2018 Session

Budget Amendments - SB30 (Floor Approved)

View Budget Item
View Budget Item amendments

Eliminate Backfill for Loss of Disproportionate Share Hospitals Payments

Item 316 #1s

Item 316 #1s

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Mental Health Treatment Centers FY2019 ($907,820) FY2020 ($1,270,948) GF
FY2019 $907,820 FY2020 $1,270,948 NGF


(This amendment reduces $907,820 the first year and $1,270,948 the second year from the general fund and restores a like amount of special fund appropriation in each year to reflect the continuation of Disproportionate Share Hospital (DSH) payments to two behavioral health facilities (Piedmont Geriatric Hospital and Catawba Hospital) operated by the Department of Behavioral Health and Developmental Services. DSH payments are made to qualifying hospitals that serve a large number of Medicaid and uninsured individuals. The Patient Protection and Affordable Care Act (ACA, P. L. 111-148 as amended) reduces DSH funding to all states beginning in federal FY 2018 (cuts were originally supposed to begin in FY 2014 but have been delayed). The Bipartisan Budget Act of 2019 (P.L. 115-123) that was recently signed into law February 9, 2018 further delays the DSH reductions until federal fiscal year 2020, resulting in this amendment to eliminate the general fund that was provided in the introduced budget to offset the DSH payment reductions to Piedmont Geriatric and Catawba hospitals).