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H.B. 450





Chief Sponsor: David Clark

Senate Sponsor: Allen M. Christensen

             7      LONG TITLE
             8      General Description:
             9          This bill amends the Hospital Provider Assessment Act to amend provisions related to
             10      the repeal of the assessment.
             11      Highlighted Provisions:
             12          This bill:
             13          .    amends provisions related to the repeal of the hospital provider assessment.
             14      Money Appropriated in this Bill:
             15          None
             16      Other Special Clauses:
             17          None
             18      Utah Code Sections Affected:
             19      AMENDS:
             20          26-36a-208, as enacted by Laws of Utah 2010, Chapter 179
             22      Be it enacted by the Legislature of the state of Utah:
             23          Section 1. Section 26-36a-208 is amended to read:
             24           26-36a-208. Repeal of assessment.
             25          (1) The repeal of the assessment imposed by this chapter shall occur upon the
             26      certification by the executive director of the department that the sooner of the following has
             27      occurred:

             28          (a) the effective date of any action by Congress that would disqualify the assessment
             29      imposed by this chapter from counting towards state Medicaid funds available to be used to
             30      determine the federal financial participation;
             31          (b) the effective date of any decision, enactment, or other determination by the
             32      Legislature or by any court, officer, department, or agency of the state, or of the federal
             33      government that has the effect of:
             34          (i) disqualifying the assessment from counting towards state Medicaid funds available
             35      to be used to determine federal financial participation for Medicaid matching funds; or
             36          (ii) creating for any reason a failure of the state to use the assessments for the Medicaid
             37      program as described in this chapter; and
             38          (c) the effective date of:
             39          (i) an appropriation for any state fiscal year from the General Fund for hospital
             40      payments under the state Medicaid program that is less than the amount appropriated for state
             41      fiscal year [2011] 2012;
             42          (ii) the annual revenues of the state General Fund budget return to the level that was
             43      appropriated for fiscal year 2008;
             44          (iii) approval of any change in the state Medicaid plan that requires a greater
             45      percentage of Medicaid patients to enroll in Medicaid managed care plans than what is required
             46      [on January 1, 2010;]:
             47          (A) to implement accountable care organizations in the state plan; and
             48          (B) by other managed care enrollment requirements in effect on or before January 1,
             49      2012;
             50          (iv) a division change in rules that reduces any of the following below July 1, [2010]
             51      2011 payments:
             52          (A) aggregate hospital inpatient payments;
             53          (B) adjustment payment rates; or
             54          (C) any cost settlement protocol; or
             55          (v) a division change in rules that reduces the aggregate outpatient payments below
             56      July 1, 2011 payments.
             57          (2) If the assessment is repealed under Subsection (1), money in the fund that was
             58      derived from assessments imposed by this chapter, before the determination made under

             59      Subsection (1), shall be disbursed under Section 26-36a-205 to the extent federal matching is
             60      not reduced due to the impermissibility of the assessments. Any funds remaining in the special
             61      revenue fund shall be refunded to the hospitals in proportion to the amount paid by each
             62      hospital.

Legislative Review Note
    as of 3-8-11 4:09 PM

Office of Legislative Research and General Counsel

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