; table of contents. Sec. 2. Health grants to the States for health care services to indigent individuals. Title XXII—BLOCK GRANTS TO STATES FOR HEALTH CARE SERVICES TO INDIGENT INDIVIDUALS Sec. 2201. Purpose. Sec. 2202. Grants to States. Sec. 2203. Administrative and fiscal accountability. Sec. 2204. Nondiscrimination provisions. Sec. 2205. Definitions. Sec. 3. Repeal of PPACA, HCERA, and the Federal requirements of Medicaid and CHIP. Sec. 4. Severability. Sec. 5. Effective date. 2. Health grants to the States for health care services to indigent individuals (a) Health care block grant to States The Social Security Act is amended by adding at the end the following new title: XXII BLOCK GRANTS TO STATES FOR HEALTH CARE SERVICES TO INDIGENT INDIVIDUALS 2201. Purpose The purpose of this title is to provide Federal financial assistance to the States, in the form of a single grant, to allow the States maximum flexibility in providing, and financing the provision of, health-care-related items and services to indigent individuals. 2202. Grants to States (a) In general Subject to the requirements of this title, each State is entitled to receive from the Secretary of the Treasury a grant for each quarter of each of fiscal years 2018 through 2026, in an amount that is equal to 25 percent of the total amount received by a State under title XIX and title XXI for fiscal year 2013. (b) Appropriation Out of any money in the Treasury of the United States not otherwise appropriated, there are appropriated for each of fiscal years 2018 through 2026 such sums as are necessary for grants under this section. (c) Requirements relating to intergovernmental financing The Secretary of the Treasury shall make the transfer of funds under grants under subsection (a) directly to each State in accordance with the requirements of section 6503 of title 31, United States Code. (d) Expenditure of funds (1) In general Except as provided in paragraph (2), amounts received by a State under this title for any fiscal year shall be expended by the