House Journal: Page 1542: Wednesday, April 21, 1999

17   AMOUNTS.  For the fiscal year beginning July 1, 1999,

18   and ending June 30, 2000, the department of human
19   services shall continue the supplemental
20   disproportionate share and a supplemental indirect
21   medical education adjustment applicable to state-owned
22   acute care hospitals with more than 500 beds and shall
23   reimburse qualifying hospitals pursuant to that
24   adjustment with a supplemental amount for services
25   provided medical assistance recipients.  The
26   adjustment shall generate supplemental payments
27   intended to equal the state appropriation made to a
28   qualifying hospital for treatment of indigent patients
29   as provided in chapter 255.  To the extent of the
30   supplemental payments, a qualifying hospital shall,
31   after receipt of the funds, transfer to the department
32   of human services an amount equal to the actual
33   supplemental payments that were made in that month.
34   The aggregate amounts for the fiscal year shall not
35   exceed the state appropriation made to the qualifying
36   hospital for treatment of indigent patients as
37   provided in chapter 255.  The department of human
38   services shall deposit the portion of these funds
39   equal to the state share in the department's medical
40   assistance account and the balance shall be credited
41   to the general fund of the state.  To the extent that
42   state funds appropriated to a qualifying hospital for
43   the treatment of indigent patients as provided in
44   chapter 255 have been transferred to the department of
45   human services as a result of these supplemental
46   payments made to the qualifying hospital, the
47   department shall not, directly or indirectly, recoup
48   the supplemental payments made to a qualifying
49   hospital for any reason, unless an equivalent amount
50   of the funds transferred to the department of human
Page 20
 1   services by a qualifying hospital pursuant to this
 2   provision is transferred to the qualifying hospital by
 3   the department.
 4     If the state supplemental amount allotted to the
 5   state of Iowa for the federal fiscal year beginning
 6   October 1, 1999, and ending September 30, 2000,
 7   pursuant to section 1923(f)(3) of the federal Social
 8   Security Act, as amended, or pursuant to federal
 9   payments for indirect medical education is greater
10   than the amount necessary to fund the federal share of
11   the supplemental payments specified in the preceding
12   paragraph, the department of human services shall
13   increase the supplemental disproportionate share or
14   supplemental indirect medical education adjustment by
15   the lesser of the amount necessary to utilize fully

© 1999 Cornell College and League of Women Voters of Iowa

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