; disqualification of States (1) Annual allotment limitation Payment under section 1903(a) shall not be made to a State with respect to any payment adjustment made under this section for all calendar quarters in a year in excess of the $2,000,000,000 multiplied by the ratio of— (A) the population of the State with income below 138 percent of the poverty line in 2015 (as determined based the table entitled Health Insurance Coverage Status and Type by Ratio of Income to Poverty Level in the Past 12 Months by Age for the universe of the civilian noninstitutionalized population for whom poverty status is determined based on the 2015 American Community Survey 1-Year Estimates, as published by the Bureau of the Census), to (B) the sum of the populations under subparagraph (A) for all non-expansion States. (2) Limitation on payment adjustment amount for individual providers The amount of a payment adjustment under subsection (a) for an eligible provider may not exceed the provider’s costs incurred in furnishing health care services (as determined by the Secretary and net of payments under this title, other than under this section, and by uninsured patients) to individuals who either are eligible for medical assistance under the State plan (or under a waiver of such plan) or have no health insurance or health plan coverage for such services. (d) Disqualification in case of State coverage expansion If a State is a non-expansion for a year and provides eligibility for medical assistance described in subsection (a) during the year, the State shall no longer be treated as a non-expansion State under this section for any subsequent years. . 116. Providing incentives for increased frequency of eligibility redeterminations (a) In general Section 1902(e)(14) of the Social Security Act ( 42 U.S.C. 1396a(e)(14) ) (relating to modified adjusted gross income), as amended by section 114(a)(1), is further amended by adding at the end the following: (K) Frequency of eligibility redeterminations Beginning on October 1, 2017, and