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S.B. 273

This document includes Senate 2nd Reading Floor Amendments incorporated into the bill on Fri, Mar 5, 2010 at 4:44 PM by rday. --> This document includes House Floor Amendments incorporated into the bill on Wed, Mar 10, 2010 at 12:12 PM by lerror. -->              1     

HOSPITAL ASSESSMENTS

             2     
2010 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Lyle W. Hillyard

             5     
House Sponsor: Kevin S. Garn

             6     

             7      LONG TITLE
             8      General Description:
             9          This bill enacts the Hospital Provider Assessment Act in the health code.
             10      Highlighted Provisions:
             11          This bill:
             12          .    makes legislative findings;
             13          .    defines terms;
             14          .    clarifies the application of the chapter;
             15          .    establishes the assessment and payment of the hospital provider assessment;
             16          .    establishes the calculation of the assessment;
             17          .    provides for quarterly assessment and payment;
             18          .    establishes a Medicaid inpatient hospital access payment from the division to a
             19      hospital;
             20          .     provides for penalties if the hospital provider assessment is not paid;
             21          .    creates a restricted special revenue fund;
             22          .    repeals the assessment if certain events occur;
             23          .    creates a Hospital Policy Review Board to review Medicaid state plan amendments
             24      that effect hospital reimbursements;
             25          .    requires the division to seek approval from the Center for Medicare and Medicaid
             26      Services for federal matching based on the hospital provider assessment; and
             27          .    repeals the hospital provider assessment on July 1, 2013.



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             28
     Monies Appropriated in this Bill:
             29          None
             30      Other Special Clauses:
             31          This bill has retrospective operation for taxable years beginning on or after January 1,
             32      2010.
             33      Utah Code Sections Affected:
             34      AMENDS:
             35          63I-1-226, as last amended by Laws of Utah 2009, Chapter 334
             36      ENACTS:
             37          26-36a-101, Utah Code Annotated 1953
             38          26-36a-102, Utah Code Annotated 1953
             39          26-36a-103, Utah Code Annotated 1953
             40          26-36a-201, Utah Code Annotated 1953
             41          26-36a-202, Utah Code Annotated 1953
             42          26-36a-203, Utah Code Annotated 1953
             43          26-36a-204, Utah Code Annotated 1953
             44          26-36a-205, Utah Code Annotated 1953
             45          26-36a-206, Utah Code Annotated 1953
             46          26-36a-207, Utah Code Annotated 1953
             47          26-36a-208, Utah Code Annotated 1953
             48          26-36a-209, Utah Code Annotated 1953
             49     

             50      Be it enacted by the Legislature of the state of Utah:
             51          Section 1. Section 26-36a-101 is enacted to read:
             52     
CHAPTER 36a. HOSPITAL PROVIDER ASSESSMENT ACT

             53     
Part 1. General Provisions

             54          26-36a-101. Title.
             55          This chapter is known as the "Hospital Provider Assessment Act."
             56          Section 2. Section 26-36a-102 is enacted to read:
             57          26-36a-102. Legislative findings.
             58          (1) The Legislature finds that there is an important state purpose to improve the access



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             59
     of Medicaid patients to quality care in Utah hospitals because of continuous decreases in state
             60      revenues and increases in enrollment under the Utah Medicaid program.
             61          (2) The Legislature finds that in order to improve this access to those persons described
             62      in Subsection (1):
             63          (a) the rates paid to Utah hospitals must be adequate to encourage and support
             64      improved access; and
             65          (b) adequate funding must be provided to increase the rates paid to Utah hospitals
             66      providing services pursuant to the Utah Medicaid program.
             67          Section 3. Section 26-36a-103 is enacted to read:
             68          26-36a-103. Definitions.
             69          As used in this chapter:
             70          (1) "Assessment" means the Medicaid hospital provider assessment established by this
             71      chapter.
             72          (2) "Discharges" means the number of total hospital discharges reported on worksheet
             73      S-3, column 15, lines 12, 14, and 14.01 of the Medicare Cost Report for the applicable
             74      assessment year.
             75          (3) "Division" means the Division of Health Care Financing of the department.
             76          (4) "Hospital":
             77          (a) means a privately owned:
             78          (i) general acute hospital operating in the state as defined in Section 26-21-2 ; and
             79          (ii) specialty hospital operating in the state, which shall include a privately owned
             80      hospital whose inpatient admissions are predominantly:
             81          (A) rehabilitation;
             82          (B) psychiatric;
             83          (C) chemical dependency; or
             84          (D) long-term acute care services; and
             85          (b) does not include:
             86          (i) a residential care or treatment facility as defined in Section 62A-2-101 ;
             87          (ii) a hospital owned by the federal government, including the Veterans Administration
             88      Hospital;
             89          (iii) a Shriners hospital that does not charge for its services; or



