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Senate Study Bill 1020

Bill Text

PAG LIN
  1  1    Section 1.  Section 222.2, Code 2001, is amended by adding
  1  2 the following new subsection:
  1  3    NEW SUBSECTION.  2A.  "Department" means the department of
  1  4 human services.
  1  5    Sec. 2.  Section 222.73, subsection 1, unnumbered paragraph
  1  6 1, Code 2001, is amended to read as follows:
  1  7    The superintendent of each resource center and special unit
  1  8 shall compute by February 1 the average daily patient charge
  1  9 and outpatient treatment charges for which each county will be
  1 10 billed for services provided to patients chargeable to the
  1 11 county during the fiscal year beginning the following July 1.
  1 12 The department shall certify the amount of the charges to the
  1 13 director of revenue and finance and notify the counties of the
  1 14 billing charges.
  1 15    Sec. 3.  Section 222.73, subsection 2, unnumbered paragraph
  1 16 1, Code 2001, is amended to read as follows:
  1 17    The superintendent shall certify to the director of revenue
  1 18 and finance department the billings to each county for
  1 19 services provided to patients chargeable to the county during
  1 20 the preceding calendar quarter.  The county billings shall be
  1 21 based on the average daily patient charge and outpatient
  1 22 treatment charges computed pursuant to subsection 1, and the
  1 23 number of inpatient days and outpatient treatment service
  1 24 units chargeable to the county.  The billings to a county of
  1 25 legal settlement are subject to adjustment for all of the
  1 26 following circumstances:
  1 27    Sec. 4.  Section 222.73, subsection 4, Code 2001, is
  1 28 amended to read as follows:
  1 29    4.  The department shall certify to the director of revenue
  1 30 and finance and the counties by February 1 the actual per-
  1 31 patient-per-day costs, as computed pursuant to subsection 3,
  1 32 and the actual costs owed by each county for the immediately
  1 33 preceding calendar year for patients chargeable to the county.
  1 34 If the actual costs owed by the county are greater than the
  1 35 charges billed to the county pursuant to subsection 2, the
  2  1 director of revenue and finance department shall bill the
  2  2 county for the difference with the billing for the quarter
  2  3 ending June 30.  If the actual costs owed by the county are
  2  4 less than the charges billed to the county pursuant to
  2  5 subsection 2, the director of revenue and finance department
  2  6 shall credit the county for the difference starting with the
  2  7 billing for the quarter ending June 30.
  2  8    Sec. 5.  Section 222.74, Code 2001, is amended to read as
  2  9 follows:
  2 10    222.74  DUPLICATE TO COUNTY.
  2 11    When certifying to the director of revenue and finance
  2 12 department amounts to be charged against each county as
  2 13 provided in section 222.73, the superintendent shall send to
  2 14 the county auditor of each county against which the
  2 15 superintendent has so certified any amount, a duplicate of the
  2 16 certificate certification statement.  The county auditor upon
  2 17 receipt of the duplicate certificate certification statement
  2 18 shall enter it to the credit of the state in the ledger of
  2 19 state accounts, and shall immediately issue a notice to the
  2 20 county treasurer authorizing the treasurer to transfer the
  2 21 amount from the county fund to the general state revenue.  The
  2 22 county treasurer shall file the notice as authority for making
  2 23 the transfer and shall include the amount transferred in the
  2 24 next remittance of state taxes to the treasurer of state,
  2 25 designating the fund to which the amount belongs.
  2 26    Sec. 6.  Section 222.75, Code 2001, is amended to read as
  2 27 follows:
  2 28    222.75  DELINQUENT PAYMENTS – PENALTY.
  2 29    Should any If a county fail fails to pay the bills a billed
  2 30 charge within forty-five days from the date the county auditor
  2 31 received the certificate certification statement from the
  2 32 superintendent pursuant to section 222.74, the director of
  2 33 revenue and finance department may charge the delinquent
  2 34 county a penalty of not greater than one percent per month on
  2 35 and after forty-five days from the date the county auditor
  3  1 received the certificate certification statement until paid.
  3  2    Sec. 7.  Section 222.79, Code 2001, is amended to read as
  3  3 follows:
  3  4    222.79  CERTIFICATION STATEMENT PRESUMED CORRECT.
  3  5    In actions to enforce the liability imposed by section
  3  6 222.78, the certificate certification statement sent from the
  3  7 superintendent to the county auditor pursuant to section
  3  8 222.74 stating the sums charged in such cases shall be
  3  9 presumptively correct.
