The primary responsibility of the Office shall be to provide support and feedback for dual eligible individuals enrolled in integrated care plans under this title and caregivers or family members of such individuals who need assistance. (2) Minimum staffing ratio The Office shall have a minimum staffing ratio of 1 employee for every 2,000 dual eligible individuals in the State. (d) Funding (1) Initial funding During the first 2 years in which a State operates the Office, the Secretary shall pay to the State for each such year for expenditures necessary to establish and operate the Office, from amounts appropriated under section 2207(c), an amount equal to $50,000,000 multiplied by the ratio of— (A) the number of dual eligible individuals in the State