Budget Amendment ID: FY2015-S4-882-R1

Redraft EHS 882

Disproportionate Share Hospital Reimbursement Adjustments

Messrs. Welch, Wolf, Downing and Michael O. Moore, Ms. Candaras, Ms. Chandler, Messrs. Rodrigues, Rush, Finegold and Keenan, Ms. Jehlen, Mr. Brownsberger, Ms. O'Connor Ives, Ms. Chang-Diaz, Ms. Forry, Messrs. DiDomenico, Kennedy, Pacheco and Humason moved that the proposed new text be amended in section 2, in item 4000-0700, moved that the bill be amended in section 2, in item 4000-0700, by inserting after words "wellness goals" the following words:- “; provided further, that MassHealth shall provide an additional 5 per cent of its standard payment amount per discharge, or SPAD, above fiscal year 2013, or of reimbursement provided under any subsequent inpatient payment methodologies and an additional 5 per cent to its outpatient payment amount per episode or PAPE, above fiscal year 2013, or of reimbursement provided under any subsequent outpatient payment methodologies, to 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; 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 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 further, that said behavioral and mental health supplemental payment shall be subject to all required federal approvals and the availability of federal financial participation and shall be prioritized for services provided to children and adolescents; provided further, that if federal financial participation is not available for said behavioral and mental health supplemental payments, the executive office of health and human services shall make a payment of not less than $6,153,885;”.