996009
Florida Senate - 2009
SB7064
The Committee on Health and Human Services Appropriations (Peaden)
recommended the following amendment:
Section: 03
On Page: 006
Spec App: 188
| EXPLANATION:
Technical amendment to add proviso relating to funds
that were transferred from the Department of Health
for Shands Healthcare System that are used as match
in the Medicaid Program. In addition, the amendment
provides effective dates for the Medicaid trend
adjustment applied to children's specialty and rural
hospitals.
|
NET IMPACT ON: Total Funds General Revenue Trust Funds
Recurring - 0 0 0
Non-Recurring - 0 0 0
______________________________________________________________________________________
Positions & Amounts Positions & Amounts
DELETE INSERT
AGENCY FOR HEALTH CARE ADMINISTRATION
Program: Health Care Services
Medicaid Services To Individuals 68501400
In Section 03 On Page 006
188 Special Categories 101582
Hospital Inpatient Services IOEE
Immediately following Specific Appropriation 188, DELETE tenth and
eleventh paragraphs:
From the funds in Specific Appropriation 188, $13,675,000 from the
General Revenue Fund, $112,988,660 from the Grants and Donations Trust
Fund and $264,756,798 from the Medical Care Trust Fund are provided to
eliminate the inpatient reimbursement ceilings for teaching, specialty,
Community Hospital Education Program hospitals and Level III Neonatal
Intensive Care Units that have a minimum of three of the following
designated tertiary services as regulated under the Certificate of Need
Program: pediatric bone marrow transplantation, pediatric open heart
surgery, pediatric cardiac catheterization and pediatric heart
transplantation. Included in these funds are the annualized amounts to
offset the reductions taken against hospitals defined in section 408.07
(45), Florida Statutes, that are not certified trauma centers, as
996009 Log:0009 CSK/CSK 03/30/09 05:16:05 PM Senate Page: 1
identified in Section 12, chapter 2007-326, Laws of Florida.
From the funds in Specific Appropriation 188, $22,252,267 from the
Grants and Donations Trust Fund, and $46,512,463 from the Medical Care
Trust Fund are provided to buy back the Medicaid trend adjustment that
is being applied against the Medicaid inpatient rates for the following
three categories of hospitals. Of these funds $40,413,093 is provided to
the first category of hospitals, which are those hospitals that are part
of a system that operates a provider service network in the following
manner: $18,247,077 is for Jackson Memorial Hospital; $5,661,789 is for
hospitals in Broward Health; $6,969,876 is for hospitals in the Memorial
Healthcare System; and $2,764,834 is for Shands Jacksonville and
$6,769,517 is for Shands Gainesville. In the event that the above
amounts exceed the amount of the Medicaid trend adjustment applied to
each hospital, then the excess funds will be used to buy back other
Medicaid reductions in the inpatient rate. Of the above funds,
$19,014,315 shall be used for the second category to buy back the
Medicaid trend adjustment that is being applied against the Medicaid
inpatient rates for those hospitals that are licensed as a children's
specialty hospital and whose Medicaid days plus charity care days
divided by total adjusted patient days equals or exceeds 30 percent. In
the event that the funds under this category exceed the amount of the
Medicaid trend adjustment, then any excess funds will be used to buy
back other Medicaid reductions in the inpatient rate for individual
hospitals. Of the above funds, $9,337,322 shall be used for the third
category to buy back the Medicaid trend adjustment that is being applied
against the Medicaid inpatient rates to rural hospitals. In the event
that the funds under this category exceed the amount of the Medicaid
trend adjustment, then any excess funds will be used to buy back other
Medicaid reductions in the inpatient rate for those individual
hospitals. For this section of proviso the agency shall use the 2003,
2004 and 2005 audited DSH data available as of March 1, 2009. In the
event the agency does not have the prescribed three years of audited DSH
data for a hospital, the agency shall use the average of the audited DSH
data for 2003, 2004 and 2005 that are available.
Immediately following Specific Appropriation 188, INSERT tenth and
eleventh paragraphs:
From the funds in Specific Appropriation 188, $13,675,000 from the
General Revenue Fund, $112,988,660 from the Grants and Donations Trust
Fund and $264,756,798 from the Medical Care Trust Fund are provided to
eliminate the inpatient reimbursement ceilings for teaching, specialty,
Community Hospital Education Program hospitals and Level III Neonatal
Intensive Care Units that have a minimum of three of the following
designated tertiary services as regulated under the Certificate of Need
Program: pediatric bone marrow transplantation, pediatric open heart
surgery, pediatric cardiac catheterization and pediatric heart
transplantation. Included in these funds are the annualized amounts to
offset the reductions taken against hospitals defined in section 408.07
996009 Log:0009 CSK/CSK 03/30/09 05:16:05 PM Senate Page: 2
(45), Florida Statutes, that are not certified trauma centers, as
identified in Section 12, chapter 2007-326, Laws of Florida. Of these
funds, $9,673,569 from the General Revenue Fund, is specifically
appropriated for the Shands Healthcare System. The Agency for Health
Care Administration shall use these funds for the elimination of
hospital inpatient reimbursement ceilings in the Medicaid program, as
specified in this section. If the agency is unable to use the full
amount of these designated funds, any remaining funds may be used
secondarily for payments to Shands Teaching Hospital to continue the
original purpose of providing health care services to indigent patients
through Shands Healthcare System.
From the funds in Specific Appropriation 188, $22,252,267 from the
Grants and Donations Trust Fund, and $46,512,463 from the Medical Care
Trust Fund are provided to buy back the Medicaid trend adjustment that
is being applied against the Medicaid inpatient rates for the following
three categories of hospitals. Of these funds $40,413,093 is provided to
the first category of hospitals, which are those hospitals that are part
of a system that operates a provider service network in the following
manner: $18,247,077 is for Jackson Memorial Hospital; $5,661,789 is for
hospitals in Broward Health; $6,969,876 is for hospitals in the Memorial
Healthcare System; and $2,764,834 is for Shands Jacksonville and
$6,769,517 is for Shands Gainesville. In the event that the above
amounts exceed the amount of the Medicaid trend adjustment applied to
each hospital, then the excess funds will be used to buy back other
Medicaid reductions in the inpatient rate. Of the above funds,
$19,014,315 shall be used for the second category to buy back the
Medicaid trend adjustment in effect as of June 30, 2009, that is being
applied against the Medicaid inpatient rates for those hospitals that
are licensed as a children's specialty hospital and whose Medicaid days
plus charity care days divided by total adjusted patient days equals or
exceeds 30 percent. In the event that the funds under this category
exceed the amount of the Medicaid trend adjustment, then any excess
funds will be used to buy back other Medicaid reductions in the
inpatient rate for individual hospitals. Of the above funds, $9,337,322
shall be used for the third category to buy back the Medicaid trend
adjustment in effect as of June 30, 2009, that is being applied against
the Medicaid inpatient rates to rural hospitals. In the event that the
funds under this category exceed the amount of the Medicaid trend
adjustment, then any excess funds will be used to buy back other
Medicaid reductions in the inpatient rate for those individual
hospitals. For this section of proviso the agency shall use the 2003,
2004 and 2005 audited DSH data available as of March 1, 2009. In the
event the agency does not have the prescribed three years of audited DSH
data for a hospital, the agency shall use the average of the audited DSH
data for 2003, 2004 and 2005 that are available.
| Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items. Items printed in italics are computer codes and are not a part of the official text of this amendment. |
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