Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S772 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	SENATE DOCKET, NO. 981 FILED ON: 1/18/2023
3	3	SENATE . . . . . . . . . . . . . . No. 772
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Jason M. Lewis
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act to continue enhanced Medicaid hospital payments.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :Jason M. LewisFifth Middlesex 1 of 3
16	16	SENATE DOCKET, NO. 981 FILED ON: 1/18/2023
17	17	SENATE . . . . . . . . . . . . . . No. 772
18	18	By Mr. Lewis, a petition (accompanied by bill, Senate, No. 772) of Jason M. Lewis for
19	19	legislation relative to the calculation of reimbursement rates to disproportionate share hospitals.
20	20	Health Care Financing.
21	21	[SIMILAR MATTER FILED IN PREVIOUS SESSION
22	22	SEE SENATE, NO. 796 OF 2021-2022.]
23	23	The Commonwealth of Massachusetts
24	24	_______________
25	25	In the One Hundred and Ninety-Third General Court
26	26	(2023-2024)
27	27	_______________
28	28	An Act to continue enhanced Medicaid hospital payments.
29	29	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
30	30	of the same, as follows:
31	31	1 SECTION 1. Chapter 118E of the General Laws is hereby amended by inserting the
32	32	2following new section:-
33	33	3 Section XX (a) The executive office shall direct monthly payments to eligible hospitals in
34	34	4the form of enhanced Medicaid payments, supplemental payments or other appropriate
35	35	5mechanism. Each payment made to an eligible hospital shall equal 5 per cent of the eligible
36	36	6hospital’s average monthly Medicaid payments, as determined by the executive office, for
37	37	7inpatient and outpatient acute hospital services for the preceding year or the most recent year for
38	38	8which data is available; provided, however, that such enhanced Medicaid payments shall not be
39	39	9used in subsequent years by the secretary to calculate an eligible hospital’s average monthly 2 of 3
40	40	10payment; and provided further, that such payments shall not offset existing Medicaid payments
41	41	11for which an eligible hospital may be qualified to receive.
42	42	12 (b) The executive office may require as a condition of receiving payment any such
43	43	13reasonable condition of payment that the secretary determines necessary to ensure the
44	44	14availability, to the extent possible, of federal financial participation for the payments, and the
45	45	15executive office may incur expenses and the comptroller may certify amounts for payment in
46	46	16anticipation of expected receipt of federal financial participation for the payments.
47	47	17 (c) The executive office may promulgate regulations as necessary to carry out this
48	48	18section.
49	49	19 (d) For the purposes of this section “eligible hospital” shall mean a non-profit or
50	50	20municipal acute care hospital licensed under section 51 of chapter 111 that: (i) has a statewide
51	51	21relative price less than 0.90, as calculated by the center for health information and analysis
52	52	22pursuant to section 10 of chapter 12C according to data from the most recent available year; (ii)
53	53	23has a public payer mix equal to or greater than 60 per cent, as calculated by the center for health
54	54	24information and analysis according to data from the most recent available year; and (iii) is not
55	55	25owned, financially consolidated or corporately affiliated with a provider organization, as defined
56	56	26by section 1 of chapter 6D, that: (A) owns or controls 2 or more acute care hospitals licensed
57	57	27under section 51 of chapter 111; and (B) the total net assets of all affiliated acute care hospitals
58	58	28within the provider organization is greater than $600,000,000, as calculated by the center for
59	59	29health information and analysis according to data from the most recent available year. 3 of 3
60	60	30 (e) For the purposes of subsection (d), a hospital’s mere clinical affiliation with a
61	61	31provider organization, absent ownership, financial consolidation or corporate affiliation, shall not
62	62	32disqualify an eligible hospital from payments authorized under this section.