MAINTENANCE OF EFFORT.

SEC. 2031. MAINTENANCE OF EFFORT. Section 1916(c)(11) of the Public Health Service Act (42 U.S.C. 300x–4(c)(11)) is amended to read as follows: “(11)(A) The State agrees that the State will maintain State expenditures for services provided pursuant to this subpart at a level equal to not less than the average level of such expenditures maintained by the State for the 2-year period preceding the fiscal year for which the State is applying to receive payments under section 1914. “(B) The Secretary may, upon the request of a State, waive the requirement established in subparagraph (A) if the Secretary determines that extraordinary economic conditions in the State justify the waiver.”.