Download Zipped Enrolled WordPerfect SB0166.ZIP
[Introduced][Status][Bill Documents][Fiscal Note][Bills Directory]

S.B. 166 Enrolled

             1     

HOSPITAL ASSESSMENT AMENDMENTS

             2     
2013 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Lyle W. Hillyard

             5     
House Sponsor: Brad R. Wilson

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends the Hospital Provider Assessment Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    defines terms;
             13          .    modifies the calculation of the annual assessment;
             14          .    modifies the manner in which a hospital's discharge data is derived;
             15          .    requires the Division of Health Care Financing of the Department of Health to
             16      incorporate $154 million into the accountable care organization rate structure;
             17          .    grants rulemaking authority to the Department of Health over the penalties and
             18      interest assessed under the Act;
             19          .    repeals the assessment on July 1, 2016; and
             20          .    makes technical changes.
             21      Money Appropriated in this Bill:
             22          This bill appropriates in fiscal year 2013:
             23          .    to Department of Health - Medicaid Mandatory Services:
             24              .    from Hospital Provider Assessment Special Revenue Fund, $6,300,600.
             25          This bill appropriates in fiscal year 2014:
             26          .    to Department of Health - Medicaid Mandatory Services, as an ongoing
             27      appropriation:
             28              .    from Hospital Provider Assessment Special Revenue Fund, $5,500,000.
             29      Other Special Clauses:


             30          If approved by two-thirds of all the members elected to each house, this bill takes effect
             31      on April 1, 2013.
             32      Utah Code Sections Affected:
             33      AMENDS:
             34          26-36a-103, as enacted by Laws of Utah 2010, Chapter 179
             35          26-36a-202, as enacted by Laws of Utah 2010, Chapter 179
             36          26-36a-203, as last amended by Laws of Utah 2012, Chapter 348
             37          26-36a-204, as enacted by Laws of Utah 2010, Chapter 179
             38          26-36a-205, as last amended by Laws of Utah 2012, Chapter 348
             39          26-36a-206, as enacted by Laws of Utah 2010, Chapter 179
             40          26-36a-207, as enacted by Laws of Utah 2010, Chapter 179
             41          26-36a-208, as last amended by Laws of Utah 2011, Chapter 118
             42          63I-1-226, as last amended by Laws of Utah 2012, Chapters 171 and 328
             43      REPEALS:
             44          26-36a-209, as last amended by Laws of Utah 2012, Chapter 348
             45     
             46      Be it enacted by the Legislature of the state of Utah:
             47          Section 1. Section 26-36a-103 is amended to read:
             48           26-36a-103. Definitions.
             49          As used in this chapter:
             50          (1) "Assessment" means the Medicaid hospital provider assessment established by this
             51      chapter.
             52          (2) "Discharges" means the number of total hospital discharges reported on worksheet
             53      S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare Cost Report or on
             54      Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare Cost Report for
             55      the applicable assessment year.
             56          (3) "Division" means the Division of Health Care Financing of the department.
             57          (4) "Hospital":


             58          (a) means a privately owned:
             59          (i) general acute hospital operating in the state as defined in Section 26-21-2 ; and
             60          (ii) specialty hospital operating in the state, which shall include a privately owned
             61      hospital whose inpatient admissions are predominantly:
             62          (A) rehabilitation;
             63          (B) psychiatric;
             64          (C) chemical dependency; or
             65          (D) long-term acute care services; and
             66          (b) does not include:
             67          (i) a residential care or treatment facility as defined in Section 62A-2-101 ;
             68          (ii) a hospital owned by the federal government, including the Veterans Administration
             69      Hospital; or
             70          [(iii) a Shriners hospital that does not charge for its services; or]
             71          [(iv)] (iii) a hospital that is owned by the state government, a state agency, or a political
             72      subdivision of the state, including:
             73          (A) a state-owned teaching hospital; and
             74          (B) the Utah State Hospital.
             75          [(5) "Low volume select access hospital" means a hospital that furnished inpatient
             76      hospital services during fiscal year 2008 to less than 300 Medicaid cases under the select
             77      access program.]
             78          [(6)] (5) "Medicare cost report" means CMS-2552-96 or CMS-2552-10, the cost report
             79      for electronic filing of hospitals.
             80          [(7) "Select access cases" means the number of hospital inpatient cases related to
             81      individuals enrolled in the state's select access program for 2008.]
             82          [(8)] (6) "State plan amendment" means a change or update to the state Medicaid plan.
             83          [(9) "Upper payment limit" means the maximum ceiling imposed by federal regulation
             84      on a hospital Medicaid reimbursement for inpatient services under 42 C.F.R. Sec. 447.272.]
             85          [(10) "Upper payment limit gap":]


