2022 Session

Budget Amendments - SB30 (Floor Approved)

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Indirect Medical Education Funding for Children's Hospital of The King's Daughters

Item 304 #5s

Item 304 #5s

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $4,039,123 FY2024 $4,106,384 GF
FY2023 $4,118,661 FY2024 $4,214,556 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,741,146,521".
Page 313, line 47, strike "$19,820,607,534" and insert "$19,828,928,474".

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

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

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

Page 338, line 8, strike "federal uncompensated care cost limit that disproportionate share hospital payments are".

Page 338, line 9, strike "subject to." and insert "hospital's Medicaid costs.

Page 338, strike lines 11 through 14.


(This amendment adds funding 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 factor to the fiscal year (FY) 2019 level, which had been reduced in FY 2020. The change is intended to stabilize CHKD’s IME funding levels so the hospital is not subject to fluctuations in future Medicaid payments that occur with rebasing and changes in federal policy. Using FY 2019 as a more typical year for CHKD (pre-COVID), the general fund impact would be an estimated $8.1 million, with a nongeneral fund impact of $8.3 million over the biennium.)