Bill Summary for H 990 (2021)

Summary date: 

May 18 2022

Bill Information:

View NCGA Bill Details2021
House Bill 990 (Public) Filed Wednesday, May 18, 2022
AN ACT TO MAKE TECHNICAL ADJUSTMENTS TO THE MEDICAID MODERNIZED HOSPITAL ASSESSMENTS AND TO REQUIRE ACTIONS NECESSARY FOR THE ADDITION OF A NEW HOSPITAL ASSESSMENT TO SUPPORT INCREASED MEDICAID REIMBURSEMENTS TO HOSPITALS.
Intro. by Lambeth, Potts, K. Baker, White.

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Bill summary

Effective October 1, 2022, amends the following components of modernized hospital assessments imposed pursuant to Part 2 of Article 7A, GS Chapter 108A, as follows.

Current GS 108A-146.12 sets the postpartum coverage component of the modernized hospital assessment at $12.5 million per quarter for 2021-22, with the component set to increase in each subsequent State fiscal year thereafter to over the prior year's quarterly amount by the Medicare Economic Index. Instead, sets the quarterly postpartum coverage component at $11,004,424 for 2022-23, with the component set to increase for subsequent State fiscal years after 2022-23, rather than 2021-22, as previously described. 

Similarly amends GS 108A-146.13, which sets the intergovernmental transfer adjustment component of the modernized hospital assessment, to revise its historical subcomponent and postpartum subcomponent. Now sets the quarterly historical subcomponent at $41,193,181, with increases in each subsequent State fiscal year thereafter by the market basket percentage (was, set to increase over the $41,227,321 quarterly amount set for 2021-22 by the market basket percentage for each subsequent State fiscal year after 2021-22). Sets the quarterly postpartum subcomponent, applicable only from April 1, 2022, through March 31, 2027, at $2,606,384 for 2022-23, with increases in each subsequent State fiscal year thereafter by the Medicare Economic Index (was set to increase over the $2,962,500 quarterly amount set for 2021-22 by the market basket percentage for each subsequent State fiscal year after 2021-22). Further amends the statute to make a clarification regarding the required reduction of the intergovernmental transfer adjustment component for private acute care hospitals that have closed or changed to a private acute care hospital.

Notwithstanding the above statutory changes, for the quarter beginning October 1, 2022, sets the postpartum coverage component at $3,349,731, and the postpartum subcomponent of the intergovernmental transfer adjustment component at $789,559.

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