(a)  In general

The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees that the payments will not be expended⁠—

(1)  to provide inpatient services;

(2)  to make cash payments to intended recipients of services;

(3)  to purchase or improve real property (other than minor remodeling of existing improvements to real property) or to purchase major medical equipment; or

(4)  to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds.

(b)  Limitation on administrative expenses

The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees that the State will not expend more than 5 percent of the payments for administrative expenses with respect to carrying out the purpose described in section 300ee–11(b) of this title.