LRB-2055/P2
TJD:cdc
2019 - 2020 LEGISLATURE
DOA:......Ames, BB0378 - Rural critical care access supplement
For 2019-2021 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Medical Assistance
1. Rural critical care access hospital supplemental payment
This bill increases the amount of payments made to rural critical care access hospitals. Currently, DHS pays rural critical care access hospitals a Medical Assistance fee-for-service supplemental payment in a total amount of $250,000 as the state share of payments plus the matching federal share of payments. A hospital must satisfy the following criteria to be eligible for this supplemental payment: the Wisconsin hospital serves a disproportionate share of low-income patients and meets the federal qualifications to be considered a disproportionate share hospital, the hospital provides a wide array of services including emergency department services but excluding obstetric services, and the inpatient days for Medical Assistance recipients at the hospital are at least 6 percent of the total inpatient days at that hospital during the most recent year for which such information is available. The bill changes the criteria for a hospital's eligibility for the rural critical care access supplement to the following: the hospital is not eligible for a disproportionate share hospital payment; the hospital is located in Wisconsin and provides a wide array of services, including emergency department services; and the percentage of the hospital's overall charges for service that are charges to the Medical Assistance program for services provided to Medical Assistance recipients is at least 6 percent. The bill increases to $500,000 the total amount of the state share of payments for the rural critical care access hospital supplement.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section
1. 49.45 (3p) (a) of the statutes is amended to read:
49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department shall pay to hospitals that would are not eligible for payments under sub. (3m) but that meet the criteria under sub. (3m) (a) except that the hospitals do not provide obstetric services 1. and 2. and that, in the most recent year for which information is available, charged at least 6 percent of overall charges for services to the Medical Assistance program for services provided to Medical Assistance recipients an amount equal to the sum of $250,000 $500,000, as the state share of payments, and the matching federal share of payments. The department may make a payment to a hospital under this subsection under a calculation method determined by the department that provides a fee-for-service supplemental payment that increases as the hospital's percentage of inpatient days for Medical Assistance recipients at the hospital the total amount of the hospital's overall charges for services that are charges to the Medical Assistance program increases.
(End)
