HOUSE DOCKET, NO. 966        FILED ON: 1/19/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 341

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

William Smitty Pignatelli

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act creating a rate methodology for critical access hospitals.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

William Smitty Pignatelli

4th Berkshire

1/19/2011

Benjamin B. Downing

Berkshire, Hampshire, Franklin and Hampden

2/4/2011

Anne M. Gobi

5th Worcester

2/1/2011

Timothy R. Madden

Barnstable, Dukes and Nantucket

2/3/2011

Stephen Kulik

1st Franklin

2/4/2011

Daniel A. Wolf

 

2/4/2011


HOUSE DOCKET, NO. 966        FILED ON: 1/19/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 341

By Mr. Pignatelli of Lenox, a petition (accompanied by bill, House, No. 341) of William Smitty Pignatelli and others relative to Medicaid payments to critical access hospitals.  Health Care Financing.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 4513 OF 2009-2010.]

 

The Commonwealth of Massachusetts

 

_______________

In the Year Two Thousand Eleven

_______________

 

An Act creating a rate methodology for critical access hospitals.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1. Section 111 of chapter 118G of the General Laws, as appearing in the 2006 Official Edition, is hereby amended by adding the following subsection:

(d) Notwithstanding any general or special law to the contrary, the executive office of health and human services shall reimburse, and shall require all Medicaid managed care organizations to reimburse, any licensed hospital facility operating in the commonwealth that has been designated a critical access hospital pursuant to 42 U.S.C. §1395i-4 in an amount equal to at least one hundred and one percent (101%) of the allowable Medicare costs for both inpatient and outpatient services provided to patients of such facility enrolled in the Masshealth program.

SECTION 2. Section 5 of chapter 176Q of the General Laws, as so appearing, is hereby amended by adding the following subsection:

(e)The commonwealth health insurance connector authority shall require all carriers with which it contracts to provide the commonwealth care health insurance program to reimburse any licensed hospital facility operating in the commonwealth that has been designated a critical access hospital pursuant to 42 U.S.C. §1395i-4 in an amount equal to at least one hundred and one percent (101%) of the allowable Medicare costs for both inpatient and outpatient services provided to patients of such facility enrolled in the commonwealth care program.