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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>165926</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>-14649</ReconciliationUnrealizedInvest>
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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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        <CurrentTaxYear>1160726</CurrentTaxYear>
        <Total>3205796</Total>
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      <Total170>
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        <CurrentTaxYearMinus1Year>1361845</CurrentTaxYearMinus1Year>
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      <AmountsSubstContributorsTotal>130626</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>3075170</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus1Year>8441</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4268</CurrentTaxYear>
        <Total>16772</Total>
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      <TotalSupport>3259813</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>886016</GrossReceiptsFromAdmissionsEtc>
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      <PublicSupportPertcentPriorYear>0.84750</PublicSupportPertcentPriorYear>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
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          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <Depreciation>5855</Depreciation>
        <BookValue>38789</BookValue>
      </LeaseholdImprovements>
      <TotalOfBookValueLandBuildings>38789</TotalOfBookValueLandBuildings>
      <TotRevenueEtcAuditedFinclStmt>1587360</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-14649</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-14649</RevenueNotRptdF990>
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      <TotalRevenuePerForm990>1602009</TotalRevenuePerForm990>
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      <ExpensesSubtotal>1436083</ExpensesSubtotal>
      <TotalExpensesPerForm990>1436083</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>MANAGEMENT EVALUATED NAMD'S TAX POSITIONS AND CONCLUDED THAT NAMD HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY WITH INCOME TAXES. GENERALLY, NAMD IS NO LONGER SUBJECT TO INCOME EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL AUTHORITIES FOR YEARS BEFORE 2010.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MATTHEW SALO</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>195944</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>19692</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13893</NontaxableBenefitsFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN NOLAN</NamePerson>
        <Title>DIRECTOR</Title>
        <BaseCompensationFilingOrg>152960</BaseCompensationFilingOrg>
        <BonusFilingOrg>7667</BonusFilingOrg>
        <DeferredCompFilingOrg>16422</DeferredCompFilingOrg>
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      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>NAMD'S MISSION IS TO REPRESENT THE NON-PARTISAN VIEWS OF STATE MEDICAID PROGRAM IN THE FEDERAL POLICY PROCESS; SERVE AS A FOCAL POINT OF COMMUNICATION BETWEEN THE STATES AND THE FEDERAL GOVERNMENT; PROVIDE INFORMATION NETWORKING AMONG THE STATES ON ISSUES PERTINENT TO THE MEDICAID PROGRAM; AND LEVERAGE AND PROMOTE EXPERTISE ACROSS STATES TO IMPROVE STATE MEDICAID PROGRAM, POLICIES, AND OPERATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 4</ReturnReference>
        <Explanation>THE BYLAWS WERE AMENDED LAST YEAR. SECTION 2.7 WAS AMENDED TO REFLECT CHANGES TO THE ANNUAL MEMBERSHIP MEETING. THERE WERE NUMEROUS ADJUSTMENTS TO ACTICLE III - BOARD OF DIECTORS SECTION AND ARTICLE IV - OFFICERS TO REFLECT CHANGES IN THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>NATIONAL ASSOCIATION OF MEDICAID DIRECTORS IS AN ASSOCIATION COMPOSED OF DIRECTORS, ADMINISTRATORS AND DEPUTIES RESPONSIBLE FOR THE ADMINISTRATION OF THE MEDICAID PROGRAM IN EACH STATE, UNITED STATES TERRITORY AND DISTRICT OF COLUMBIA JURISDICTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE MEMBERS OF THE ASSOCIATION ELECT THE PRESIDENT, VICE PRESIDENT, EIGHT (8) REGIONAL MEMBERS AND ONE TERRITORIAL REPRESENTATIVE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>CHANGES TO THE ARTICLES OF INCORPORATION OR BY-LAWS ARE SUBJECT TO THE APPROVAL OF THE MEMBERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE IRS FORM 990 IS PREPARED BY THE ASSISTANT CONTROLLER OF NATIONAL GOVERNORS ASSOCIATION. IT IS REVIEWED AND SIGNED BY THE EXECUTIVE DIRECTOR OF NAMD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>OFFICERS AND DIRECTORS MUST PROVIDE WRITTEN NOTIFICATION TO THE CHAIR OF THE BOARD OF DIRECTORS OF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AS SOON AS IT OCCURS. IN ADDITION, NAMD REQUIRES OFFICERS AND DIRECTORS TO CERTIFY THAT THEY HAVE REVIEWED THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE NAMD BOARD OF DIRECTORS IS RESPONSIBLE FOR ANNUALLY EVALUATING THE PERFORMANCE OF THE NAMD EXECUTIVE DIRECTOR AND SETS THE EXECUTIVE DIRECTOR'S SALARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART XI</ReturnReference>
        <Explanation>LINE 5 REPRESESNTS UNREALIZED LOSS ON INVESTMENTS</Explanation>
      </GeneralExplanation>
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</Return>