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S.B. 273 Enrolled

             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.
             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
             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
             62      described 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
             88      Administration Hospital;
             89          (iii) a Shriners hospital that does not charge for its services; or
             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
             116      in this chapter shall affect the nonprofit or tax exempt status of any nonprofit charitable,
             117      religious, 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;
             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          (2) All assessments paid under this chapter may be included as an allowable cost of a
             127      hospital for purposes of any applicable Medicaid reimbursement formula.
             128          (3) This chapter does not authorize a political subdivision of the state to:
             129          (a) license a hospital for revenue;
             130          (b) impose a tax or assessment upon hospitals; or
             131          (c) impose a tax or assessment measured by the income or earnings of a hospital.
             132          Section 5. Section 26-36a-202 is enacted to read:
             133          26-36a-202. Assessment, collection, and payment of hospital provider assessment.
             134          (1) A uniform, broad based, assessment is imposed on each hospital as defined in
             135      Subsection 26-36a-103 (4)(a):
             136          (a) in the amount designated in Section 26-36a-203 ; and
             137          (b) in accordance with Section 26-36a-204 , beginning when the division has obtained
             138      approval from the Center for Medicare and Medicaid Services and provided notice of the
             139      assessment to the hospital.
             140          (2) (a) The assessment imposed by this chapter is due and payable on a quarterly basis
             141      in accordance with Section 26-36a-204 .


             142          (b) The collecting agent for this assessment is the department which is vested with the
             143      administration and enforcement of this chapter, including the right to adopt administrative
             144      rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
             145      necessary to:
             146          (i) implement and enforce the provisions of this act; and
             147          (ii) audit records of a facility:
             148          (A) that is subject to the assessment imposed by this chapter; and
             149          (B) does not file a Medicare cost report.
             150          (c) The department shall forward proceeds from the assessment imposed by this
             151      chapter to the state treasurer for deposit in the restricted special revenue fund as specified in
             152      Section 26-36a-207 .
             153          (3) The department may, by rule, extend the time for paying the assessment.
             154          Section 6. Section 26-36a-203 is enacted to read:
             155          26-36a-203. Calculation of assessment.
             156          (1) The division shall calculate the inpatient upper payment limit gap for hospitals for
             157      each state fiscal year.
             158          (2) (a) An annual assessment is payable on a quarterly basis for each hospital in an
             159      amount calculated at a uniform assessment rate for each hospital discharge, in accordance with
             160      this section.
             161          (b) The uniform assessment rate shall be determined using the total number of hospital
             162      discharges for assessed hospitals divided into the total non-federal portion of the upper
             163      payment limit gap.
             164          (c) Any quarterly changes to the uniform assessment rate must be applied uniformly to
             165      all assessed hospitals.
             166          (d) (i) Except as provided in Subsection (2)(d)(ii), the annual uniform assessment rate
             167      may not generate more than the non-federal share of the annual upper payment limit gap for
             168      the fiscal year.
             169          (ii) (A) For fiscal year 2010 the assessment may not generate more than the


             170      non-federal share of the annual upper payment limit gap for the fiscal year.
             171          (B) For fiscal year 2010-11 the department may generate an additional amount from
             172      the assessment imposed under Subsection (2)(d)(i) in the amount of $2,000,000 which shall be
             173      used by the department and the division as follows:
             174          (I) $1,000,000 to offset Medicaid mandatory expenditures; and
             175          (II) $1,000,000 to offset the reduction in hospital outpatient fees in the state program.
             176          (C) For fiscal years 2011-12 and 2012-13 the department may generate an additional
             177      amount from the assessment imposed under Subsection (2)(d)(i) in the amount of $1,000,000
             178      to offset Medicaid mandatory expenditures.
             179          (3) (a) For state fiscal years 2010 and 2011, discharges shall be determined using the
             180      data from each hospital's Medicare Cost Report contained in the Centers for Medicare and
             181      Medicaid Services' Healthcare Cost Report Information System file as of April 1, 2009 for
             182      hospital fiscal years ending between October 1, 2007, and September 30, 2008.
             183          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             184      Medicare and Medicaid Services' Healthcare Cost Report Information System file dated March
             185      31, 2009:
             186          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
             187      Report with a fiscal year end between October 1, 2007, and September 30, 2008; and
             188          (ii) the division shall determine the hospital's discharges from the information
             189      submitted under Subsection (3)(b)(i).
             190          (c) If a hospital started operations after the due date for a 2007 Medicare Cost Report:
             191          (i) the hospital shall submit to the division a copy of the hospital's most recent
             192      complete year Medicare Cost Report; and
             193          (ii) the division shall determine the hospital's discharges from the information
             194      submitted under Subsection (3)(c)(i).
             195          (d) If a hospital is not certified by the Medicare program and is not required to file a
             196      Medicare Cost Report:
             197          (i) the hospital shall submit to the division its applicable fiscal year discharges with


