STATE OF OKLAHOMA

1st Session of the 54th Legislature (2013)

SENATE BILL 538	By:	Crain

AS INTRODUCED

An Act relating to public health; amending 63 O.S. 2011, Section 3241.2, which relates to definitions; extending the Supplemental Hospital Offset Payment Program through 2019; and providing an effective date.

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1.     AMENDATORY     63 O.S. 2011, Section 3241.2, is amended to read as follows:
Section 3241.2.  As used in the Supplemental Hospital Offset Payment Program Act:
1.  "Authority" means the Oklahoma Health Care Authority;
2.  "Base year" means a hospital's fiscal year ending in 2009, as reported in the Medicare Cost Report or as determined by the Authority if the hospital's data is not included in the Medicare Cost Report.  The base year data will be used in all assessment calculations through 2014 2019;
3.  "Net hospital patient revenue" means the gross hospital revenue as reported on Worksheet G-2 (Columns 1 and 2, Lines 16, 17 and 18) of the Medicare Cost Report, multiplied by the hospital's ratio of total net to gross revenue, as reported on Worksheet G-3 (Column 1, Line 3) and Worksheet G-2 (Part I, Column 3, Line 25);
4.  "Hospital" means an institution licensed by the State Department of Health as a hospital pursuant to Section 1-701.1 1-701 et seq. of Title 63 of the Oklahoma Statutes maintained primarily for the diagnosis, treatment, or care of patients;
5.  "Hospital Advisory Committee" means the Committee established for the purposes of advising the Oklahoma Health Care Authority and recommending provisions within and approval of any state plan amendment or waiver affecting hospital reimbursement made necessary or advisable by the Supplemental Hospital Offset Payment Program Act.  In order to expedite the submission of the state plan amendment required by Section 6 of this act 3241.6 of this title, the Committee shall initially be appointed by the Executive Director of the Authority from recommendations submitted by a statewide association representing rural and urban hospitals.  The permanent Committee shall be appointed no later than thirty (30) days after the effective date of this act August 26, 2011, and shall be composed of five (5) members to serve until December 31, 2014 2019, from lists of names submitted by a statewide association representing rural and urban hospitals, as follows:
a.	one member, appointed by the Governor, who shall serve as chairman, and
b.	two members appointed each by the President Pro Tempore of the Oklahoma State Senate and the Speaker of the Oklahoma House of Representatives;
6.  "Medicaid" means the medical assistance program established in Title XIX of the federal Social Security Act and administered in this state by the Oklahoma Health Care Authority;
7.  "Medicare Cost Report" means Form CMS-2552-96, the Hospital Cost Report, as it existed on January 1, 2011;
8.  "Upper payment limit" means the maximum ceiling imposed by 42 C.F.R., Sections 447.272 and 447.321 on hospital Medicaid reimbursement for inpatient and outpatient services, other than to hospitals owned or operated by state government; and
9.  "Upper payment limit gap" means the difference between the upper payment limit and Medicaid payments not financed using hospital assessments made to all hospitals other than hospitals owned or operated by state government.
SECTION 2.  This act shall become effective November 1, 2013.

54-1-271	JAM	1/15/2013 7:55:44 PM