             86          [(a) means the difference between:]
             87          [(i) the inpatient hospital upper payment limit for hospitals; and]
             88          [(ii) Medicaid payments for inpatient hospital services not financed using hospital
             89      assessments paid by all hospitals;]
             90          [(b) shall be calculated separately for hospital inpatient services; and]
             91          [(c) does not include Medicaid disproportionate share payments as part of the
             92      calculation for the upper payment limit gap.]
             93          (7) "Accountable care organization" means a managed care organization, as defined in
             94      42 C.F.R. Sec. 438, that contracts with the department under the provisions of Section
             95      26-18-405 .
             96          Section 2. Section 26-36a-202 is amended to read:
             97           26-36a-202. Assessment, collection, and payment of hospital provider assessment.
             98          (1) A uniform, broad based, assessment is imposed on each hospital as defined in
             99      Subsection 26-36a-103 (4)(a):
             100          (a) in the amount designated in Section 26-36a-203 ; and
             101          (b) in accordance with Section 26-36a-204 [, beginning when the division has obtained
             102      approval from the Center for Medicare and Medicaid Services and provided notice of the
             103      assessment to the hospital].
             104          (2) (a) The assessment imposed by this chapter is due and payable on a quarterly basis
             105      in accordance with Section 26-36a-204 .
             106          (b) The collecting agent for this assessment is the department which is vested with the
             107      administration and enforcement of this chapter, including the right to adopt administrative rules
             108      in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, necessary to:
             109          (i) implement and enforce the provisions of this act; and
             110          (ii) audit records of a facility:
             111          (A) that is subject to the assessment imposed by this chapter; and
             112          (B) does not file a Medicare cost report.
             113          (c) The department shall forward proceeds from the assessment imposed by this


             114      chapter to the state treasurer for deposit in the restricted special revenue fund as specified in
             115      Section 26-36a-207 .
             116          (3) The department may, by rule, extend the time for paying the assessment.
             117          Section 3. Section 26-36a-203 is amended to read:
             118           26-36a-203. Calculation of assessment.
             119          [(1) The division shall calculate the inpatient upper payment limit gap for hospitals for
             120      each state fiscal year.]
             121          [(2)] (1) (a) An annual assessment is payable on a quarterly basis for each hospital in
             122      an amount calculated at a uniform assessment rate for each hospital discharge, in accordance
             123      with this section.
             124          (b) The uniform assessment rate shall be determined using the total number of hospital
             125      discharges for assessed hospitals divided into the total non-federal portion [of the upper
             126      payment limit gap] in an amount consistent with Section 26-36a-205 that is needed to support
             127      capitated rates for accountable care organizations for purposes of hospital services provided to
             128      Medicaid enrollees.
             129          (c) Any quarterly changes to the uniform assessment rate shall be applied uniformly to
             130      all assessed hospitals.
             131          (d) [(i) Except as provided in Subsection (2)(d)(ii), the] The annual uniform
             132      assessment rate may not generate more than [the non-federal share of the annual upper payment
             133      limit gap for the fiscal year.]:
             134          [(ii) For fiscal years 2011-12 and 2012-13 the department may generate an additional
             135      amount from the assessment imposed under Subsection (2)(d)(i) in the amount of:]
             136          [(A)] (i) $1,000,000 to offset Medicaid mandatory expenditures; and
             137          [(B)] (ii) the non-federal share to seed amounts needed to support capitated rates for
             138      accountable care organizations as provided for in Subsection (1)(b).
             139          [(3) (a) For state fiscal years 2010 and 2011, discharges shall be determined using the
             140      data from each hospital's Medicare Cost Report contained in the Centers for Medicare and
             141      Medicaid Services' Healthcare Cost Report Information System file as of April 1, 2009, for


