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House Journal: Page 1910: Wednesday, April 26, 2000

Page 22

1 the qualifying hospital by the department.
2 If the state supplemental amount allotted to the
3 state of Iowa for the federal fiscal year beginning
4 October 1, 2000, and ending September 30, 2001,
5 pursuant to section 1923(f)(3) of the federal Social
6 Security Act, as amended, or pursuant to federal
7 payments for indirect medical education is greater
8 than the amount necessary to fund the federal share of
9 the supplemental payments specified in the preceding
10 paragraph, the department of human services shall
11 increase the supplemental disproportionate share or
12 supplemental indirect medical education adjustment by
13 the lesser of the amount necessary to utilize fully
14 the state supplemental amount or the amount of state
15 funds appropriated to the state university of Iowa
16 general education fund and allocated to the university
17 for the college of medicine. The state university of
18 Iowa shall transfer from the allocation for the
19 college of medicine to the department of human
20 services, on a monthly basis, an amount equal to the
21 additional supplemental payments made during the
22 previous month pursuant to this paragraph. A
23 qualifying hospital receiving supplemental payments
24 pursuant to this paragraph that are greater than the
25 state appropriation made to the qualifying hospital
26 for treatment of indigent patients as provided in
27 chapter 255 shall be obligated as a condition of its
28 participation in the medical assistance program to
29 transfer to the state university of Iowa general
30 education fund on a monthly basis an amount equal to
31 the funds transferred by the state university of Iowa
32 to the department of human services. To the extent
33 that state funds appropriated to the state university
34 of Iowa and allocated to the college of medicine have
35 been transferred to the department of human services
36 as a result of these supplemental payments made to the
37 qualifying hospital, the department shall not,
38 directly or indirectly, recoup these supplemental
39 payments made to a qualifying hospital for any reason,
40 unless an equivalent amount of the funds transferred
41 to the department of human services by the state
42 university of Iowa pursuant to this paragraph is
43 transferred to the qualifying hospital by the
44 department.
45 Continuation of the supplemental disproportionate
46 share and supplemental indirect medical education
47 adjustment shall preserve the funds available to the
48 university hospital for medical and surgical treatment
49 of indigent patients as provided in chapter 255 and to
50 the state university of Iowa for educational purposes


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