2018 Special Session I

Budget Amendments - HB5002 (Senate Committee Approved)

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Restore Disproportionate Share Hospital Funding for State Mental Hospitals

Item 303 #16s

Item 303 #16s

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $453,910 FY2020 $635,474 GF
FY2019 $453,910 FY2020 $635,474 NGF

Page 257, line 34, strike "$10,983,034,643" and insert "$10,983,942,463".
Page 257, line 34, strike "$12,657,131,076" and insert "$12,658,402,024".


(This amendment provides $453,910 the first year and $635,474 the second year from the general fund and a like amount of federal Medicaid matching funds in each year to restore the appropriation used to provide 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 restore DSH payment reductions to Piedmont Geriatric and Catawba hospitals).