             198      supporting documentation;
             199          (ii) the division shall determine the hospital's discharges from the information
             200      submitted under Subsection (3)(d)(i); and
             201          (iii) the failure to submit discharge information under Subsections (3)(d)(i) and (ii)
             202      shall result in an audit of the hospital's records by the department and the imposition of a
             203      penalty equal to 5% of the calculated assessment.
             204          (4) (a) For state fiscal year 2012 and 2013, discharges shall be determined using the
             205      data from each hospital's Medicare Cost Report contained in the Centers for Medicare and
             206      Medicaid Services' Healthcare Cost Report Information System file as of:
             207          (i) for state fiscal year 2012, September 30, 2010, for hospital fiscal years ending
             208      between October 1, 2008, and September 30, 2009; and
             209          (ii) for state fiscal year 2013, September 30, 2011, for hospital fiscal years ending
             210      between October 1, 2009, and September 30, 2010.
             211          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
             212      Medicare and Medicaid Services' Healthcare Cost Report Information System file:
             213          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
             214      Report applicable to the assessment year; and
             215          (ii) the division shall determine the hospital's discharges.
             216          (c) If a hospital is not certified by the Medicare program and is not required to file a
             217      Medicare Cost Report:
             218          (i) the hospital shall submit to the division its applicable fiscal year discharges with
             219      supporting documentation;
             220          (ii) the division shall determine the hospital's discharges from the information
             221      submitted under Subsection (4)(c)(i); and
             222          (iii) the failure to submit discharge information shall result in an audit of the hospital's
             223      records and a penalty equal to 5% of the calculated assessment.
             224          (5) Except as provided in Subsection (6), if a hospital is owned by an organization that
             225      owns more than one hospital in the state:


             226          (a) the assessment for each hospital shall be separately calculated by the department;
             227      and
             228          (b) each separate hospital shall pay the assessment imposed by this chapter.
             229          (6) Notwithstanding the requirement of Subsection (5), if multiple hospitals use the
             230      same Medicaid provider number:
             231          (a) the department shall calculate the assessment in the aggregate for the hospitals
             232      using the same Medicaid provider number; and
             233          (b) the hospitals may pay the assessment in the aggregate.
             234          (7) (a) The assessment formula imposed by this section, and the inpatient access
             235      payments under Section 26-36a-205 , shall be adjusted in accordance with Subsection (7)(b) if
             236      a hospital, for any reason, does not meet the definition of a hospital subject to the assessment
             237      under Section 26-36a-103 for the entire fiscal year.
             238          (b) The department shall adjust the assessment payable to the department under this
             239      chapter for a hospital that is not subject to the assessment for an entire fiscal year by
             240      multiplying the annual assessment calculated under Subsection (3) or (4) by a fraction, the
             241      numerator of which is the number of days during the year that the hospital operated, and the
             242      denominator of which is 365.
             243          (c) A hospital described in Subsection (7)(a):
             244          (i) that is ceasing to operate in the state, shall pay any assessment owed to the
             245      department immediately upon ceasing to operate in the state; and
             246          (ii) shall receive Medicaid inpatient hospital access payments under Section
             247      26-36a-205 for the state fiscal year, adjusted using the same formula described in Subsection
             248      (7)(b).
             249          (8) A hospital that is subject to payment of the assessment at the beginning of a state
             250      fiscal year, but during the state fiscal year experiences a change in status so that it no longer
             251      falls under the definition of a hospital subject to the assessment in Section 26-36a-204 , shall:
             252          (a) not be required to pay the hospital assessment beginning on the date established by
             253      the department by administrative rule; and


