Bill Text: HI HB2341 | 2016 | Regular Session | Introduced
Bill Title: Hospital Sustainability Program; Hospital Sustainability Program Special Fund; Appropriation ($)
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2016-01-29 - Referred to HLT/HUS, FIN, referral sheet 4 [HB2341 Detail]
Download: Hawaii-2016-HB2341-Introduced.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
2341 |
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TWENTY-EIGHTH LEGISLATURE, 2016 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO THE HOSPITAL SUSTAINABILITY PROGRAM.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Act 217, Session Laws of Hawaii 2012, as amended by section 1 of Act 141, Session Laws of Hawaii 2013, as amended by section 1 of Act 123, Session Laws of Hawaii 2014, and as amended by section 1 of Act 70, Session Laws of Hawaii 2015, as applicable, is amended by amending section 2 as follows:
(1) By amending the definitions of "net patient service revenue" and "private hospital" in section -3, Hawaii Revised Statutes, to read as follows:
""Net patient
service revenue" means gross revenue from inpatient and outpatient care provided
to hospital patients converted to net patient revenue utilizing data from Worksheets
G-2 and G-3 of each hospital's medicare cost report for fiscal year [2012-2013.]
2013-2014. If the hospital is new or did not file a fiscal year medicare
cost report, the department shall obtain the hospital's net patient service revenue
from the most recent period available.
"Private hospital"
means those non-public hospitals named in attachment A of the medicaid section 1115
demonstration waiver that were in operation in calendar year [2014] 2015
and are currently operating."
(2) By amending subsections (c) and (d) of section -5, Hawaii Revised Statutes, to read as follows:
"(c) The hospital
sustainability fee for inpatient care services may differ from the fee for outpatient
care services but the fees shall not in the aggregate exceed three per cent of net
patient service revenue as derived from the hospital's medicare cost report ending
during state fiscal year [2012-2013.] 2013-2014. The inpatient hospital
sustainability fee shall be 1.892 per cent of net inpatient hospital service revenue.
The outpatient hospital sustainability fee shall be three per cent of net outpatient
hospital service revenue. Each fee shall be the same percentage for all affected
hospitals, subject to subsection (d).
(d) The department
shall exempt children's hospitals, federal hospitals, public hospitals, rehabilitation
hospitals, and psychiatric hospitals, and any hospital that was not in private operation
during any part of calendar year [2014] 2015 from the hospital sustainability
fees on inpatient services. In addition, the department shall exempt hospitals
with net outpatient revenue of less than $50,000,000 per year (based on fiscal year
[2012-2013] 2013-2014 reports) and public hospitals, and any hospital
that was not in private operation during any part of calendar year [2014]
2015 from the hospital sustainability fee on outpatient care services."
(3) By amending section -10, Hawaii Revised Statutes, as follows:
(A) By amending subsection (a) to read as follows:
"(a) The department shall use moneys solely
from the hospital sustainability program special fund to make direct payments to
private hospitals, pursuant to the terms of the section 1115 waiver, in an amount
equal to $88,000,000 to cover the uncompensated care costs incurred by private hospitals
for serving medicaid and uninsured individuals during state fiscal year [2015-2016.]
2016-2017."
(B) By amending subsection (d) to read as follows:
"(d) Each eligible hospital's quarterly payment
shall be equal to one-quarter of its prorated share of uncompensated care costs
for the fiscal year in which payment is made, as derived from the uncompensated
care costs reported by all private hospitals for fiscal year [2012-2013;]
2013-2014; provided that:
(1) Outpatient uncompensated care costs shall be reimbursed at one hundred per cent of reported uncompensated care costs; and
(2) Inpatient uncompensated care costs shall be reimbursed on a prorated share based on the remaining uncompensated care amounts available through the section 1115 waiver."
SECTION 2. Act 217, Session Laws of Hawaii 2012, as amended by section 2 of Act 141, Session Laws of Hawaii 2013, as amended by section 2 of Act 123, Session Laws of Hawaii 2014, and as amended by section 2 of Act 70, Session Laws of Hawaii 2015, is amended by amending section 5 to read as follows:
"SECTION 5. This Act shall take effect on
July 1, 2012, and shall be repealed on June 30, [2016;] 2017; provided
that section -4, Hawaii Revised Statutes, in section 2 of this Act, and the amendment
to section 36-30(a), Hawaii Revised Statutes, in section 3 of this Act, shall be
repealed on December 31, [2016;] 2017; provided further that the amendment
to section 36-30(a), Hawaii Revised Statutes, in section 3 of this Act, shall not
be repealed when section 36-30, Hawaii Revised Statutes, is reenacted on June 30,
2015 pursuant to section 34(3) of Act 79, Session Laws of Hawaii 2009."
SECTION 3. Act 123, Session Laws of Hawaii 2014, as amended by section 3 of Act 70, Session Laws of Hawaii 2015, is amended by amending section 7 to read as follows:
"SECTION 7. This Act shall take effect on June 29, 2014; provided that:
(1) Section 5 shall take effect on July 1, 2014;
(2) The amendments made to sections 36-27(a) and 36-30(a), Hawaii Revised Statutes, in sections 3 and 4 of this Act shall not be repealed when sections 36-27 and 36-30, Hawaii Revised Statutes, are reenacted on June 30, 2015, pursuant to section 34 of Act 79, Session Laws of Hawaii 2009; and
(3) The amendments made to sections 36-27(a) and 36-30(a),
Hawaii Revised Statutes, in sections 3 and 4 of this Act shall be repealed on December
31, [2016.] 2017."
SECTION 4. There is appropriated out of the hospital sustainability program special fund the sum of $50,000,000 or so much thereof as may be necessary for fiscal year 2016-2017 to be used for the purposes of the hospital sustainability program special fund.
The sum appropriated shall be expended by the department of human services for the purposes of this Act.
SECTION 5. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 6. This Act, upon its approval, shall take effect on July 1, 2016; provided that sections 1, 2, and 3 of this Act shall take effect on June 29, 2016.
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INTRODUCED BY: |
_____________________________ |
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BY REQUEST |
Report Title:
Hospital Sustainability Program; Hospital Sustainability Program Special Fund; Appropriation
Description:
Continues the Hospital Sustainability Program for one year. Appropriates funds out of the Hospital Sustainability Program Special Fund for fiscal year 2016-2017.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
