Bill Summary for H 990 (2021)

Summary date: 

Jun 7 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

House committee substitute makes the following changes to the 1st edition. 

Revises the proposed changes to the following components of modernized hospital assessments imposed pursuant to Part 2 of Article 7B (previously, erroneously referred to Article 7A), GS Chapter 108A, effective October 1, 2022. Sets the quarterly historical subcomponent of the intergovernmental transfer adjustment component of the modernized hospital assessment for 2022-23 at $42,017,045 (previously, proposed $41,193,181 quarterly for 2022-23), with increases in each subsequent State fiscal year thereafter by the market basket percentage.

States legislative intent to assess hospitals for the nonfederal share of a directed payment program, to be called the Healthcare Access Stabilization Program (HASP) for hospital payments enacted by the act. Directs the Department of Health and Human Services (DHHS) to develop a submission of a 42 CFR 438.6(c) preprint to the Centers for Medicare and Medicaid Services (CMS) to request approval for the described hospital payments, with a request for maximum reimbursement permitted under the cited federal law that also ensures the increased reimbursement rate would not have to be reduced in the event the State expanded Medicaid coverage to the individuals described in section 1902(a)(10)(A)(i)(VIII) of the Social Security Act and increased hospital assessments to avoid the need for a State General Fund appropriation to fund the nonfederal share of this coverage. Requires submission of the preprint to CMS within 60 days after the date the act becomes law, and requires DHHS to submit the preprint to the specified NCGA committee and division upon submission to CMS. Requires DHHS to submit CMS approval to the specified NCGA committee and division. Directs DHHS to continue to work to obtain approval for the described maximum reimbursement if CMS denies the initial submission.

Makes the approved hospital reimbursement increase effective upon the enactment of the legislative language necessary to fund, through the hospital directed payment program assessment enacted by the act, the portion of the nonfederal share of the reimbursement increase that will not be funded through intergovernmental transfers. Describes legislative intent to develop such language with stakeholders prior to the 2023 NCGA session, as specified.

States legislative intent, upon approval of the described preprint, to enact a hospital directed payment program under Article 7B, GS Chapter 108A, that meets four listed criteria, to the extent possible, including making the assessment applicable to all private acute care hospitals, and limiting the assessment proceeds and matching federal funds within parameters stated. 

Changes the act's titles.

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