  3 10    Sec. 8.  Section 229.41, Code 2001, is amended to read as
  3 11 follows:
  3 12    229.41  VOLUNTARY ADMISSION.
  3 13    Persons making application pursuant to section 229.2 on
  3 14 their own behalf or on behalf of another person who is under
  3 15 eighteen years of age, if the person whose admission is sought
  3 16 is received for observation and treatment on the application,
  3 17 shall be required to pay the costs of hospitalization at rates
  3 18 established by the administrator.  The costs may be collected
  3 19 weekly in advance and shall be payable at the business office
  3 20 of the hospital.  The collections shall be remitted to the
  3 21 director of revenue and finance department of human services
  3 22 monthly to be credited to the general fund of the state.
  3 23    Sec. 9.  Section 229.42, Code 2001, is amended to read as
  3 24 follows:
  3 25    229.42  COSTS PAID BY COUNTY.
  3 26    If a person wishing to make application for voluntary
  3 27 admission to a mental hospital established by chapter 226 is
  3 28 unable to pay the costs of hospitalization or those
  3 29 responsible for the person are unable to pay the costs,
  3 30 application for authorization of voluntary admission must be
  3 31 made through a single entry point process before application
  3 32 for admission is made to the hospital.  The person's county of
  3 33 legal settlement shall be determined through the single entry
  3 34 point process and if the admission is approved through the
  3 35 single entry point process, the person's admission to a mental
  4  1 health hospital shall be authorized as a voluntary case.  The
  4  2 authorization shall be issued on forms provided by the
  4  3 administrator.  The costs of the hospitalization shall be paid
  4  4 by the county of legal settlement to the director of revenue
  4  5 and finance department of human services and credited to the
  4  6 general fund of the state, providing the mental health
  4  7 hospital rendering the services has certified to the county
  4  8 auditor of the county of legal settlement the amount
  4  9 chargeable to the county and has sent a duplicate statement of
  4 10 the charges to the director of revenue and finance department
  4 11 of human services.  A county shall not be billed for the cost
  4 12 of a patient unless the patient's admission is authorized
  4 13 through the single entry point process.  The mental health
  4 14 institute and the county shall work together to locate
  4 15 appropriate alternative placements and services, and to
  4 16 educate patients and family members of patients regarding such
  4 17 alternatives.
  4 18    All the provisions of chapter 230 shall apply to such
  4 19 voluntary patients so far as is applicable.
  4 20    The provisions of this section and of section 229.41 shall
  4 21 apply to all voluntary inpatients or outpatients either away
  4 22 from or at the institution heretofore or hereafter receiving
  4 23 mental health services.
  4 24    Should any If a county fail fails to pay these bills the
  4 25 billed charges within forty-five days from the date the county
  4 26 auditor received the certificate certification statement from
  4 27 the superintendent, the director of revenue and finance
  4 28 department of human services shall charge the delinquent
  4 29 county the penalty of one percent per month on and after
  4 30 forty-five days from the date the county received the
  4 31 certificate certification statement until paid.  Such The
  4 32 penalties received shall be credited to the general fund of
  4 33 the state.
  4 34    Sec. 10.  Section 230.20, subsection 1, unnumbered
  4 35 paragraph 1, Code 2001, is amended to read as follows:
  5  1    The superintendent of each mental health institute shall
  5  2 compute by February 1 the average daily patient charges and
  5  3 other service charges for which each county will be billed for
  5  4 services provided to patients chargeable to the county during
  5  5 the fiscal year beginning the following July 1.  The
  5  6 department shall certify the amount of the charges to the
  5  7 director of revenue and finance and notify the counties of the
  5  8 billing charges.
  5  9    Sec. 11.  Section 230.20, subsection 2, paragraph a, Code
  5 10 2001, is amended to read as follows:
  5 11    a.  The superintendent shall certify to the director of
  5 12 revenue and finance department the billings to each county for
  5 13 services provided to patients chargeable to the county during
  5 14 the preceding calendar quarter.  The county billings shall be
  5 15 based on the average daily patient charge and other service
  5 16 charges computed pursuant to subsection 1, and the number of
  5 17 inpatient days and other service units chargeable to the
  5 18 county.  However, a county billing shall be decreased by an
  5 19 amount equal to reimbursement by a third party payor or
  5 20 estimation of such reimbursement from a claim submitted by the
  5 21 superintendent to the third party payor for the preceding
  5 22 calendar quarter.  When the actual third party payor
  5 23 reimbursement is greater or less than estimated, the
  5 24 difference shall be reflected in the county billing in the
  5 25 calendar quarter the actual third party payor reimbursement is
  5 26 determined.