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             90
         (iv) a hospital that is owned by the state government, a state agency, or a political
             91      subdivision of the state, including:
             92          (A) a state-owned teaching hospital; and
             93          (B) the Utah State Hospital.
             94          (5) "Low volume select access hospital" means a hospital that furnished inpatient
             95      hospital services during fiscal year 2008 to less than 300 Medicaid cases under the select
             96      access program.
             97          (6) "Medicare cost report" means CMS-2552-96, the cost report for electronic filing of
             98      hospitals.
             99          (7) "Select access cases" means the number of hospital inpatient cases related to
             100      individuals enrolled in the state's select access program for 2008.
             101          (8) "State plan amendment" means a change or update to the state Medicaid plan.
             102          (9) "Upper payment limit" means the maximum ceiling imposed by federal regulation
             103      on a hospital Medicaid reimbursement for inpatient services under 42 C.F.R Sec. 447.272.
             104          (10) "Upper payment limit gap":
             105          (a) means the difference between:
             106          (i) the inpatient hospital upper payment limit for hospitals; and
             107          (ii) Medicaid payments for inpatient hospital services not financed using hospital
             108      assessments paid by all hospitals;
             109          (b) shall be calculated separately for hospital inpatient services; and
             110          (c) does not include Medicaid disproportionate share payments as part of the
             111      calculation for the upper payment limit gap.
             112          Section 4. Section 26-36a-201 is enacted to read:
             113     
Part 2. Application of Chapter

             114          26-36a-201. Application of chapter.
             115          (1) Other than for the imposition of the assessment described in this chapter, nothing in
             116      this chapter shall affect the nonprofit or tax exempt status of any nonprofit charitable, religious,
             117      or educational health care provider under:
             118          (a) Section 501(c), as amended, of the Internal Revenue Code;
             119          (b) other applicable federal law;
             120          (c) any state law;



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             121
         (d) any ad valorem property taxes;
             122          (e) any sales or use taxes; or
             123          (f) any other taxes, fees, or assessments, whether imposed or sought to be imposed by
             124      the state or any political subdivision, county, municipality, district, authority, or any agency or
             125      department thereof.
             126           S. [ (2) For a hospital subject to the assessment imposed by this chapter, and also subject to
             127      the corporate franchise or income tax under Title 59, Chapter 7, Corporate Franchise and
             128      Income Taxes, all assessments paid under this chapter shall be allowed as a deductible expense
             129      under Title 59, Chapter 7, Corporate Franchise and Income Taxes.
             130          (3)
] (2) .S
All assessments paid under this chapter may be included as an allowable cost of a
             131      hospital for purposes of any applicable Medicaid reimbursement formula.
             132           S. [ (4) ] (3) .S This chapter does not authorize a political subdivision of the state to:
             133          (a) license a hospital for revenue;
             134          (b) impose a tax or assessment upon hospitals; or
             135          (c) impose a tax or assessment measured by the income or earnings of a hospital.
             136          Section 5. Section 26-36a-202 is enacted to read:
             137          26-36a-202. Assessment, collection, and payment of hospital provider assessment.
             138          (1) A uniform, broad based, assessment is imposed on each hospital as defined in
             139      Subsection 26-36a-103 (4)(a):
             140          (a) in the amount designated in Section 26-36a-203 ; and
             141          (b) in accordance with Section 26-36a-204 , beginning when the division has obtained
             142      approval from the Center for Medicare and Medicaid Services and provided notice of the
             143      assessment to the hospital.
             144          (2) (a) The assessment imposed by this chapter is due and payable on a quarterly basis
             145      in accordance with Section 26-36a-204 .
             146          (b) The collecting agent for this assessment is the department which is vested with the
             147      administration and enforcement of this chapter, including the right to adopt administrative rules
             148      in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, necessary to:
             149          (i) implement and enforce the provisions of this act; and
             150          (ii) audit records of a facility:
             151          (A) that is subject to the assessment imposed by this chapter; and



