; or (B) for fiscal year 2019 or a subsequent fiscal year, the amount of the medical assistance expenditures (as defined in paragraph (2)) for the State and fiscal year that is attributable to 1903A enrollees, reduced by the amount of any excluded expenditures (as defined in paragraph (3)) for the State and fiscal year otherwise included in such medical assistance expenditures. (2) Medical assistance expenditures In this section, the term medical assistance expenditures means, for a State and fiscal year, the medical assistance payments as reported by medical service category on the Form CMS-64 quarterly expense report (or successor to such a report form, and including enrollment data and subsequent adjustments to any such report, in this section referred to collectively as a CMS-64 report ) that directly result from providing medical assistance under the State plan (including under a waiver of the plan) for which payment is (or may otherwise be) made pursuant to section 1903(a)(1). (3) Excluded expenditures In this section, the term excluded expenditures means, for a State and fiscal year, expenditures under the State plan (or under a waiver of such plan) that are attributable to any of the following: (A) DSH Payment adjustments made for disproportionate share hospitals under section 1923. (B) Medicare cost-sharing Payments made for medicare cost-sharing (as defined in section 1905(p)(3)). (C) Safety net provider payment adjustments in non-expansion States Payment adjustments under subsection (a) of section 1923A for which payment is permitted under subsection (c) of such section. (4) 1903A FY 16 population percentage In this subsection, the term 1903A FY16 population percentage means, for a State, the Secretary’s calculation of the percentage of the actual medical assistance expenditures, as reported by the State on the CMS–64 reports for calendar quarters in fiscal year 2016, that are attributable to 1903A enrollees (as defined in subsection (e)(1)). (c) Target total medical assistance expenditures (1)