SENATE BILL REPORT

HB 1162

As Reported By Senate Committee On:

Ways & Means, June 7, 2001

Title:  An act relating to providing state medical assistance reimbursements for small, rural hospitals that meet the criteria of a critical access hospital.

Brief Description:  Providing medical assistance reimbursements for small, rural hospitals.

Sponsors:  By Representatives McMorris, Cody, Alexander, Schual‑Berke, Mastin, Cox, Mulliken, Sump, G. Chandler, Lisk, B. Chandler, Hatfield, Schoesler, Grant, Armstrong, Kessler, Doumit, DeBolt, Delvin, Dickerson, Kenney, Bush, Conway, Edmonds, Pflug and Haigh.

Brief History:

Committee Activity:  Health & Long‑Term Care:  3/21/01 [DP‑WM].

Ways & Means:  3/30/01, 4/2/01 [DPA]; 5/22/01, 6/7/01 [DP].

SENATE COMMITTEE ON WAYS & MEANS

Majority Report:  Do Pass.

Signed by Senators Brown, Chair; Constantine, Vice Chair; Fairley, Vice Chair; Fraser, Hewitt, Honeyford, Kohl-Welles, Long, Parlette, Rasmussen, Regala, Roach, Rossi, Sheahan, B. Sheldon, Snyder, Spanel, Thibaudeau, Winsley and Zarelli.

Staff:  Tim Yowell (786-7435)

Background:  Through the Critical Access Hospital Program, the federal Health Care Financing Administration uses a cost-based approach to reimburse certain rural hospitals for services provided to Medicare clients.  This program, after certifying that a hospital meets the specified eligibility criteria, provides the hospital with a higher rate of reimbursement than is otherwise paid under Medicare.  A similar program does not exist under the programs of the state's Medical Assistance Administration, including Medicaid.

The state's Medicaid program pays for hospital services on both a fee-for-service basis and through capitated contracts with managed care plans, who themselves  negotiate reimbursement rates directly with participating hospitals.

Summary of Bill:  Hospitals certified as critical access hospitals by the Heath Care Financing Administration are to be reimbursed based on allowable costs for services provided to persons enrolled in Department of Social and Health Services Medical Assistance programs.  Additional amounts paid by the state for a service to a Medicaid managed care enrollee must be no more than the additional amount paid for that service for other Medicaid enrollees.

The program must be implemented within 60 days of the effective date of the act.

If funding for the act is not contained in the operating budget, the act is null and void.

Appropriation:  None.

Fiscal Note:  Available.

Effective Date:  Ninety days after adjournment of session in which bill is passed.

Testimony For:  If these hospitals weren't available, the lives of residents in the areas they serve could be at risk.  People would have to travel long distances for emergency medical services, and a critical source of local jobs would be lost if these hospitals weren't available.

Testimony Against:  None.

Testified:  Diane Nelson, Colville Tribe; Lisa Thatcher, Washington State Hospital Association; Jean Roberts, Mark Reed Hospital.