  5 27    Sec. 12.  Section 230.20, subsections 4 and 5, Code 2001,
  5 28 are amended to read as follows:
  5 29    4.  The department shall certify to the director of revenue
  5 30 and finance and the counties by February 1 the actual per-
  5 31 patient-per-day costs, as computed pursuant to subsection 3,
  5 32 and the actual costs owed by each county for the immediately
  5 33 preceding calendar year for patients chargeable to the county.
  5 34 If the actual costs owed by the county are greater than the
  5 35 charges billed to the county pursuant to subsection 2, the
  6  1 director of revenue and finance department shall bill the
  6  2 county for the difference with the billing for the quarter
  6  3 ending June 30.  If the actual costs owed by the county are
  6  4 less than the charges billed to the county pursuant to
  6  5 subsection 2, the director of revenue and finance department
  6  6 shall credit the county for the difference starting with the
  6  7 billing for the quarter ending June 30.
  6  8    5.  An individual statement shall be prepared for a patient
  6  9 on or before the fifteenth day of the month following the
  6 10 month in which the patient leaves the mental health institute,
  6 11 and a general statement shall be prepared at least quarterly
  6 12 for each county to which charges are made under this section.
  6 13 Except as otherwise required by sections 125.33 and 125.34 the
  6 14 general statement shall list the name of each patient
  6 15 chargeable to that county who was served by the mental health
  6 16 institute during the preceding month or calendar quarter, the
  6 17 amount due on account of each patient, and the specific dates
  6 18 for which any third party payor reimbursement received by the
  6 19 state is applied to the statement and billing, and the county
  6 20 shall be billed for eighty percent of the stated charge for
  6 21 each patient specified in this subsection.  The statement
  6 22 prepared for each county shall be certified by the department
  6 23 to the director of revenue and finance and a duplicate
  6 24 statement shall be mailed to the auditor of that county.
  6 25    Sec. 13.  Section 230.22, Code 2001, is amended to read as
  6 26 follows:
  6 27    230.22  PENALTY.
  6 28    Should any county fail to pay the amount billed by a
  6 29 statement submitted pursuant to section 230.20 within forty-
  6 30 five days from the date the statement is received by the
  6 31 county, the director of revenue and finance department shall
  6 32 charge the delinquent county the penalty of one percent per
  6 33 month on and after forty-five days from the date the statement
  6 34 is received by the county until paid.  Provided, however, that
  6 35 the penalty shall not be imposed if the county has notified
  7  1 the director of revenue and finance department of error or
  7  2 questionable items in the billing, in which event, the
  7  3 director of revenue and finance department shall suspend the
  7  4 penalty only during the period of negotiation.
  7  5    Sec. 14.  Section 230.34, Code 2001, is amended by adding
  7  6 the following new subsection:
  7  7    NEW SUBSECTION.  As used in this chapter, unless the
  7  8 context otherwise requires, "department" means the department
  7  9 of human services.  
  7 10                           EXPLANATION
  7 11    This bill relates to the billing and accounting of charges
  7 12 for the state resource centers and mental health institutes.
  7 13    The bill amends current law by requiring various billings
  7 14 and charges to be remitted to or calculated by the department
  7 15 of human services in place of the director of revenue and
  7 16 finance.  In addition, the bill changes the term "certificate"
  7 17 to the term "certification statement".
  7 18    The bill makes these changes in Code section 222.73,
  7 19 relating to billing of patient charges in a state resource
  7 20 center; Code section 222.74, relating to duplicate statements
  7 21 sent to counties; Code section 222.75, relating to penalties
  7 22 for delinquent payments; Code section 222.79, relating to
  7 23 presumptive correctness of billings; Code section 229.41,
  7 24 relating to collections for voluntary admissions; Code section
  7 25 229.42, relating to state mental health institute billings for
  7 26 certain voluntary cases; Code section 230.20, relating to
  7 27 billing of patient charges at a state mental health institute;
  7 28 and Code section 230.22, relating to penalties for late
  7 29 payment of patient charges at a state mental health institute.
  7 30    In addition, the bill defines the term "department" as the
  7 31 department of human services in Code chapters 222 and 230.  
  7 32 LSB 1078DP 78
  7 33 jp/cls/14
     

Text: SSB01019                          Text: SSB01021
Text: SSB01000 - SSB01099               Text: SSB Index
Bills and Amendments: General Index     Bill History: General Index

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