             142      hospital fiscal years ending between October 1, 2007, and September 30, 2008.]
             143          [(b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             144      Medicare and Medicaid Services' Healthcare Cost Report Information System file dated March
             145      31, 2009:]
             146          [(i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
             147      Report with a fiscal year end between October 1, 2007, and September 30, 2008; and]
             148          [(ii) the division shall determine the hospital's discharges from the information
             149      submitted under Subsection (3)(b)(i).]
             150          [(c) If a hospital started operations after the due date for a 2007 Medicare Cost Report:]
             151          [(i) the hospital shall submit to the division a copy of the hospital's most recent
             152      complete year Medicare Cost Report; and]
             153          [(ii) the division shall determine the hospital's discharges from the information
             154      submitted under Subsection (3)(c)(i).]
             155          [(d) If a hospital is not certified by the Medicare program and is not required to file a
             156      Medicare Cost Report:]
             157          [(i) the hospital shall submit to the division its applicable fiscal year discharges with
             158      supporting documentation;]
             159          [(ii) the division shall determine the hospital's discharges from the information
             160      submitted under Subsection (3)(d)(i); and]
             161          [(iii) the failure to submit discharge information under Subsections (3)(d)(i) and (ii)
             162      shall result in an audit of the hospital's records by the department and the imposition of a
             163      penalty equal to 5% of the calculated assessment.]
             164          [(4)] (2) (a) For each state fiscal year [2012 and 2013], discharges shall be determined
             165      using the data from each hospital's Medicare Cost Report contained in the Centers for Medicare
             166      and Medicaid Services' Healthcare Cost Report Information System file [as of]. The hospital's
             167      discharge data will be derived as follows:
             168          [(i) for state fiscal year 2012, September 30, 2010, for hospital fiscal years ending
             169      between October 1, 2008, and September 30, 2009; and]


             170          [(ii) for state fiscal year 2013, September 30, 2011, for hospital fiscal years ending
             171      between October 1, 2009, and September 30, 2010.]
             172          (i) for state fiscal year 2013, the hospital's cost report data for the hospital's fiscal year
             173      ending between July 1, 2009, and June 30, 2010;
             174          (ii) for state fiscal year 2014, the hospital's cost report data for the hospital's fiscal year
             175      ending between July 1, 2010, and June 30, 2011;
             176          (iii) for state fiscal year 2015, the hospital's cost report data for the hospital's fiscal year
             177      ending between July 1, 2011, and June 30, 2012; and
             178          (iv) for state fiscal year 2016, the hospital's cost report data for the hospital's fiscal year
             179      ending between July 1, 2012, and June 30, 2013.
             180          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             181      Medicare and Medicaid Services' Healthcare Cost Report Information System file:
             182          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
             183      Report applicable to the assessment year; and
             184          (ii) the division shall determine the hospital's discharges.
             185          (c) If a hospital is not certified by the Medicare program and is not required to file a
             186      Medicare Cost Report:
             187          (i) the hospital shall submit to the division its applicable fiscal year discharges with
             188      supporting documentation;
             189          (ii) the division shall determine the hospital's discharges from the information
             190      submitted under Subsection [(4)] (2)(c)(i); and
             191          (iii) the failure to submit discharge information shall result in an audit of the hospital's
             192      records and a penalty equal to 5% of the calculated assessment.
             193          [(5)] (3) Except as provided in Subsection [(6)] (4), if a hospital is owned by an
             194      organization that owns more than one hospital in the state:
             195          (a) the assessment for each hospital shall be separately calculated by the department;
             196      and
             197          (b) each separate hospital shall pay the assessment imposed by this chapter.


