BILL REQ. #:  H-3190.1 

     AN ACT Relating to disproportionate share hospital adjustments; and amending RCW 74.09.730.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

Sec. 1   RCW 74.09.730 and 1991 sp.s. c 9 s 8 are each amended to read as follows:
     In establishing Title XIX payments for inpatient hospital services:
     (1) To the extent funds are appropriated specifically for this purpose, and subject to any conditions placed on appropriations made for this purpose, the department of social and health services shall provide a disproportionate share hospital adjustment considering the following components:
     (a) A low-income care component based on a hospital's medicaid utilization rate, its low-income utilization rate, its provision of obstetric services, and other factors authorized by federal law;
     (b) A medical indigency care component based on a hospital's services to persons who are medically indigent; and
     (c) A state-only component, to be paid from available state funds to hospitals that do not qualify for federal payments under (b) of this subsection, based on a hospital's services to persons who are medically indigent;
     (2) The payment methodology for disproportionate share hospitals shall be specified by the department in regulation.