Amendment #699 to H4000

Disproportionate Share Hospital Reimbursement Adjustments

Representatives Finn of West Springfield, Chan of Quincy, Scibak of South Hadley, Farley-Bouvier of Pittsfield, Turner of Dennis, Garlick of Needham, Moran of Lawrence, Koczera of New Bedford, Puppolo of Springfield, Pignatelli of Lenox, Vega of Holyoke, Brady of Brockton, Hecht of Watertown, Andrews of Orange, Malia of Boston, Ayers of Quincy, Decker of Cambridge, Canavan of Brockton, Toomey of Cambridge, Kaufman of Lexington, Madden of Nantucket, Schmid of Westport, Cabral of New Bedford, Calter of Kingston, Cullinane of Boston, Mannal of Barnstable, Peake of Provincetown, Fox of Boston, Boldyga of Southwick, Curran of Springfield, Cronin of Easton, Cusack of Braintree, Livingstone of Boston, Rogers of Cambridge, Honan of Boston, Conroy of Wayland, Cariddi of North Adams, DiZoglio of Methuen, Fiola of Fall River, DiNatale of Fitchburg, Holmes of Boston and Ashe of Longmeadow move to amend the bill in section 2, in  item  4000-0700, in line 32, by inserting after "goals"  the following: "Provided further, that MassHealth shall provide an additional increase to reimbursement rates for any acute care hospital that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services in the amount of 10 per cent added to its standard payment amount per discharge, or SPAD, or of reimbursement provided under any subsequent inpatient payment methodologies and 5 per cent added to its outpatient payment amount per episode or PAPE, or of reimbursement provided under any subsequent outpatient payment methodologies, and provided that such increases shall be made to the actual reimbursement rates paid to hospitals in hospital rate year 2015 for MassHealth services; provided further, MassHealth shall provide a supplemental payment of at least $12,307,769 for inpatient and outpatient behavioral and mental health services provided by any acute care hospital that that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services, provided, however, that such add on amounts shall be prioritized for services provided to children and adolescents;".