Second Regular Session H.B. 2705
COMMITTEE ON APPROPRIATIONS
SENATE AMENDMENTS TO H.B. 2705
(Reference to House engrossed bill)
Page 13, strike lines 31 through 44
Strike pages 14, 15 and 16
Page 17, strike lines 1 through 34
Renumber to conform
Page 19, between lines 2 and 3, insert:
"Sec. 6. Laws 2013, first special session, chapter 10, section 19 is amended to read:
Sec. 19. AHCCCS; disproportionate share payments
A. Disproportionate share payments for fiscal year 2013-2014 made pursuant to section 36-2903.01, subsection O, Arizona Revised Statutes, include:
1. $89,877,700 for a qualifying nonstate operated public hospital:
(a) The Maricopa county special health care district shall provide a certified public expense form for the amount of qualifying disproportionate share hospital expenditures made on behalf of this state to the administration on or before May 1, 2014 for all state plan years as required by the Arizona health care cost containment system 1115 waiver standard terms and conditions. The administration shall assist the district in determining the amount of qualifying disproportionate share hospital expenditures. Once the administration files a claim with the federal government and receives federal funds participation based on the amount certified by the Maricopa county special health care district, if the certification is equal to or less than $89,877,700, and the administration determines that the revised amount is correct pursuant to the methodology used by the administration pursuant to section 36-2903.01, Arizona Revised Statutes, the administration shall notify the governor, the president of the senate and the speaker of the house of representatives, shall distribute $4,202,300 to the Maricopa county special health care district and shall deposit the balance of the federal funds participation in the state general fund. If the certification provided is for an amount less than $89,877,700 and the administration determines that the revised amount is not correct pursuant to the methodology used by the administration pursuant to section 36-2903.01, Arizona Revised Statutes, the administration shall notify the governor, the president of the senate and the speaker of the house of representatives and shall deposit the total amount of the federal funds participation in the state general fund. Except as provided in subdivision (b) of this paragraph, the disproportionate share hospital payment attributed to the Maricopa county special health care district shall not exceed $89,877,700.
(b) To the extent there remains available qualifying disproportionate share hospital payment authority after safety net care pool payments are made, the Maricopa county special health care district shall provide a certified public expense form for the amount and the administration shall deposit the amount of the federal funds participation in excess of $89,877,700 in the state general fund.
2. $26,724,700 $28,474,900 for the Arizona state hospital. The Arizona state hospital shall provide a certified public expense form for the amount of qualifying disproportionate share hospital expenditures made on behalf of the state to the administration on or before March 31, 2014. The administration shall assist the Arizona state hospital in determining the amount of qualifying disproportionate share hospital expenditures. Once the administration files a claim with the federal government and receives federal funds participation based on the amount certified by the Arizona state hospital, the administration shall distribute the entire amount of federal financial participation to the state general fund. If the certification provided is for an amount less than $26,724,700 $28,474,900, the administration shall notify the governor, the president of the senate and the speaker of the house of representatives and shall distribute the entire amount of federal financial participation to the state general fund. The certified public expense form provided by the Arizona state hospital shall contain both the total amount of qualifying disproportionate share hospital expenditures and the amount limited by section 1923(g) of the social security act.
3. $9,284,800 for private qualifying disproportionate share hospitals. The Arizona health care cost containment system administration shall make payments to hospitals consistent with this appropriation and the terms of the section 1115 waiver, but payments shall be limited to those hospitals that either:
(a) Meet the mandatory definition of disproportionate share qualifying hospitals under section 1923 of the social security act.
(b) Are located in Yuma county and contain at least three hundred beds.
B. Disproportionate share payments in fiscal year 2013‑2014 made pursuant to section 36‑2903.01, subsection O, Arizona Revised Statutes, include amounts for disproportionate share hospitals designated by political subdivisions of this state, tribal governments and any university under the jurisdiction of the Arizona board of regents. Contingent on approval by the administration and the centers for medicare and medicaid services, any amount of federal funding allotted to this state pursuant to section 1923(f) of the social security act and not otherwise expended under subsection A, paragraph 1, 2 or 3 of this section shall be made available for distribution pursuant to this subsection. Political subdivisions of this state, tribal governments and any university under the jurisdiction of the Arizona board of regents may designate hospitals eligible to receive disproportionate share funds in an amount up to the limit prescribed in section 1923(g) of the social security act if those political subdivisions, tribal governments or universities provide sufficient monies to qualify for the matching federal monies for the disproportionate share payments."
Renumber to conform
Page 19, strike lines 5 through 27
Renumber to conform
Page 28, after line 9, insert:
"Sec. 29. Retroactivity
Laws 2013, first special session, chapter 10, section 19, as amended by this act, applies retroactively to from and after June 30, 2013."
Amend title to conform