5092-S.E AMH DUFA BUNC 251


ESSB 5092 - H AMD TO H AMD (H-1459.2/21) 527

By Representative Dufault

WITHDRAWN 04/03/2021

On page 126, line 3, increase the General Fund-State Appropriation (FY 2022) by $2,362,000

On page 126, line 4, increase the General Fund-State Appropriation (FY 2023) by $2,362,000

On page 126, line 5, increase the General Fund-Federal Appropriation by $8,264,000

On page 126, line 21, correct the total.

On page 148, after line 12, insert the following:

"(66) $2,362,000 of the general fund—state appropriation for fiscal year 2022, $2,362,000 of the general fund-state appropriation for fiscal year 2023, and $8,264,000 of the general fund—federal appropriation are provided solely to increase the rates paid to low volume, small rural hospitals that meet the criteria in (a) through (d) of this subsection. Payments for state and federal medical assistance programs for services provided by such a hospital, regardless of the beneficiary's managed care enrollment status, must be increased to one hundred fifty percent of the hospital's fee-for-service rates beginning July 1, 2021. The authority must discontinue this rate increase after June 30, 2023, and return to the payment levels and methodology for these hospitals that were in place as of June 30, 2020. A hospital qualifying for this rate increase must:

(a) Have fewer than seventy available acute beds as reported in the hospital's 2018 department of health year-end report;

(b) Not be currently designated as a critical access hospital, and not meet the current federal eligibility requirements for designation as a critical access hospital;

(c) Not be a certified public expenditure hospital; and

(d) Have combined medicare and medicaid inpatient days greater than eighty percent as reported in the hospital's 2018 cost report."

Renumber the remaining subsections consecutively and correct any internal references accordingly.

EFFECT:   Increases funding for the Health Care Authority to increase rates for Astria Toppenish Hospital to 150 percent of the Medicaid fee schedule for FY 2022 and 2023.


 Increases General Fund - State by $4,724,000.

 Increases General Fund - Medicaid by $8,264,000.

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