             198          [(6)] (4) Notwithstanding the requirement of Subsection [(5)] (3), if multiple hospitals
             199      use the same Medicaid provider number:
             200          (a) the department shall calculate the assessment in the aggregate for the hospitals
             201      using the same Medicaid provider number; and
             202          (b) the hospitals may pay the assessment in the aggregate.
             203          [(7) (a) The assessment formula imposed by this section, and the inpatient access
             204      payments under Section 26-36a-205 , shall be adjusted in accordance with Subsection (7)(b) if a
             205      hospital, for any reason, does not meet the definition of a hospital subject to the assessment
             206      under Section 26-36a-103 for the entire fiscal year.]
             207          [(b) The department shall adjust the assessment payable to the department under this
             208      chapter for a hospital that is not subject to the assessment for an entire fiscal year by
             209      multiplying the annual assessment calculated under Subsection (3) or (4) by a fraction, the
             210      numerator of which is the number of days during the year that the hospital operated, and the
             211      denominator of which is 365.]
             212          [(c) A hospital described in Subsection (7)(a):]
             213          [(i) that is ceasing to operate in the state, shall pay any assessment owed to the
             214      department immediately upon ceasing to operate in the state; and]
             215          [(ii) shall receive Medicaid inpatient hospital access payments under Section
             216      26-36a-205 for the state fiscal year, adjusted using the same formula described in Subsection
             217      (7)(b).]
             218          [(8) A hospital that is subject to payment of the assessment at the beginning of a state
             219      fiscal year, but during the state fiscal year experiences a change in status so that it no longer
             220      falls under the definition of a hospital subject to the assessment in Section 26-36a-204 , shall:]
             221          [(a) not be required to pay the hospital assessment beginning on the date established by
             222      the department by administrative rule; and]
             223          [(b) not be entitled to Medicaid inpatient hospital access payments under Section
             224      26-36a-205 on the date established by the department by administrative rule.]
             225          Section 4. Section 26-36a-204 is amended to read:


             226           26-36a-204. Quarterly notice -- Collection.
             227          [(1) (a) The division shall submit to the Center for Medicare and Medicaid Services:]
             228          [(i) the payment methodology for the assessment imposed by this chapter; and]
             229          [(ii) if necessary, a waiver under 42 C.F.R. Sec. 433.68.]
             230          [(b) When the division receives notice of approval of the assessment and access
             231      payments under this chapter from the Center for Medicare and Medicaid Services, the division
             232      shall, within 45 days of the notice from the Center for Medicare and Medicaid Services,
             233      provide a hospital that is subject to the assessment notice of:]
             234          [(i) the approval of the assessment methodology from the Center for Medicare and
             235      Medicaid Services;]
             236          [(ii) the assessment rate;]
             237          [(iii) the hospital's discharges subject to the assessment; and]
             238          [(iv) the assessment amount owed by the hospital for the applicable fiscal year.]
             239          [(2) The initial quarterly installments of the assessment imposed by this chapter are due
             240      and payable if:]
             241          [(a) the division has provided notice of the annual assessment under Subsection (1);
             242      and]
             243          [(b) the division has made all the quarterly installments of the Medicaid inpatient
             244      hospital access payments that were otherwise due under Section 26-36a-205 , consistent with
             245      the effective date of the approved state plan amendment.]
             246          [(3) After the initial quarterly installments of the Medicaid inpatient hospital access
             247      payments are made by the division, a hospital shall pay to the division the initial quarterly
             248      assessments imposed by this chapter within 10 business days. Subsequent quarterly]
             249          Quarterly assessments imposed by this chapter shall be paid to the division within [10]
             250      15 business days after the [hospital receives its Medicaid inpatient hospital access payment due
             251      for the applicable quarter under Section 26-36a-205 ] original invoice date that appears on the
             252      invoice issued by the division.
             253          Section 5. Section 26-36a-205 is amended to read:


