HB 359/LM (BR 1410) - Ji. Lee, S. Nunn
AN ACT relating to Medicaid.
Create a new section of KRS 205.510 to 205.645 to define "Medicaid shortfall," "nonstate government owned or operated hospital," "state government owned or operated hospital," "and "upper payment limit (UPL)"; amend KRS 205.637 to provide, through the next biennium period, for an enhanced Medicaid payment to a nonstate government owned or operated hospital in an amount calculated from the most recent audited cost report of the hospital, trended to the current year; require the department to identify the aggregate inpatient and outpatient serviced reimbursed under Medicaid by these hospitals; change references from county-owned or operated hospitals to nonstate government owned or operated hospitals; provide that nonstate government owned or operated hospitals eligible to make an intergovernmental transfer and that elect to do shall fund 100% of the aggregate upper payment limit of all nonstate government owned or operated hospitals, less the amount needed to enhance the Medicaid payment to all of the nonstate government owned or operated hospitals to 100% of their Medicaid shortfall; permit the intergovernmental transfer to be federally matched, to be used exclusively for the enhanced Medicaid payments under this section; require reimbursement of enhanced payments to be made in a single payment; provide for 90% of leftover funds to be paid to privately owned or operated hospitals; provide for 10% of leftover funds to be used to fund the regular Medicaid program; require the department to distribute information to hospitals 30 days prior to issuing payment to allow for review, and allow hospitals 20 days within which to review and notify the department of corrections; establish the enhanced Medicaid payment fund for purposes of receiving the intergovernmental transfers, and exempt the fund from any state budget reduction acts; exempt pediatric teaching hospitals or urban trauma centers from Act, and permit them to receive supplemental Medicaid payments commensurate with the amount of their intergovernmental transfer of funds, not to exceed 100% of the UPL; require the Cabinet for Health Services to promulgate implementing regulations within 90 days of the effective date of the Act.
Feb 19-introduced in House
Feb 20-to Health and Welfare (H)