Sec. 1212. REQUIREMENT OF MATCHING FUNDS FOR FISCAL YEARS SUBSEQUENT TO FIRST FISCAL YEAR OF PAYMENTS

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## SEC. 1212 REQUIREMENT OF MATCHING FUNDS FOR FISCAL YEARS SUBSEQUENT TO FIRST FISCAL YEAR OF PAYMENTS **[**300d–12**]** ###

(a)Non-Federal Contributions ####

(1)In general The Secretary may not make payments under section 1211(a) unless the State involved agrees, with respect to the costs described in paragraph (2), to make available non-Federal contributions (in cash or in kind under subsection (b)(1)) toward such costs in an amount that— #####

(A)for the second and third fiscal years of such payments to the State, is not less than $1 for each $1 of Federal funds provided in such payments for such fiscal years; and #####

(B)for the fourth and subsequent fiscal years of such payments to the State, is not less than $2 for each $1 of Federal funds provided in such payments for such fiscal years. ####

(2)Program costs The costs referred to in paragraph

(1)are— #####

(A)the costs to be incurred by the State in carrying out the purpose described in section 1211(b); or #####

(B)the costs of improving the quality and availability of emergency medical services in rural areas of the State. ####

(3)Initial year of payments The Secretary may not require a State to make non-Federal contributions as a condition of receiving payments under section 1211(a) for the first fiscal year of such payments to the State. ###

(b)Determination of Amount of Non-Federal Contribution With respect to compliance with subsection

(a)as a condition of receiving payments under section 1211(a)— ####

(1)a State may make the non-Federal contributions required in such subsection in cash or in kind, fairly evaluated, including plant, equipment, or services; and ####

(2)the Secretary may not, in making a determination of the amount of non-Federal contributions, include amounts provided by the Federal Government or services assisted or subsidized to any significant extent by the Federal Government.