             254           26-36a-205. Medicaid hospital adjustment under accountable care organization
             255      rates.
             256          [(1)] To preserve and improve access to [hospitals] hospital services, the division shall
             257      [make Medicaid inpatient hospital access payments to hospitals in accordance with this section,
             258      Section 26-36a-204 , and Subsection 26-36a-203 (7)], for accountable care organization rates
             259      effective on or after April 1, 2013, incorporate an annualized amount equal to $154 million into
             260      the accountable care organization rate structure calculation consistent with the certified
             261      actuarial rate range.
             262          [(2) (a) The Medicaid inpatient hospital access payment amount to a particular hospital
             263      shall be established by the division.]
             264          [(b) The aggregate of all hospital's Medicaid inpatient hospital access payments shall
             265      be:]
             266          [(i) equal to the upper payment limit gap for inpatient services for all hospitals; and]
             267          [(ii) designated as the Medicaid inpatient hospital access payment pool.]
             268          [(3) In addition to any other funds paid to hospitals during fiscal years 2010 and 2011
             269      for inpatient hospital services to Medicaid patients, a Medicaid hospital inpatient access
             270      payment shall be made:]
             271          [(a) for state fiscal years 2010 and 2011:]
             272          [(i) the amount of $825 per Medicaid fee for service day, to a hospital that:]
             273          [(A) was not a specialty hospital; and]
             274          [(B) had less than 300 select access inpatient cases during state fiscal year 2008; and]
             275          [(ii) inpatient hospital access payments as determined by dividing the remaining
             276      spending room available in the current year UPL, after offsetting the payments authorized
             277      under Subsection (3)(a)(i) by the total 2008 Medicaid inpatient hospital payments, multiplied
             278      by the hospital's Medicaid inpatient payments for state fiscal year 2008, exclusive of medical
             279      education and Medicaid disproportionate share payments;]
             280          [(b) for state fiscal year 2012:]
             281          [(i) the amount of $825 per Medicaid fee for service day, to a hospital that:]


             282          [(A) is not a specialty hospital; and]
             283          [(B) has less than 300 select access inpatient cases during the state fiscal year 2008;
             284      and]
             285          [(ii) inpatient hospital access payments as determined by dividing the remaining
             286      spending room available in the current year upper payment limit, after offsetting the payments
             287      authorized under Subsection (3)(a)(i), by the total 2009 Medicaid inpatient hospital payments,
             288      multiplied by the hospital's Medicaid inpatient payments for state fiscal year 2009; and]
             289          [(c) for state fiscal year 2013:]
             290          [(i) the amount of $825 per Medicaid fee for service day, to a hospital that:]
             291          [(A) is not a specialty hospital; and]
             292          [(B) has less than 300 select access inpatient cases during the state fiscal year 2008;
             293      and]
             294          [(ii) inpatient hospital access payments as determined by dividing the remaining
             295      spending room available in the current year upper payment limit, after offsetting the payments
             296      authorized under Subsection (3)(a)(i), by the total 2010 Medicaid inpatient hospital payments,
             297      multiplied by the hospital's Medicaid inpatient payments for state fiscal year 2010.]
             298          [(4) Medicaid inpatient hospital access payments shall be made:]
             299          [(a) on a quarterly basis for inpatient hospital services furnished to Medicaid
             300      individuals during each quarter; and]
             301          [(b) within 15 days after the end of each quarter.]
             302          [(5) A hospital's Medicaid inpatient access payment shall not be used to offset any
             303      other payment by Medicaid for hospital inpatient or outpatient services to Medicaid
             304      beneficiaries, including a:]
             305          [(a) fee-for-service payment;]
             306          [(b) per diem payment;]
             307          [(c) hospital inpatient adjustment; or]
             308          [(d) cost settlement payment.]
             309          [(6) When the division obtains approval from the Centers for Medicare and Medicaid


