AN ACT TO REVISE THE HOSPITAL ASSESSMENT ACT TO ACCOUNT FOR MEDICAID TRANSFORMATION.
Senate committee substitute to the 1st edition makes the following changes.
Revises new Article 7B, Hospital Assessment Act, in GS Chapter 108A, effective July 1, 2021, as follows.
Decreases the initial percentage stated in the definition of inpatient hospital financing percentage from 66.1% to 65.74%. Decreases the percentage stated in the definition of outpatient hospital financing percentage from 28% to 27.69%. Increases the percentage stated in the definition of private hospital historical assessment share from 79% to 80.08%. Decreases the percentage stated in the definition for public hospital historical assessment share from 21% to 19.92%. Decreases the intergovernmental transfer adjustment component for each quarter of the 2021-22 State fiscal year from $44,912,507 to $40,947,633. Increases the public hospital assessment for the assessment quarter beginning July 1, 2021, from 0.38% to 0.39% of the total hospital costs for all public acute care hospitals. Decreases the private hospital assessment for the assessment quarter beginning July 1, 2021, from 0.87% to 0.76% of total hospital costs for all private acute care hospitals.
Adds that for any quarter in which the State receives the temporary increase of Medicaid federal medical assistance percentage (FMAP), the FMAP for purposes of Article 7B of GS Chapter 108A is the federal share of NC Medicaid service costs as calculated by the federal Department of Health and Human Services in accordance with the specified provisions of the Social Security Act in effect at the start of the applicable assessment quarter, plus the temporary increases, expressed as a decimal. Makes conforming changes to Section 4(d), to include the temporary increase in the calculation of the aggregate assessment collection amount under GS 108A-146.5(c) for the reconciliation component, as specified.
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