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             152
         (B) does not file a Medicare cost report.
             153          (c) The department shall forward proceeds from the assessment imposed by this
             154      chapter to the state treasurer for deposit in the restricted special revenue fund as specified in
             155      Section 26-36a-207 .
             156          (3) The department may, by rule, extend the time for paying the assessment.
             157          Section 6. Section 26-36a-203 is enacted to read:
             158          26-36a-203. Calculation of assessment.
             159          (1) The division shall calculate the inpatient upper payment limit gap for hospitals for
             160      each state fiscal year.
             161          (2) (a) An annual assessment is S. [ imposed ] payable .S on a quarterly basis for each
             161a      hospital in an
             162      amount calculated at a uniform assessment rate for each hospital discharge, in accordance with
             163      this section.
             164          (b) The uniform assessment rate shall be determined using the total number of hospital
             165      discharges for assessed hospitals divided into the total non-federal portion of the upper
             166      payment limit gap.
             167          (c) Any quarterly changes to the uniform assessment rate must be applied uniformly to
             168      all assessed hospitals.
             169          (d) H. [ The ] (i) Except as provided in Subsection (d)(ii), the .H annual uniform
             169a1      assessment rate S. H. [ :
             169a          (i)
] .H
.S may not generate more than the non-federal
             170      share of the annual upper payment limit gap H. for the fiscal year. [ for S. [each applicable] .S fiscal
             170a1      year S. 2012; and ] .H
             170a          (ii) H. [ for ] (A) For .H fiscal year H. [ 2010-2011 only:
             170b          (A)
] 2010 the assessment .H
may not generate more than the non-federal share of the
             170c1      annual upper payment
             170c      limit gap for the fiscal year H. [ ; and ] . .H
             170d          (B) H. For fiscal year 2010-2011 the department may generate an additional amount
             170e      from the assessment imposed under Subsection(d)(i) in the amount of .H $2,000,000. H. [ of
             170f      the assessment ] which .H shall be used by the department and the division H. as follows:
             170g          (I) $1,000,000 .H to
             170e      offset Medicaid mandatory expenditures H. ; and
             170f          (II) $1,000,000 to offset the reduction in hospital outpatient fees in the state program.


             170g          (C) For fiscal years 2011-12 and 2012-13 the department may generate an


            
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170h
     additional amount from the assessment imposed under Subsection(d)(i) in the amount of
             170i      $1,000,000 to offset Medicaid mandatory expenditures .H .S .
             171          (3) (a) For state fiscal years 2010 and 2011, discharges shall be determined using the
             172      data from each hospital's Medicare Cost Report contained in the Centers for Medicare and
             173      Medicaid Services' Healthcare Cost Report Information System file as of April 1, 2009 for
             174      hospital fiscal years ending between October 1, 2007, and September 30, 2008.
             175          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             176      Medicare and Medicaid Services' Healthcare Cost Report Information System file dated March
             177      31, 2009:
             178          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost


            
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179
     Report with a fiscal year end between October 1, 2007, and September 30, 2008; and
             180          (ii) the division shall determine the hospital's discharges from the information
             181      submitted under Subsection (3)(b)(i).
             182          (c) If a hospital started operations after the due date for a 2007 Medicare Cost Report:



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             183
         (i) the hospital shall submit to the division a copy of the hospital's most recent
             184      complete year Medicare Cost Report; and
             185          (ii) the division shall determine the hospital's discharges from the information
             186      submitted under Subsection (3)(c)(i).
             187          (d) If a hospital is not certified by the Medicare program and is not required to file a
             188      Medicare Cost Report:
             189          (i) the hospital shall submit to the division its applicable fiscal year discharges with
             190      supporting documentation;
             191          (ii) the division shall determine the hospital's discharges from the information
             192      submitted under Subsection (3)(d)(i); and
             193          (iii) the failure to submit discharge information under Subsections (3)(d)(i) and (ii)
             194      shall result in an audit of the hospital's records by the department and the imposition of a
             195      penalty equal to 5% of the calculated assessment.
             196          (4) (a) For state fiscal year 2012 and 2013, discharges shall be determined using the
             197      data from each hospital's Medicare Cost Report contained in the Centers for Medicare and
             198      Medicaid Services' Healthcare Cost Report Information System file as of:
             199          (i) for state fiscal year 2012, September 30, 2010, for hospital fiscal years ending
             200      between October 1, 2008, and September 30, 2009; and
             201          (ii) for state fiscal year 2013, September 30, 2011, for hospital fiscal years ending
             202      between October 1, 2009, and September 30, 2010.
             203          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             204      Medicare and Medicaid Services' Healthcare Cost Report Information System file:
             205          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
             206      Report applicable to the assessment year; and
             207          (ii) the division shall determine the hospital's discharges.
             208          (c) If a hospital is not certified by the Medicare program and is not required to file a
             209      Medicare Cost Report:
             210          (i) the hospital shall submit to the division its applicable fiscal year discharges with
             211      supporting documentation;
             212          (ii) the division shall determine the hospital's discharges from the information
             213      submitted under Subsection (4)(c)(i); and