             310      Services for the Medicaid Waiver - Accountable Care Organizations, and has determined the
             311      capitated rate for the accountable care organizations, the department shall consult with the Utah
             312      Hospitals Association to develop an alternative supplemental payment methodology that can be
             313      approved by the Centers for Medicare and Medicaid Services.]
             314          [(7) A hospital shall not be guaranteed that the hospital's Medicaid inpatient hospital
             315      access payments will equal or exceed the amount of the hospital's assessment.]
             316          Section 6. Section 26-36a-206 is amended to read:
             317           26-36a-206. Penalties and interest.
             318          (1) A facility that fails to pay any assessment or file a return as required under this
             319      chapter, within the time required by this chapter, shall pay, in addition to the assessment,
             320      penalties and interest established by the department.
             321          (2) (a) Consistent with Subsection (2)(b), the department shall adopt rules in
             322      accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which establish
             323      reasonable penalties and interest for the violations described in Subsection (1).
             324          (b) If a hospital fails to timely pay the full amount of a quarterly assessment, the
             325      department shall add to the assessment:
             326          (i) a penalty equal to 5% of the quarterly amount not paid on or before the due date;
             327      and
             328          (ii) on the last day of each quarter after the due date until the assessed amount and the
             329      penalty imposed under Subsection (2)(b)(i) are paid in full, an additional 5% penalty on:
             330          (A) any unpaid quarterly assessment; and
             331          (B) any unpaid penalty assessment.
             332          [(c) The division may waive, reduce, or compromise the penalties and interest provided
             333      for in this section in the same manner as provided in Subsection 59-1-401 (8).]
             334          (c) Upon making a record of its actions, and upon reasonable cause shown, the division
             335      may waive, reduce, or compromise any of the penalties imposed under this part.
             336          Section 7. Section 26-36a-207 is amended to read:
             337           26-36a-207. Restricted Special Revenue Fund -- Creation -- Deposits.


             338          (1) There is created a restricted special revenue fund known as the "Hospital Provider
             339      Assessment Special Revenue Fund."
             340          (2) The fund shall consist of:
             341          (a) the assessments collected by the department under this chapter;
             342          (b) any interest and penalties levied with the administration of this chapter; and
             343          (c) any other funds received as donations for the restricted fund and appropriations
             344      from other sources.
             345          (3) Money in the fund shall be used:
             346          [(a) to make inpatient hospital access payments under Section 26-36a-205 ; and]
             347          (a) to support capitated rates consistent with Subsection 26-36a-203 (1)(d) for
             348      accountable care organizations; and
             349          (b) to reimburse money collected by the division from a hospital through a mistake
             350      made under this chapter.
             351          Section 8. Section 26-36a-208 is amended to read:
             352           26-36a-208. Repeal of assessment.
             353          (1) The repeal of the assessment imposed by this chapter shall occur upon the
             354      certification by the executive director of the department that the sooner of the following has
             355      occurred:
             356          (a) the effective date of any action by Congress that would disqualify the assessment
             357      imposed by this chapter from counting towards state Medicaid funds available to be used to
             358      determine the federal financial participation;
             359          (b) the effective date of any decision, enactment, or other determination by the
             360      Legislature or by any court, officer, department, or agency of the state, or of the federal
             361      government that has the effect of:
             362          (i) disqualifying the assessment from counting towards state Medicaid funds available
             363      to be used to determine federal financial participation for Medicaid matching funds; or
             364          (ii) creating for any reason a failure of the state to use the assessments for the Medicaid
             365      program as described in this chapter; [and]


