HOUSE DOCKET, NO. 1499        FILED ON: 1/18/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 595

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Jennifer E. Benson

_________________

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 to address the financial sustainability of the health safety net.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Jennifer E. Benson

37th Middlesex

1/18/2017

José F. Tosado

9th Hampden

 

Kenneth I. Gordon

21st Middlesex

 

Thomas J. Calter

12th Plymouth

 

Mathew Muratore

1st Plymouth

 

Danielle W. Gregoire

4th Middlesex

 

Christine P. Barber

34th Middlesex

 

Daniel M. Donahue

16th Worcester

 

Harold P. Naughton, Jr.

12th Worcester

 

James J. O'Day

14th Worcester

 

 



HOUSE DOCKET, NO. 1499        FILED ON: 1/18/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 595

By Ms. Benson of Lunenburg, a petition (accompanied by bill, House, No. 595) of Jennifer E. Benson and others relative to the Health Safety Net Trust Fund.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninetieth General Court
(2017-2018)

_______________

 

An Act to address the financial sustainability of the health safety net.

 

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 2OOO of Chapter 29 of the general laws, as appearing in the 2014 official edition, shall be amended by striking the third sentence in the second paragraph in its entirety and inserting in place thereof the following:

Money from the fund shall be transferred to the Health Safety Net Trust Fund, or any successor fund, as necessary to provide payments to acute hospitals and community health centers for reimbursable health services.  No less than the amounts in subsection (b) of section 189 of chapter 149 of the general laws shall be annually transferred to the Health Safety Net Trust Fund.

SECTION 2. Section 64 of Chapter 118E of the general laws, as so appearing, shall be amended by inserting the following new definition:

"Supplemental surcharge amount'', an amount equal to 50 per cent of the annual revenue shortfall in the Health Safety Net Trust fund  as estimated by the health safety net office no later than 60 days after the fund fiscal year end.

SECTION 3.  Section 66 of Chapter 118E of the general laws, as so appearing, is here by amended by striking the first sentence in its entirety and inserting in place thereof the following:

The fund shall consist of: (i) all amounts paid by acute hospitals and surcharge payors under sections 67 and 68; (ii) all appropriations for the purpose of payments to acute hospitals or community health centers for health services provided to uninsured and underinsured residents; (iii) any transfers from the Commonwealth Care Trust Fund, established under section 2OOO of chapter 29; (iv) all property and securities acquired by and through the use of monies belonging to the fund and all interest thereon; and (v) an amount equal to any federal financial participation revenues claimed and received by the commonwealth for eligible expenditures made from the fund.

SECTION 4.  Subsection (a) Section 68 of Chapter 118E of the general laws, as so appearing, shall be amended by inserting the following new words immediately following the phrase “total surcharge amount” in the three places that it so appears in this subsection:

“and the supplemental surcharge amount”

SECTION 5. Section 69 of Chapter 118E of the general laws, as so appearing, shall be amended by striking subsection b in its entirety and inserting in place thereof the following:

(b) By April 1 of the year preceding the start of the fund fiscal year, the office shall, after consultation with the office of Medicaid, and using the best data available, provide an estimate of the projected total reimbursable health services provided by acute hospitals and community health centers and emergency bad debt costs, the total funding available and any projected shortfall after adjusting for reimbursement payments to community health centers. If a shortfall in revenue exists in any fund fiscal year to cover projected costs for reimbursement of health services, the office shall allocate half of that shortfall in a manner that reflects each hospital's proportional financial requirement for reimbursements from the fund, including, but not limited to, the establishment of a graduated reimbursement system and under any additional regulations promulgated by the office.  The remaining half of the shortfall shall be accounted for through a supplemental surcharge amount that is paid in accordance with section 64 and 68.