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             214
         (iii) the failure to submit discharge information shall result in an audit of the hospital's
             215      records and a penalty equal to 5% of the calculated assessment.
             216          (5) Except as provided in Subsection (6), if a hospital is owned by an organization that
             217      owns more than one hospital in the state:
             218          (a) the assessment for each hospital shall be separately calculated by the department;
             219      and
             220          (b) each separate hospital shall pay the assessment imposed by this chapter.
             221          (6) Notwithstanding the requirement of Subsection (5), if multiple hospitals use the
             222      same Medicaid provider number:
             223          (a) the department shall calculate the assessment in the aggregate for the hospitals
             224      using the same Medicaid provider number; and
             225          (b) the hospitals may pay the assessment in the aggregate.
             226          (7) (a) The assessment formula imposed by this section, and the inpatient access
             227      payments under Section 26-36a-205 , shall be adjusted in accordance with Subsection (7)(b) if a
             228      hospital, for any reason, does not meet the definition of a hospital subject to the assessment
             229      under Section 26-36a-103 for the entire fiscal year.
             230          (b) The department shall adjust the assessment payable to the department under this
             231      chapter for a hospital that is not subject to the assessment for an entire fiscal year by
             232      multiplying the annual assessment calculated under Subsection (3) or (4) by a fraction, the
             233      numerator of which is the number of days during the year that the hospital operated, and the
             234      denominator of which is 365.
             235          (c) A hospital described in Subsection (7)(a):
             236          (i) that is ceasing to operate in the state, shall pay any assessment owed to the
             237      department immediately upon ceasing to operate in the state; and
             238          (ii) shall receive Medicaid inpatient hospital access payments under Section
             239      26-36a-205 for the state fiscal year, adjusted using the same formula described in Subsection
             240      (7)(b).
             241          (8) A hospital that is subject to payment of the assessment at the beginning of a state
             242      fiscal year, but during the state fiscal year experiences a change in status so that it no longer
             243      falls under the definition of a hospital subject to the assessment in Section 26-36a-204 , shall:
             244          (a) not be required to pay the hospital assessment beginning on the date established by



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             245
     the department by administrative rule; and
             246          (b) not be entitled to Medicaid inpatient hospital access payments under Section
             247      26-36a-205 on the date established by the department by administrative rule.
             248          Section 7. Section 26-36a-204 is enacted to read:
             249          26-36a-204. Quarterly notice -- Collection.
             250          (1) (a) The division shall submit to the Center for Medicare and Medicaid Services:
             251          (i) the payment methodology for the assessment imposed by this chapter; and
             252          (ii) if necessary, a waiver under 42 C.F.R. Sec. 433.68.
             253          (b) When the division receives notice of approval of the assessment and access
             254      payments under this chapter from the Center for Medicare and Medicaid Services, the division
             255      shall, within 45 days of the notice from the Center for Medicare and Medicaid Services,
             256      provide a hospital that is subject to the assessment notice of:
             257          (i) the approval of the assessment methodology from the Center for Medicare and
             258      Medicaid Services;
             259          (ii) the assessment rate;
             260          (iii) the hospital's discharges subject to the assessment; and
             261          (iv) the assessment amount owed by the hospital for the applicable fiscal year.
             262          (2) The initial quarterly installments of the assessment imposed by this chapter are due
             263      and payable if:
             264          (a) the division has provided notice of the annual assessment under Subsection (1); and
             265          (b) the division has made all the quarterly installments of the Medicaid inpatient
             266      hospital access payments that were otherwise due under Section 26-36a-205 , consistent with
             267      the effective date of the approved state plan amendment.
             268          (3) After the initial quarterly installments of the Medicaid inpatient hospital access
             269      payments are made by the division, a hospital shall pay to the division the initial quarterly
             270      assessments imposed by this chapter within 10 business days. Subsequent quarterly
             271      assessments imposed by this chapter shall be paid to the division within 10 business days after
             272      the hospital receives its Medicaid inpatient hospital access payment due for the applicable
             273      quarter under Section 26-36a-205 .
             274          Section 8. Section 26-36a-205 is enacted to read:
             275          26-36a-205. Medicaid hospital inpatient access payments.



