Budget Amendment ID: FY2012-S3-592-R1

Redraft EHS 592

High Acuity Cases at Pediatric Hospitals

Messrs. Kennedy and Tolman, Ms. Clark and Messrs. DiDomenico and McGee moved that the proposed new text be amended in section 2, in item 4000-0300, Mr. Kennedy moved to amend the bill in section 2, in item 4000-0300, by inserting at the end thereof the following:—

“provided further, that in calculating rates of payment for children enrolled in MassHealth receiving inpatient services at acute care pediatric hospitals and pediatric subspecialty units as defined in section 1 of chapter 118G of the General Laws, the executive office may make a supplemental payment sufficient to assure that inpatient SPAD and outlier payments for discharges with a case mix acuity greater than 3.5 shall be at least equal to 85 per cent of the expenses incurred in providing services to those children.”