Bill
Number: S.B. 1247
Gowan
Floor Amendment
Reference
to: APPROPRIATIONS Committee amendment
Amendment
drafted by: Leg Council
FLOOR
AMENDMENT EXPLANATION
1. Includes discharges and
bed days with respect to inpatient or outpatient services, or both, in the
collection of the hospital assessment (assessment).
2. Renames the Health Care
Access Fund as the Health Care Investment Fund (Fund).
3. Excludes, from the
definition of base reimbursement level, directed payments made with
assessment monies and payments made through the Pediatric Services Initiative.
4. Specifies that Fund
monies are to be used to fund the nonfederal cost share to increase base
reimbursement rates for services reimbursed under the Arizona Health Care Cost Containment
System (AHCCCS) administration's dental fee schedule and physician fee
schedule, not including the physician drug fee schedule, to the extent
necessary to restore provider rates to FY 2009 levels within certain limits.
5. Requires AHCCCS to
develop a process to ensure contractors pass directed payments to eligible
providers in a timely manner and prohibits contractors from reducing contracted
rates as a result of directed payments.
6. Stipulates that, if the
assessment is conditionally repealed, the refund amount due to each hospital
must be reduced for any authorized expenditures associated with a period for
which the assessment is eligible for federal financial participation.
Page 2, line
3, strike "HOSPITAL UNREIMBURSED COSTS" insert
"HEALTH CARE FINANCIAL STABILIZATION"
Line 8,
after the second quotation mark insert ":
(a)"
Between
lines 10 and 11, insert:
"(b) Does not include directed
payments made pursuant to this article or payments made through the pediatric
services initiative pursuant to 42 Code of Federal REgulations section 438.6(c)."
Line 16,
after "revenues" insert ",
discharges or bed days"
Page 3, line
3, strike "access" insert "investment"
Line 20,
strike "access" insert "investment"
Lines 21 and
26, strike "access" insert "investment"
Page 4, line
3, after the first "to" strike remainder of
line
Strike line
4, insert "increase base reimbursement rates for services
reimbursed under the administration's dental fee schedule and physician fee
schedule, not including the physician drug fee schedule, to"
Between
lines 14 and 15, insert:
"C. The administration shall develop a process to ensure
that contractors pass through directed payments to eligible providers in a
timely manner. Contractors may not reduce contracted rates as a result of
directed payments."
Reletter to
conform
Lines 15, 26
and 32, strike "access" insert "investment"
Page 5, line
10, after the first "the" insert "effective"; after
"date" insert "for which"
Line 16,
strike "access" insert "investment"
Page 5, line
18, after the period insert "The refund amount shall be reduced for any
authorized expenditures associated with a period for which the hospital
assessment is eligible for federal financial participation."
Amend title to conform