1
 So in original.
and ending on
Editorial Notes
Codification

Section was enacted as part of the Patient Protection and Affordable Care Act, and not as part of the Public Health Service Act which comprises this chapter.

Amendments

2024—Subsec. (b)(1)(F). Pub. L. 118–42, § 101(a), substituted “$536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024” for “and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024”.

Pub. L. 118–35, § 101(b), substituted “$690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024” for “and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024”.

Subsec. (b)(2)(I). Pub. L. 118–42, § 101(b), substituted “$41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $297,013,699 for the period beginning on October 1, 2023, and ending on December 31, 2024” for “and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024”.

Pub. L. 118–35, § 101(c), substituted “$53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024” for “and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024”.

2023—Subsec. (b)(1)(F). Pub. L. 118–22, § 201(b), substituted “$526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024” for “and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023”.

Pub. L. 118–15, § 2321(b), substituted “, $4,000,000,000” for “and $4,000,000,000” and inserted “, and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023” before the semicolon.

Subsec. (b)(2)(I). Pub. L. 118–22, § 201(c), substituted “$40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024” for “$40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023”.

Pub. L. 118–15, § 2321(c), added subpar. (I).

2020—Subsec. (b)(1)(F). Pub. L. 116–260, § 301(a), substituted “and $4,000,000,000 for each of fiscal years 2019 through 2023” for “, $4,000,000,000 for fiscal year 2019, $4,000,000,000 for fiscal year 2020, and $865,753,425 for the period beginning on October 1, 2020, and ending on December 18, 2020”.

Pub. L. 116–215, § 1201(a), substituted “$865,753,425” for “$789,041,096” and “December 18, 2020” for “December 11, 2020”.

Pub. L. 116–159, § 2101(a), substituted “$789,041,096” for “$668,493,151” and “December 11, 2020” for “November 30, 2020”.

Pub. L. 116–136, § 3831(a), substituted “$4,000,000,000 for fiscal year 2020, and $668,493,151 for the period beginning on October 1, 2020, and ending on November 30, 2020” for “and $2,575,342,466 for the period beginning on October 1, 2019, and ending on May 22, 2020”.

Subsec. (b)(2)(G). Pub. L. 116–136, § 3831(b), added subpar. (G) and struck out former subpar. (G) which read as follows: “$199,589,041 for the period beginning on October 1, 2019, and ending on May 22, 2020.”

Subsec. (b)(2)(H). Pub. L. 116–260, § 301(b), substituted “$310,000,000 for each of fiscal years 2021 through 2023” for “$67,095,890 for the period beginning on October 1, 2020, and ending on December 18, 2020”.

Pub. L. 116–215, § 1201(b), substituted “$67,095,890” for ‘$61,150,685” and “December 18, 2020” for “December 11, 2020”.

Pub. L. 116–159, § 2101(b), substituted “$61,150,685” for “$51,808,219” and “December 11, 2020” for “November 30, 2020”.

Pub. L. 116–136, § 3831(b), added subpar. (H).

2019—Subsec. (b)(1)(F). Pub. L. 116–94, § 401(a), substituted “$2,575,342,466” for “$887,671,223” and “May 22, 2020” for “December 20, 2019”.

Pub. L. 116–69, § 1101(a), substituted “$887,671,223” for “$569,863,014” and “December 20, 2019” for “November 21, 2019”.

Pub. L. 116–59, § 1101(a), substituted “2018, $4,000,000,000 for fiscal year 2019, and $569,863,014 for the period beginning on October 1, 2019, and ending on November 21, 2019; and” for “2018 and $4,000,000,000 for fiscal year 2019.”

Subsec. (b)(2)(G). Pub. L. 116–94, § 401(b), substituted “$199,589,041” for “$68,794,521” and “May 22, 2020” for “December 20, 2019”.

Pub. L. 116–69, § 1101(a), substituted “$887,671,223” for “$569,863,014” and “December 20, 2019” for “November 21, 2019”.

Pub. L. 116–59, § 1101(b), added subpar. (G).

2018—Subsec. (b)(1)(F). Pub. L. 115–123, § 50901(a), amended subpar. (F) generally. Prior to amendment, subpar. (F) read as follows: “$550,000,000 for the period of the first and second quarters of fiscal year 2018;”.

Subsec. (b)(2)(F). Pub. L. 115–123, § 50901(c), amended subpar. (F) generally. Prior to amendment, subpar. (F) read as follows: “$65,000,000 for period of the first and second quarters of fiscal year 2018.”

2017—Subsec. (b)(1)(F). Pub. L. 115–96, § 3101(a), added subpar. (F).

Subsec. (b)(2)(F). Pub. L. 115–96, § 3101(b), added subpar. (F).

2015—Subsec. (b)(1)(E), (2)(E). Pub. L. 114–10 substituted “for each of fiscal years 2015 through 2017” for “for fiscal year 2015”.

2010—Subsec. (b)(1)(A). Pub. L. 111–152, § 2303(1), substituted “1,000,000,000” for “700,000,000”.

Subsec. (b)(1)(B). Pub. L. 111–152, § 2303(2), substituted “1,200,000,000” for “800,000,000”.

Subsec. (b)(1)(C). Pub. L. 111–152, § 2303(3), substituted “1,500,000,000” for “1,000,000,000”.

Subsec. (b)(1)(D). Pub. L. 111–152, § 2303(4), substituted “2,200,000,000” for “1,600,000,000”.

Subsec. (b)(1)(E). Pub. L. 111–152, § 2303(5), substituted “3,600,000,000” for “2,900,000,000”.