Amendment #435 to H3400

CHART

Mr. Mariano of Quincy moves to amend the bill by inserting after section 20 the following section:-

SECTION 20A.  Chapter 10 of the General Laws is hereby amended by inserting after section 35UU the following section:-

35UU 1/2. There shall be established and set up on the books of the commonwealth a separate fund to be known as the Acute Care Hospital Trust Fund which shall be administered by the secretary of health and human services.  Subject to appropriation, monies from the trust fund may be expended for payments to acute care hospitals.

And moves to further amend the bill by inserting after section 73 the following section:-

SECTION 73A.  Notwithstanding the provision of section 2GGGG of chapter 29 of the General Laws or any other general or special law or regulation to the contrary, on January 1, 2016, the Health Policy Commission shall transfer from the Distressed Hospital Trust Fund the following amounts:

(a) $8,227,865 to the Delivery System Transformation Initiatives Trust Fund established by section 35UU of chapter 10 of the General Laws; provided, that these funds shall be expended under the delivery system transformation initiative master plan and hospital-specific plans approved in the MassHealth section 1115 demonstration for state or federal fiscal year 2015; provided further, that all payments from the Delivery System Transformation Initiatives Trust Fund shall be subject to the availability of federal financial participation, shall be made only in accordance with federally approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services;

(b) $17,153,885 to the Acute Care Hospital Fund, provided, that of these funds, $11,000,000 shall provide an additional 5 per cent of the office of Medicaid’s standard payment amount per discharge, or SPAD, above rate year 2013, or of reimbursement provided under any subsequent inpatient payment methodologies and to provide an additional 5 per cent of its outpatient payment amount per episode or PAPE above rate 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, that $6,153,885 shall be provided for supplemental payments to 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 such behavioral and mental health supplemental payments 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.

Additional co-sponsor(s) added to Amendment #435 to H3400

CHART