42 CFR § 433.57 - General rules regarding revenues from provider-related donations and health care-related taxes.
---
identifier: "/us/cfr/t42/s433.57"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 433.57 - General rules regarding revenues from provider-related donations and health care-related taxes."
title_number: 42
title_name: "Public Health"
section_number: "433.57"
section_name: "General rules regarding revenues from provider-related donations and health care-related taxes."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "C"
subchapter_name: "MEDICAL ASSISTANCE PROGRAMS"
part_number: "433"
part_name: "STATE FISCAL ADMINISTRATION"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302."
regulatory_source: "43 FR 45201, Sept. 29, 1978, unless otherwise noted."
cfr_part: "433"
---
# 433.57 General rules regarding revenues from provider-related donations and health care-related taxes.
Effective January 1, 1992, CMS will deduct from a State's expenditures for medical assistance, before calculating FFP, funds from provider-related donations and revenues generated by health care-related taxes received by a State or unit of local government, in accordance with the requirements, conditions, and limitations of this subpart, if the donations and taxes are not—
(a) Permissible provider-related donations, as specified in § 433.66(b); or
(b) Health care-related taxes, as specified in § 433.68(b).
[57 FR 55138, Nov. 24, 1992, as amended at 73 FR 9698, Feb. 22, 2008]