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             276
         (1) To preserve and improve access to hospitals, the division shall make Medicaid
             277      inpatient hospital access payments to hospitals in accordance with this section, Section
             278      26-36a-204 , and Subsection 26-36a-203 (7).
             279          (2) (a) The Medicaid inpatient hospital access payment amount to a particular hospital
             280      shall be established by the division.
             281          (b) The aggregate of all hospital's Medicaid inpatient hospital access payments shall
             282      be:
             283          (i) equal to the upper payment limit gap for inpatient services for all hospitals; and
             284          (ii) designated as the Medicaid inpatient hospital access payment pool.
             285          (3) In addition to any other funds paid to hospitals during fiscal years 2010 and 2011
             286      for inpatient hospital services to Medicaid patients, a Medicaid hospital inpatient access
             287      payment shall be made:
             288          (a) for state fiscal years 2010 and 2011:
             289          (i) the amount of $825 per Medicaid fee for service day, to a hospital that:
             290          (A) was not a specialty hospital; and
             291          (B) had less than 300 select access inpatient cases during state fiscal year 2008; and
             292          (ii) inpatient hospital access payments as determined by dividing the remaining
             293      spending room available in the current year UPL, after offsetting the payments authorized
             294      under Subsection (3)(a)(i) by the total 2008 Medicaid inpatient hospital payments, multiplied
             295      by the hospital's Medicaid inpatient payments for state fiscal year 2008, exclusive of medical
             296      education and Medicaid disproportionate share payments;
             297          (b) for state fiscal year 2012, using state fiscal year 2009 paid Medicaid inpatient
             298      claims data; and
             299          (c) for state fiscal year 2013, using state fiscal year 2010 paid Medicaid inpatient
             300      claims data.
             301          (4) For both state fiscal years 2012 and 2013, the division shall submit adjustments to
             302      the payment rates in Subsection (3)(a) to the Hospital Policy Review Board for their review.
             303          (5) Medicaid inpatient hospital access payments shall be made:
             304          (a) on a quarterly basis for inpatient hospital services furnished to Medicaid individuals
             305      during each quarter; and
             306          (b) within 15 days after the end of each quarter.



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             307
         (6) A hospital's Medicaid inpatient access payment shall not be used to offset any other
             308      payment by Medicaid for hospital inpatient or outpatient services to Medicaid beneficiaries,
             309      including a:
             310          (a) fee-for-service payment;
             311          (b) per diem payment;
             312          (c) hospital inpatient adjustment; or
             313          (d) cost settlement payment.
             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 9. Section 26-36a-206 is enacted 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          Section 10. Section 26-36a-207 is enacted to read:
             335          26-36a-207. Restricted Special Revenue Fund -- Creation -- Deposits.
             336          (1) There is created a restricted special revenue fund known as the "Hospital Provider
             337      Assessment Special Revenue Fund."



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             338
         (2) The fund shall consist of:
             339          (a) the assessments collected by the department under this chapter;
             340          (b) any interest and penalties levied with the administration of this chapter; and
             341          (c) any other funds received as donations for the restricted fund and appropriations
             342      from other sources.
             343           S. [ (3) The fund shall be separate and distinct from any other special revenue funds.
             344          (4)
] (3) .S
Money in the fund shall be used:
             345          (a) to make inpatient hospital access payments under Section 26-36a-205 ; and
             346          (b) to reimburse money collected by the division from a hospital through a mistake
             347      made under this chapter.
             348           S. [ (5) The money in the fund is non-lapsing. ] .S
             349          Section 11. Section 26-36a-208 is enacted to read:
             350          26-36a-208. Repeal of assessment.
             351          (1) The repeal of the assessment imposed by this chapter shall occur upon the
             352      certification by the executive director of the department that the sooner of the following has
             353      occurred:
             354          (a) the effective date of any action by Congress that would disqualify the assessment
             355      imposed by this chapter from counting towards state Medicaid funds available to be used to
             356      determine the federal financial participation;
             357          (b) the effective date of any decision, enactment, or other determination by the
             358      Legislature or by any court, officer, department, or agency of the state, or of the federal
             359      government that has the effect of:
             360          (i) disqualifying the assessment from counting towards state Medicaid funds available
             361      to be used to determine federal financial participation for Medicaid matching funds; or
             362          (ii) creating for any reason a failure of the state to use the assessments for the Medicaid
             363      program as described in this chapter; and
             364          (c) the effective date of:
             365          (i) an appropriation for any state fiscal year from the General Fund for hospital
             366      payments under the state Medicaid program that is less than the amount appropriated for state
             367      fiscal year 2011;
             368          (ii) the annual revenues of the state General Fund budget return to the level that was



