Amendments to House Bill No. 2

Committee Study Bill Copy

Requested by Representative Jane Gillette

For the House Appropriations Committee

Prepared by Joshua Poulette

March 14, 2023 (8:16am)

1. Page B-2: .

Following: line 3

 

Insert: "a. Medicaid Provider Rate Increase for Inpatient Non-Critical Access Hospital Services

 

         1,445,123 2,951,308    [General Fund FY24 FY25]

 

         5,162,989 10,529,241   [Federal Special Fund FY24 FY25]"

2. Page B-2: .

Following: line 25

 

Insert: "The line item for Medicaid Provider Rate Increase for Inpatient Non-Critical Access Hospital Services is contingent on the Department of Public Health and Human Services' creation of a system that evaluates the Upper Payment Limit payment methodology, including but not limited to the integrity of the cost-to-charge ratio calculation, allowable reportable hospital costs, and alternative Upper Payment Limit calculation methods. The department shall also require non-critical access hospitals to provide evidence annually of how the Upper Payment Limit payments impact efficiency, quality of care, and access. The department may additionally develop a system in which non-critical access hospitals are assessed a graduated penalty for high outlier cost-to-charge ratios."

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Explanation - This amendment adds funding for Medicaid provider rate increases for inpatient non-critical access hospital services with accompanying contingent language. Total funding is $4.4 million general fund and $15.7 million federal special funds.