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| 2 | 2 | | FILED ON: 7/29/2024 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 4934 |
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| 4 | 4 | | Sections 219 and 220 contained in the engrossed Bill making appropriations for the fiscal year |
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| 5 | 5 | | 2025 (see House, No. 4800), which had been returned by Her Excellency the Governor with |
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| 6 | 6 | | recommendation of amendment (for message see House, No. 4935). July 29, 2024. |
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| 7 | 7 | | The Commonwealth of Massachusetts |
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| 8 | 8 | | _______________ |
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| 9 | 9 | | In the One Hundred and Ninety-Third General Court |
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| 10 | 10 | | (2023-2024) |
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| 11 | 11 | | _______________ |
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| 12 | 12 | | An Act relative to Medicaid managed care incentive initiative payment mechanisms to the non- |
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| 13 | 13 | | state-owned public hospitals. |
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| 14 | 14 | | Whereas, The deferred operation of this act would tend to defeat its purpose, which is |
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| 15 | 15 | | forthwith to provide for Medicaid managed care incentive initiative payment mechanisms to the |
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| 16 | 16 | | non-state-owned public hospitals, therefore it is hereby declared to be an emergency law, |
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| 17 | 17 | | necessary for the immediate preservation of the public convenience. |
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| 18 | 18 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 19 | 19 | | of the same, as follows: |
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| 20 | 20 | | 1 SECTION 1. Notwithstanding any general law or special law to the contrary, the |
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| 21 | 21 | | 2secretary of health and human services shall implement new annual funding of not less than |
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| 22 | 22 | | 3$63,600,000 total computable within the state-directed Medicaid managed care incentive |
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| 23 | 23 | | 4initiative payment mechanisms to the non-state-owned public hospital for each of the fiscal years |
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| 24 | 24 | | 52024 to 2027, inclusive, at full levels, including the 20 per cent increase to the maximum |
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| 25 | 25 | | 6payment amounts listed in items 2, 4 and 5 of section 6 of Attachment Q of the MassHealth |
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| 26 | 26 | | 7demonstration waiver approved May 15, 2023, effective October 1, 2022 to December 31, 2027, |
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| 27 | 27 | | 8inclusive, under subsection (a) of section 1115 of Title XI of the federal Social Security Act. 2 of 2 |
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| 28 | 28 | | 9 SECTION 2. (a) Notwithstanding any general or special law to the contrary, the |
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| 29 | 29 | | 10secretary of health and human services, in collaboration with the non-state-owned public |
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| 30 | 30 | | 11hospital, shall seek any and all required federal approvals the secretary and the non-state-owned |
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| 31 | 31 | | 12public hospital deem necessary to implement section 1, including any required waivers and other |
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| 32 | 32 | | 13applicable submissions necessary to implement the state-directed payment mechanisms under 42 |
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| 33 | 33 | | 14CFR 438.6(c). |
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| 34 | 34 | | 15 (b) Notwithstanding any general or special law to the contrary, the payments to the non- |
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| 35 | 35 | | 16state-owned public hospital shall be authorized annually by the secretary and shall be made |
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| 36 | 36 | | 17through the Medical Assistance Trust Fund established in section 2QQQ of chapter 29 of the |
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| 37 | 37 | | 18General Laws. |
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| 38 | 38 | | 19 (c) The secretary of health and human services shall notify the house and senate |
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| 39 | 39 | | 20committees on ways and means and the joint committee on health care financing of any federal |
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| 40 | 40 | | 21approval received or denied pursuant to this section. |
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