clawback
n.β Β«While the dual eligibles in 2006 will qualify for federal Medicare drug benefits, states wonβt get to keep all of the savings from dropping the indigent seniors from state-financed Medicaid drug plans. Instead, states will get hit with whatβs been coined the “clawback” provision, which will require states to finance a large share of the federal drug benefit by making paymentsβon an ongoing basisβto the U.S. government based on a formula.Β» ββMedicare Looms As Budget, Logistical Issue for States” by Erin Madigan Senior Journal Dec. 27, 2004. (source: Double-Tongued Dictionary)