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Senate 2nd Reading Amendments 3-5-2010 rd/cjd
             369
     appropriated for fiscal year 2008; S. [ or ]
             369a          (iii) approval of any change in the state Medicaid plan that requires a greater
             369b      percentage of Medicaid patients to enroll in Medicaid managed care plans than what is
             369c      required on January 1, 2010;
             370           [ (iii) ] (iv) .S a division change in rules that reduces any of the following below July 1, 2010
             371      payments:
             372          (A) aggregate hospital inpatient payments;
             373          (B) S. [ aggregate outpatient payments;
             374          (C)
] .S
adjustment payment rates; or
             375           S. [ (D) ] (C) .S any cost settlement protocol S. ;or
             375a      (v) a division change in rules
             375b      that reduces the aggregate outpatient payments below July 1, 2011 payments .S .
             376          (2) If the assessment is repealed under Subsection (1), money in the fund that was
             377      derived from assessments imposed by this chapter, before the determination made under
             378      Subsection (1), shall be disbursed under Section 26-36a-205 to the extent federal matching is
             379      not reduced due to the impermissibility of the assessments. Any funds remaining in the special
             380      revenue fund shall be refunded to the hospitals in proportion to the amount paid by each
             381      hospital.
             382          Section 12. Section 26-36a-209 is enacted to read:
             383          26-36a-209. State plan amendment -- Hospital Policy Review Board.
             384          (1) The division shall file with the Center for Medicare and Medicaid Services a state
             385      plan amendment to implement the requirements of this chapter, including the payment of
             386      hospital access payments under Section 26-36a-205 no later than 45 days after the effective
             387      date of this chapter.
             388          (2) If the state plan amendment is not approved by the Center for Medicare and
             389      Medicaid Services, the division shall:
             390          (a) not implement the assessment imposed under this chapter; and
             391          (b) return any assessment fees to the hospitals that paid the fees if assessment fees have
             392      been collected.
             393          (3) (a) The department shall establish an advisory board that is the Hospital Policy
             394      Review Board.
             395          (b) The board shall have five members selected as follows:
             396          (i) one member appointed by the governor from a list of names submitted by the Utah
             397      Hospitals and Health Systems Association;
             398          (ii) two members appointed by the president of the Senate from a list of names
             399      submitted by the Utah Hospitals and Health Systems Association; and




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             400
         (iii) two members appointed by the speaker of the House from a list of names
             401      submitted by the Utah Hospitals and Health Systems Association.
             402          (c) Members of the board may not be compensated for their services on the board or
             403      receive reimbursement for costs or per diem expenses.
             404          (d) If a selection is not made by the governor, the speaker of the House, or the
             405      president of the Senate within 60 days after the names are submitted by the Utah Hospitals and
             406      Health Systems Association, the member shall be appointed by the Utah Hospitals and Health
             407      Systems Association.
             408          (e) (i) The board shall review state Medicaid plan amendments or waivers affecting
             409      hospital reimbursement between the date of enactment of this chapter and the end of state fiscal
             410      year 2013.
             411          (ii) A majority of the board is a quorum.
             412          (f) The department may not amend the state Medicaid plan or any waiver affecting
             413      hospital reimbursement without submitting the amendment or waiver to the board for review.
             414          Section 13. Section 63I-1-226 is amended to read:
             415           63I-1-226. Repeal dates, Title 26.
             416          (1) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
             417      1, 2015.
             418          (2) Section 26-18-12 , Expansion of 340B drug pricing programs, is repealed July 1,
             419      2013.
             420          (3) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2014.
             421          (4) Section 26-21-23 , Licensing of non-Medicaid nursing care facility beds, is repealed
             422      July 1, 2011.
             423          (5) Title 26, Chapter 36a, Hospital Provider and Assessment Act, is repealed July 1,
             424      2013.
             425          Section 14. Retrospective operation.
             426          This bill has retrospective operation for taxable years beginning on or after January 1,
             427      2010.



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Legislative Review Note
    as of 2-9-10 6:14 AM


Office of Legislative Research and General Counsel


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