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House Journal: Page 1979: Tuesday, April 30, 1996

Page  20

 1   AMOUNTS.  For the fiscal year beginning July 1, 1996,
 2   and ending June 30, 1997, the department of human
 3   services shall continue the supplemental
 4   disproportionate share and a supplemental indirect
 5   medical education adjustment applicable to state-owned
 6   acute care hospitals with more than 500 beds and shall
 7   reimburse qualifying hospitals pursuant to that
 8   adjustment with a supplemental amount for services
 9   provided medical assistance recipients.  The
10   adjustment shall generate supplemental payments
11   intended to equal the state appropriation made to a
12   qualifying hospital for treatment of indigent patients
13   as provided in chapter 255.  To the extent of the
14   supplemental payments, a qualifying hospital shall,
15   after receipt of the funds, transfer to the department
16   of human services an amount equal to the actual
17   supplemental payments that were made in that month.
18   The aggregate amounts for the fiscal year shall not
19   exceed the state appropriation made to the qualifying
20   hospital for treatment of indigent patients as
21   provided in chapter 255.  The department of human
22   services shall deposit the portion of these funds
23   equal to the state share in the department's medical
24   assistance account and the balance shall be credited
25   to the general fund of the state.  To the extent that
26   state funds appropriated to a qualifying hospital for
27   the treatment of indigent patients as provided in
28   chapter 255 have been transferred to the department of
29   human services as a result of these supplemental
30   payments made to the qualifying hospital, the
31   department shall not, directly or indirectly, recoup
32   the supplemental payments made to a qualifying
33   hospital for any reason, unless an equivalent amount
34   of the funds transferred to the department of human
35   services by a qualifying hospital pursuant to this
36   provision is transferred to the qualifying hospital by
37   the department.
38     If the state supplemental amount allotted to the
39   state of Iowa for the federal fiscal year beginning
40   October 1, 1996, and ending September 30, 1997,
41   pursuant to section 1923 (f)(3) of the federal Social
42   Security Act, as amended, or pursuant to federal
43   payments for indirect medical education is greater
44   than the amount necessary to fund the federal share of
45   the supplemental payments specified in the preceding
46   paragraph, the department of human services shall
47   increase the supplemental disproportionate share or
48   supplemental indirect medical education adjustment by
49   the lesser of the amount necessary to utilize fully
50   the state supplemental amount or the amount of state

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