S.B.
166
HOSPITAL PROVIDER ASSESSMENT AMENDMENTS
Senate Committee
Amendments
Amendment 3 February 7, 2013 2:20 PM
Senator Lyle W. Hillyard
proposes the following amendments:
1. Page
4, Line 111 through Page 5, Line 121
:
111
26-36a-203. Calculation of assessment.
112
[(1) The division shall calculate the inpatient upper payment limit gap for hospitals for
113
each state fiscal year.]
114
[(2)] (1) (a) An annual assessment is payable on a quarterly basis for each hospital in
115
an amount calculated at a uniform assessment rate for each hospital discharge, in accordance
116
with this section.
117
(b) The uniform assessment rate shall be determined using the total number of hospital
118
discharges for assessed hospitals divided into the total nonfederal portion [of the upper
119
payment limit gap] in an amount
{
equal to the $154 million
}
consistent with 26-36a-205
that is
needed to support capitated
120
rates for accountable care organizations for purposes of hospital services provided to Medicaid
121
enrollees.
2. Page
8, Line 242 through Page 9, Line 245
:
242
Quarterly assessments imposed by this chapter shall be paid to the division within [10]
243
15 business days after the [hospital receives its Medicaid inpatient hospital access payment due
244
for the applicable quarter under Section
26-36a-205
]
original invoice
date that appears on the invoice
issued by
245
the division.
3. Page
9, Lines 247 through 253
:
247
26-36a-205. Medicaid hospital adjustment under accountable care organization
248
rates.
249
[(1)] To preserve and improve access to [hospitals] hospital services, the division shall
250
[make Medicaid inpatient hospital access payments to hospitals in accordance with this section,
251
Section
26-36a-204
, and Subsection
26-36a-203
(7)], for accountable care organization rates
252
effective on or after April 1, 2013, incorporate an
annualized
amount equal to $154 million into the
253
accountable care organization rate structure
calculation
consistent with the certified actuarial rate range.
4. Page
11, Line 328 through Page 12, Line 340
:
328
Section 7.
Section
26-36a-207
is amended to read:
329
26-36a-207. Restricted Special Revenue Fund -- Creation -- Deposits.
330
(1) There is created a restricted special revenue fund known as the "Hospital Provider
331
Assessment Special Revenue Fund."
332
(2) The fund shall consist of:
333
(a) the assessments collected by the department under this chapter;
334
(b) any interest and penalties levied with the administration of this chapter; and
335
(c) any other funds received as donations for the restricted fund and appropriations
336
from other sources.
337
(3) Money in the fund shall be used:
338
[(a) to make inpatient hospital access payments under Section
26-36a-205
; and]
339
(a) to support capitated rates
consistent with 26-36a-203(1)(d)
for accountable care organizations
{
in an amount equal to
340
$154 million
}
; and
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