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


             282      quarter under Section 26-36a-205 .
             283          Section 8. Section 26-36a-205 is enacted to read:
             284          26-36a-205. Medicaid hospital inpatient access payments.
             285          (1) To preserve and improve access to hospitals, the division shall make Medicaid
             286      inpatient hospital access payments to hospitals in accordance with this section, Section
             287      26-36a-204 , and Subsection 26-36a-203 (7).
             288          (2) (a) The Medicaid inpatient hospital access payment amount to a particular hospital
             289      shall be established by the division.
             290          (b) The aggregate of all hospital's Medicaid inpatient hospital access payments shall
             291      be:
             292          (i) equal to the upper payment limit gap for inpatient services for all hospitals; and
             293          (ii) designated as the Medicaid inpatient hospital access payment pool.
             294          (3) In addition to any other funds paid to hospitals during fiscal years 2010 and 2011
             295      for inpatient hospital services to Medicaid patients, a Medicaid hospital inpatient access
             296      payment shall be made:
             297          (a) for state fiscal years 2010 and 2011:
             298          (i) the amount of $825 per Medicaid fee for service day, to a hospital that:
             299          (A) was not a specialty hospital; and
             300          (B) had less than 300 select access inpatient cases during state fiscal year 2008; and
             301          (ii) inpatient hospital access payments as determined by dividing the remaining
             302      spending room available in the current year UPL, after offsetting the payments authorized
             303      under Subsection (3)(a)(i) by the total 2008 Medicaid inpatient hospital payments, multiplied
             304      by the hospital's Medicaid inpatient payments for state fiscal year 2008, exclusive of medical
             305      education and Medicaid disproportionate share payments;
             306          (b) for state fiscal year 2012, using state fiscal year 2009 paid Medicaid inpatient
             307      claims data; and
             308          (c) for state fiscal year 2013, using state fiscal year 2010 paid Medicaid inpatient
             309      claims data.


             310          (4) For both state fiscal years 2012 and 2013, the division shall submit adjustments to
             311      the payment rates in Subsection (3)(a) to the Hospital Policy Review Board for their review.
             312          (5) Medicaid inpatient hospital access payments shall be made:
             313          (a) on a quarterly basis for inpatient hospital services furnished to Medicaid
             314      individuals during each quarter; and
             315          (b) within 15 days after the end of each quarter.
             316          (6) A hospital's Medicaid inpatient access payment shall not be used to offset any
             317      other payment by Medicaid for hospital inpatient or outpatient services to Medicaid
             318      beneficiaries, including a:
             319          (a) fee-for-service payment;
             320          (b) per diem payment;
             321          (c) hospital inpatient adjustment; or
             322          (d) cost settlement payment.
             323          (7) A hospital shall not be guaranteed that the hospital's Medicaid inpatient hospital
             324      access payments will equal or exceed the amount of the hospital's assessment.
             325          Section 9. Section 26-36a-206 is enacted to read:
             326          26-36a-206. Penalties and interest.
             327          (1) A facility that fails to pay any assessment or file a return as required under this
             328      chapter, within the time required by this chapter, shall pay, in addition to the assessment,
             329      penalties and interest established by the department.
             330          (2) (a) Consistent with Subsection (2)(b), the department shall adopt rules in
             331      accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which establish
             332      reasonable penalties and interest for the violations described in Subsection (1).
             333          (b) If a hospital fails to timely pay the full amount of a quarterly assessment, the
             334      department shall add to the assessment:
             335          (i) a penalty equal to 5% of the quarterly amount not paid on or before the due date;
             336      and
             337          (ii) on the last day of each quarter after the due date until the assessed amount and the


             338      penalty imposed under Subsection (2)(b)(i) are paid in full, an additional 5% penalty on:
             339          (A) any unpaid quarterly assessment; and
             340          (B) any unpaid penalty assessment.
             341          (c) The division may waive, reduce, or compromise the penalties and interest provided
             342      for in this section in the same manner as provided in Subsection 59-1-401 (8).
             343          Section 10. Section 26-36a-207 is enacted to read:
             344          26-36a-207. Restricted Special Revenue Fund -- Creation -- Deposits.
             345          (1) There is created a restricted special revenue fund known as the "Hospital Provider
             346      Assessment Special Revenue Fund."
             347          (2) The fund shall consist of:
             348          (a) the assessments collected by the department under this chapter;
             349          (b) any interest and penalties levied with the administration of this chapter; and
             350          (c) any other funds received as donations for the restricted fund and appropriations
             351      from other sources.
             352          (3) Money in the fund shall be used:
             353          (a) to make inpatient hospital access payments under Section 26-36a-205 ; and
             354          (b) to reimburse money collected by the division from a hospital through a mistake
             355      made under this chapter.
             356          Section 11. Section 26-36a-208 is enacted to read:
             357          26-36a-208. Repeal of assessment.
             358          (1) The repeal of the assessment imposed by this chapter shall occur upon the
             359      certification by the executive director of the department that the sooner of the following has
             360      occurred:
             361          (a) the effective date of any action by Congress that would disqualify the assessment
             362      imposed by this chapter from counting towards state Medicaid funds available to be used to
             363      determine the federal financial participation;
             364          (b) the effective date of any decision, enactment, or other determination by the
             365      Legislature or by any court, officer, department, or agency of the state, or of the federal


