2022 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Davis
Indirect Medical Education Funding for Children's Hospital of The King's Daughters

Item 304 #16h

Item 304 #16h

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $5,500,000 FY2024 $5,500,000 GF
FY2023 $5,500,000 FY2024 $5,500,000 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,743,988,737".
Page 313, line 47, strike "$19,820,607,534" and insert "$19,831,607,534".

Page 338, line 5, strike "2.718." and the remainder of the line.

Page 338, line 6, strike "rebasing." and insert:

"the greater of 3.2962 or the most recent rebasing."

Page 338, strike line 8.

Page 338, line 9, strike "subject to." and insert:

"the hospital's Medicaid costs.

Page 338, strike lines 11 through 14.


(This amendment adds $5.5 million each year from the general fund and a like amount of federal matching Medicaid funds each year and language directing the Department of Medical Assistance Services to adjust the formula used to calculate indirect medical education (IME) reimbursement for managed care discharges at Children's Hospital of the King's Daughters (CHKD). This change would restore CHKD's case mix index (CMI) factor to the fiscal year 2019 level, which had been reduced unexpectedly in fiscal year 2020 without regard to other critical factors. The change is intended to stabilize CHKD’s IME funding levels so the hospital is not subject to dramatic fluctuations in future Medicaid payments that occur with rebasing and changes in federal policy, and would be consistent with historic levels of state support. The IME payments are a matched by the federal government on a 50/50 basis.)