Bill Text: IA HF2388 | 2011-2012 | 84th General Assembly | Enrolled
Bill Title: A bill for an act relating to maximizing hospital-specific disproportionate share hospital payments, and providing for contingent implementation. Effective 7-1-12.
Spectrum: Committee Bill
Status: (Passed) 2012-04-12 - Signed by Governor. H.J. 810. [HF2388 Detail]
Download: Iowa-2011-HF2388-Enrolled.html
House
File
2388
AN
ACT
RELATING
TO
MAXIMIZING
HOSPITAL-SPECIFIC
DISPROPORTIONATE
SHARE
HOSPITAL
PAYMENTS,
AND
PROVIDING
FOR
CONTINGENT
IMPLEMENTATION.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
DEPARTMENT
OF
HUMAN
SERVICES
——
DIRECTIVE
REGARDING
DISPROPORTIONATE
SHARE
HOSPITAL
PAYMENTS.
1.
The
department
of
human
services
shall
recalculate
the
hospital-specific
disproportionate
share
hospital
limits
for
the
fiscal
year
beginning
July
1,
2012,
during
the
hospital
House
File
2388,
p.
2
rebasing
and
recalibration
process,
and
shall
utilize
the
federal
disproportionate
share
hospital
allotment
for
the
state
to
the
maximum
extent
possible,
utilizing
appropriate
local
government
sources
for
the
nonfederal
match,
to
create
a
new
disproportionate
share
hospital
pool.
The
new
pool
shall
be
used
to
provide
payments
to
rural
prospective
payment
hospitals
that
are
not
designated
as
critical
access
hospitals
and
that
otherwise
qualify
to
receive
a
medical
assistance
disproportionate
share
hospital
payment.
2.
The
source
of
funds
for
the
required
nonfederal
share
shall
be
funds
generated
from
tax
levy
collections
of
the
county
or
city
in
which
the
hospital
is
located,
and
subject
to
the
conditions
specified
in
this
section
and
applicable
federal
law
and
regulation.
3.
All
of
the
following
shall
apply
to
the
nonfederal
share
funds
and
disproportionate
share
hospital
payments
under
this
section:
a.
The
qualifying
hospital
shall
annually
provide
a
disproportionate
share
hospitals
survey
to
the
department
in
accordance
with
the
time
frame
specified
by
the
department,
for
the
purpose
of
calculating
the
hospital
specific
limit.
b.
The
disproportionate
share
hospital
payment
shall
not
exceed
the
hospital-specific
limit
as
specified
pursuant
to
federal
regulations.
c.
The
nonfederal
share
funds
shall
be
distributed
to
the
department
of
human
services
prior
to
any
disproportionate
share
hospital
payment
to
a
qualifying
hospital.
d.
The
qualifying
hospital
shall
retain
one
hundred
percent
of
the
disproportionate
share
hospital
payment.
e.
The
city
or
county
providing
the
nonfederal
share
funds
shall
annually
document
and
certify
that
the
funds
provided
as
the
nonfederal
share
were
generated
from
tax
proceeds,
and
not
from
any
other
source
including
federal
grants
or
another
federal
funding
source.
f.
The
applicable
federal
matching
rate
for
the
fiscal
year
shall
apply.
4.
The
department
shall
amend
the
medical
assistance
state
plan
as
necessary
to
implement
this
directive.
The
state
plan
shall
identify
the
specific
source
and
amount
of
city
or
county
funds
that
will
be
provided
as
the
nonfederal
share
funds
for
the
qualifying
hospital.
5.
Implementation
of
this
section
is
contingent
upon
receipt
of
approval
from
the
centers
for
Medicare
and
Medicaid
House
File
2388,
p.
3
services
of
the
United
States
department
of
health
and
human
services.
______________________________
KRAIG
PAULSEN
Speaker
of
the
House
______________________________
JOHN
P.
KIBBIE
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
and
is
known
as
House
File
2388,
Eighty-fourth
General
Assembly.
______________________________
W.
CHARLES
SMITHSON
Chief
Clerk
of
the
House
Approved
_______________,
2012
______________________________
TERRY
E.
BRANSTAD
Governor
