; and (ii) the manner in which the supplemental waivers will be distributed. (D) Ten percent of supplemental waivers distributed in a fiscal year shall be used to support positions in 1 or more facilities that serve patients who reside in medically underserved communities (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )). (E) In this paragraph, the term eligible State agency means a State agency that, in the preceding fiscal year, used not fewer than 30 waivers under section 212(e). .