Text: SSB01019 Text: SSB01021 Text: SSB01000 - SSB01099 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
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 chargesto the1 13director of revenue and financeand 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 thedirector of revenue1 18and financedepartment 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 tothe director of revenue1 30and finance andthe 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 1director of revenue and financedepartment 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, thedirector of revenue and financedepartment 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 thedirector of revenue and finance2 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 16certificatecertification statement. The county auditor upon 2 17 receipt of the duplicatecertificatecertification 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 29Should anyIf a countyfailfails to paythe billsa billed 2 30 charge within forty-five days from the date the county auditor 2 31 received thecertificatecertification statement from the 2 32 superintendent pursuant to section 222.74, thedirector of2 33revenue and financedepartment 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 thecertificatecertification 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, thecertificatecertification 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 21director of revenue and financedepartment 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 thedirector of revenue4 5and financedepartment 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 thedirector of revenue and financedepartment 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 institutionheretofore or hereafterreceiving 4 23 mental health services. 4 24Should anyIf a countyfailfails to paythese billsthe 4 25 billed charges within forty-five days from the date the county 4 26 auditor received thecertificatecertification statement from 4 27 the superintendent, thedirector of revenue and finance4 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 31certificatecertification statement until paid.SuchThe 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 chargesto the5 7director of revenue and financeand 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 thedirector of5 12revenue and financedepartment 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 thedirector of revenue5 30and finance and thecounties 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 1director of revenue and financedepartment 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, thedirector of revenue and financedepartment 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 23to the director of revenue and financeand 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, thedirector of revenue and financedepartment 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 thedirector of revenue and financedepartment of error or 7 2 questionable items in the billing, in which event, the 7 3director of revenue and financedepartment 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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