgin islands, guam, the northern mariana isglands, and american samoa.—[31]
(A) Program integrity lead requirement.—Not later than October 1, 2020, the agency responsible for the administration of the Medicaid program under title XIX of each territory specified in subparagraph (C) shall designate an officer (other than the director of such agency) to serve as the Program Integrity Lead for such program.
(B) FMAP reduction.—For each fiscal quarter during fiscal year 2021, if the territory fails to satisfy the requirement of subparagraph (A) for the fiscal quarter, the Federal medical assistance percentage applicable to the territory under section 1905(ff) for such fiscal quarter shall be reduced by the number of percentage points (not to exceed 5 percentage points) equal to—
(i) 0.25 percentage points; multiplied by
(ii) the total number of fiscal quarters during the fiscal year in which the territory failed to satisfy such requirement.
(C) Scope.—This paragraph shall apply to the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa.
(A) In general.—Not later than the date that is 30 days after the end of each fiscal year (beginning with fiscal year 2020 and ending with fiscal year 2021), in the case that a specified territory receives a Medicaid cap increase, or an increase in the Federal medical assistance percentage for such territory under section 1905(ff), for such fiscal year, such territory shall submit to the Chair and Ranking Member of the Committee on Energy and Commerce of the House of Representatives and the Chair and Ranking Member of the Committee on Finance of the Senate a report, employing the most up-to-date information available, that describes how such territory has used such Medicaid cap increase, or such increase in the Federal medical assistance percentage, as applicable, to increase access to health care under the State Medicaid plan of such territory under title XIX (or a waiver of such plan). Such report may include—
(i) the extent to which such territory has, with respect to such plan (or waiver)—
(I) increased payments to health care providers;
(II) increased covered benefits;
(III) expanded health care provider networks; or
(IV) improved in any other manner the carrying out of such plan (or waiver); and
(ii) any other information as determined necessary by such territory.
(B) Definitions.—In this paragraph:
(i) Medicaid cap increase.—The term “Medicaid cap increase” means, with respect to a specified territory and fiscal year, any increase in the amounts otherwise determined under this subsection for such territory for such fiscal year by reason of the amendments made by section 202 of division N of the Further Consolidated Appropriations Act, 2020.[33]
(ii) Specified Territory.—The term “specified territory” means Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa.
[18] P.L. 115–123 §50711(f) struck “or 413(f)” and inserted “413(f), or 474(a)(6)”. Effective February 9, 2018.
[19] See Vol. II, P.L. 112-35, §2(a), with respect to the extension of the temporary assistance for needy families block grant program through December 31, 2011 and §3, with respect to the budgetary effects.
See Vol. II, P.L. 112-78, §312, with respect to extension of the temporary assistance for needy families program through February 29, 2012.
See Vol. II, P.L. 112-96, with respect to prevention of duplicate appropriations for Fiscal Year 2012.
See Vol. II, P.L. 115–4, with respect to reauthorization of this subsection to June 30, 2019.
P.L. 116–27, reauthorized this subsection to September 30, 2019.
P.L. 116–59, §1502, extended authorization through November 21, 2019, appropriating such sums as necessary for such purpose from any money in the Treasury of the United States not otherwise appropriated.
P.L. 116–69, §1502, extended authorization through December 20, 2019.
P.L. 116–94, Div. N, §302, extended authorization through May 22, 2020, appropriating such sums as necessary from money not otherwise appropriated.
[20] P.L. 112-96, §4002(h), struck out “fiscal years 1997 through 2003” and inserted “fiscal year 2012”, effective February 22, 2012.
P.L. 115-31, §102(a)(5), struck out “fiscal year 2012” and inserted “each of fiscal years 2017 and 2018” Effective May 5, 2017.
[21] P.L. 105-33, §5512(c); 111 Stat. 619.
[22] P.L. 111–148, §2005(a), in paragraph (2), struck “paragraph (3)” and inserted “paragraphs (3) and (5)”; in paragraph (4), struck “and (3)” and inserted “(3), (and (4)”; and added paragraph (5). Effective March 23, 2010.
