Amendment #927 to H4400

NICU/Pediatric Acute Care Reimbursement

Representatives Finn of West Springfield, Whipps of Athol, Tosado of Springfield, Keefe of Worcester and Velis of Westfield move to amend the bill in Section 2 item 4000-0300 by adding at the end 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 specialty units as defined in section 8A of chapter 118E of the General Laws, the executive office shall provide additional reimbursement, if necessary, above the base rates, to the Neonatal Intensive Care Unit (NICU) with at least 55 licensed NICU beds within an acute hospital that has at least 109 pediatric intensive NICU licensed beds in Hampden County, sufficient to ensure that inpatient SPAD and outlier payments for discharges with a case mix acuity equal to or greater than 5 shall be at least equal to 85 per cent of the expenses incurred in providing services to those children, in an amount of not less than $250,000”.

Additional co-sponsor(s) added to Amendment #927 to H4400

NICU/Pediatric Acute Care Reimbursement