             366          (c) the effective date of:
             367          (i) an appropriation for any state fiscal year from the General Fund for hospital
             368      payments under the state Medicaid program that is less than the amount appropriated for state
             369      fiscal year 2012;
             370          (ii) the annual revenues of the state General Fund budget return to the level that was
             371      appropriated for fiscal year 2008;
             372          (iii) approval of any change in the state Medicaid plan that requires a greater
             373      percentage of Medicaid patients to enroll in Medicaid managed care plans than what is
             374      required:
             375          (A) to implement accountable care organizations in the state plan; and
             376          (B) by other managed care enrollment requirements in effect on or before January 1,
             377      2012;
             378          (iv) a division change in rules that reduces any of the following below July 1, 2011
             379      payments:
             380          (A) aggregate hospital inpatient payments;
             381          (B) adjustment payment rates; or
             382          (C) any cost settlement protocol; or
             383          (v) a division change in rules that reduces the aggregate outpatient payments below
             384      July 1, 2011 payments[.]; and
             385          (d) the sunset of this chapter in accordance with Section 63I-1-226 .
             386          (2) If the assessment is repealed under Subsection (1), money in the fund that was
             387      derived from assessments imposed by this chapter, before the determination made under
             388      Subsection (1), shall be disbursed under Section 26-36a-205 to the extent federal matching is
             389      not reduced due to the impermissibility of the assessments. Any funds remaining in the special
             390      revenue fund shall be refunded to the hospitals in proportion to the amount paid by each
             391      hospital.
             392          Section 9. Section 63I-1-226 is amended to read:
             393           63I-1-226. Repeal dates, Title 26.


             394          (1) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
             395      1, 2015.
             396          (2) Section 26-18-12 , Expansion of 340B drug pricing programs, is repealed July 1,
             397      2013.
             398          (3) Section 26-21-23 , Licensing of non-Medicaid nursing care facility beds, is repealed
             399      July 1, 2016.
             400          (4) Section 26-21-211 is repealed July 1, 2013.
             401          (5) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2014.
             402          (6) Title 26, Chapter 36a, Hospital Provider Assessment Act, is repealed July 1, [2013]
             403      2016.
             404          (7) Section 26-38-2.5 is repealed July 1, 2017.
             405          (8) Section 26-38-2.6 is repealed July 1, 2017.
             406          Section 10. Repealer.
             407          This bill repeals:
             408          Section 26-36a-209, State plan amendment.
             409          Section 11. Appropriations.
             410          Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, for
             411      the fiscal year beginning July 1, 2012, and ending June 30, 2013, the following sums of money
             412      are appropriated from resources not otherwise appropriated, or reduced from amounts
             413      previously appropriated, out of the funds or accounts indicated. These sums of money are in
             414      addition to any amounts previously appropriated for fiscal year 2013.
             415          To Department of Health - Medicaid Mandatory Services
             416          From Hospital Provider Assessment Special Revenue Fund
$6,300,600

             417          Schedule of Programs:
             418              Department of Health - Medicaid Mandatory Services    $6,300,600
             419          Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, for
             420      the fiscal year beginning July 1, 2013, and ending June 30, 2014, the following sums of money
             421      are appropriated from resources not otherwise appropriated, or reduced from amounts


             422      previously appropriated, out of the funds or accounts indicated. These sums of money are in
             423      addition to any amounts previously appropriated for fiscal year 2014.
             424          To Department of Health - Medicaid Mandatory Services
             425          From Hospital Provider Assessment Special Revenue Fund
$5,500,000

             426          Schedule of Programs:
             427              Department of Health - Medicaid Mandatory Services    $5,500,000
             428          Section 12. Effective date.
             429          If approved by two-thirds of all the members elected to each house, this bill takes effect
             430      on April 1, 2013.


[Bill Documents][Bills Directory]