             366      government that has the effect of:
             367          (i) disqualifying the assessment from counting towards state Medicaid funds available
             368      to be used to determine federal financial participation for Medicaid matching funds; or
             369          (ii) creating for any reason a failure of the state to use the assessments for the
             370      Medicaid program as described in this chapter; and
             371          (c) the effective date of:
             372          (i) an appropriation for any state fiscal year from the General Fund for hospital
             373      payments under the state Medicaid program that is less than the amount appropriated for state
             374      fiscal year 2011;
             375          (ii) the annual revenues of the state General Fund budget return to the level that was
             376      appropriated for fiscal year 2008;
             377          (iii) approval of any change in the state Medicaid plan that requires a greater
             378      percentage of Medicaid patients to enroll in Medicaid managed care plans than what is
             379      required on January 1, 2010;
             380          (iv) a division change in rules that reduces any of the following below July 1, 2010
             381      payments:
             382          (A) aggregate hospital inpatient payments;
             383          (B) adjustment payment rates; or
             384          (C) any cost settlement protocol; or
             385          (v) a division change in rules that reduces the aggregate outpatient payments below
             386      July 1, 2011 payments.
             387          (2) If the assessment is repealed under Subsection (1), money in the fund that was
             388      derived from assessments imposed by this chapter, before the determination made under
             389      Subsection (1), shall be disbursed under Section 26-36a-205 to the extent federal matching is
             390      not reduced due to the impermissibility of the assessments. Any funds remaining in the
             391      special revenue fund shall be refunded to the hospitals in proportion to the amount paid by
             392      each hospital.
             393          Section 12. Section 26-36a-209 is enacted to read:


             394          26-36a-209. State plan amendment -- Hospital Policy Review Board.
             395          (1) The division shall file with the Center for Medicare and Medicaid Services a state
             396      plan amendment to implement the requirements of this chapter, including the payment of
             397      hospital access payments under Section 26-36a-205 no later than 45 days after the effective
             398      date of this chapter.
             399          (2) If the state plan amendment is not approved by the Center for Medicare and
             400      Medicaid Services, the division shall:
             401          (a) not implement the assessment imposed under this chapter; and
             402          (b) return any assessment fees to the hospitals that paid the fees if assessment fees
             403      have been collected.
             404          (3) (a) The department shall establish an advisory board that is the Hospital Policy
             405      Review Board.
             406          (b) The board shall have five members selected as follows:
             407          (i) one member appointed by the governor from a list of names submitted by the Utah
             408      Hospitals and Health Systems Association;
             409          (ii) two members appointed by the president of the Senate from a list of names
             410      submitted by the Utah Hospitals and Health Systems Association; and
             411          (iii) two members appointed by the speaker of the House from a list of names
             412      submitted by the Utah Hospitals and Health Systems Association.
             413          (c) Members of the board may not be compensated for their services on the board or
             414      receive reimbursement for costs or per diem expenses.
             415          (d) If a selection is not made by the governor, the speaker of the House, or the
             416      president of the Senate within 60 days after the names are submitted by the Utah Hospitals and
             417      Health Systems Association, the member shall be appointed by the Utah Hospitals and Health
             418      Systems Association.
             419          (e) (i) The board shall review state Medicaid plan amendments or waivers affecting
             420      hospital reimbursement between the date of enactment of this chapter and the end of state
             421      fiscal year 2013.


             422          (ii) A majority of the board is a quorum.
             423          (f) The department may not amend the state Medicaid plan or any waiver affecting
             424      hospital reimbursement without submitting the amendment or waiver to the board for review.
             425          Section 13. Section 63I-1-226 is amended to read:
             426           63I-1-226. Repeal dates, Title 26.
             427          (1) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
             428      1, 2015.
             429          (2) Section 26-18-12 , Expansion of 340B drug pricing programs, is repealed July 1,
             430      2013.
             431          (3) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2014.
             432          (4) Section 26-21-23 , Licensing of non-Medicaid nursing care facility beds, is
             433      repealed July 1, 2011.
             434          (5) Title 26, Chapter 36a, Hospital Provider and Assessment Act, is repealed July 1,
             435      2013.
             436          Section 14. Retrospective operation.
             437          This bill has retrospective operation for taxable years beginning on or after January 1,
             438      2010.


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