[23] P.L. 116–94, Div. N, §202(a)(1), amended each subparagraphs (A) through (E) by redesignating existing language in each as clause (i); inserting “except as provided in clause (ii)” in each clause (i); inserting new clause (ii); and added flush language at the end of paragraph (2). Effective December 20, 2019.
[24] P.L. 111–148, §2005(b), struck “to fiscal years beginning” and inserted “to—” and subparagraph (A) before “fiscal years beginning”; struck the period at the end, inserted “; and” and added subparagraph (B), which read “(B) fiscal years beginning with fiscal year 2014, payments made to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa with respect to amounts expended for medical assistance for newly eligible (as defined in section 1905(y)(2)) nonpregnant childless adults who are eligible under subclause (VIII) of section 1902(a)(10)(A)(i) and whose income (as determined under section 1902(e)(14)) does not exceed (in the case of each such commonwealth and territory respectively) the income eligibility level in effect for that population under title XIX or under a waiver on the date of enactment of the Patient Protection and Affordable Care Act, shall not be taken into account in applying subsection (f) (as increased in accordance with paragraphs (1), (2), (3), and (5) of this subsection) to such commonwealth or territory for such fiscal year.”. Effective March 23, 2010. These amendments were repealed by P.L. 111–152, §1204(b)(2)(A).
P.L. 115–123, §20301(b) inserted “for a calendar quarter of such fiscal year,'' after “section 1903(a)(3)”; struck “of such fiscal year for a calendar quarter of such fiscal year,” and inserted “of such fiscal year, and with respect to fiscal years beginning with fiscal year 2018, if the Virgin Islands qualifies for a payment under section 1903(a)(6) for a calendar quarter (beginning on or after January 1, 2018) of such fiscal year,”. Effective February 9, 2018.
[25] P.L. 115–31, §202(a), inserted “and with respect to fiscal years beginning with fiscal year 2017, if Puerto Rico qualifies for a payment under section 1903(a)(6) for a calendar quarter (beginning on or after July 1, 2017) of such fiscal year” after “1903(a)(3)”; in paragraph (5), struck “The Secretary” and inserted “(A) Subject to subparagraph (B), the Secretary”; and added subparagraph (B). Effective May 5, 2017.
P.L. 115–123, §20301(a), struck “subparagraph (B)” in subparagraph (A) and inserted “subparagraphs (B), (C), (D), and (E)”; and added new subparagraphs (C) through (E). Effective February 9, 2018. See Vol. II, P.L. 115–123, §20301(c), with respect to required congressional report on implementation of these changes.
P.L. 116–20, §802, struck “and (E)” and inserted ”(E), and (F)” in subparagraph (A); struck “and (E)” and inserted “and (F)” in subparagraph (C) in the matter preceding clause (i); redesignated subparagraph (E) as subparagraph (F); inserted subparagraphs (F) and (G). Effective June 6, 2019, and the amounts provided by these amendments were designated as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.
[26] The date of enactment was March 30, 2010.
[27] P.L. 116–20, §802(a)(5), redesignated paragraph (E) as this paragraph (F); struck “title XIX, during” and inserted “title XIX—”(i) during”; struck “and (D)” and inserted “ (D), and (E)”; struck “and the Virgin Islands” each place it appeared and inserted “, the Virgin Islands, and the Northern Mariana Islands”; struck the period at the end and inserted “; and”; and added clause (ii). Effective June 6, 2019.
[28] P.L. 116–20, §802(a)(6), added this subparagraph. Effective June 6, 2019.
[29] P.L. 116–94, Div. N, §202(a)(2), added paragraph (6). Effective December 20, 2019.
[30] P.L. 116–94, Div. N, §202(a)(2), added paragraph (7). Effective December 20, 2019.
[31] P.L. 116–94, Div. N, §202(a)(2), added paragraph (8). Effective December 20, 2019.
[32] P.L. 116–94, Div. N, §202(d), added paragraph (9). Effective December 20, 2019.
[33] P.L. 116–94.