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S.F. No. 842 - General Assistance Medical Care and Certified Public Expenditures (The Delete-Everything Amendment)
Author: Senator Linda Berglin
Prepared by: David Giel, Senate Research (296-7178)
Date: March 7, 2007


S.F. No. 842 modifies language adopted in 2005 that was designed to use certain General Assistance Medical Care (GAMC) expenditures and certain public hospital expenditures as the state match to increase federal matching payments to Minnesota.

Section 1 (256.969, subdivision 9) amends language that requires all GAMC expenditures made by the Department of Human Services (DHS) and by managed care plans to be considered Medicaid disproportionate share hospital (DSH) payments during the current biennium. The new language requires the following to be considered DSH payments during this period: (1) GAMC fee-for-service inpatient hospital payments made by DHS, and (2) certified public expenditures made by Hennepin County Medical Center (HCMC). HCMC must report necessary data retroactively to comply with this provision. This section is effective retroactive to July 1, 2005.

Section 2 (256.969, subdivision 27) amends language governing the state match for quarterly payment adjustments that are scheduled to be paid to hospitals beginning July 1, 2007. This section allows all payments made under section 3 below, not just "nonstate" payments, to be used to earn federal funds for these adjustments.

Section 3 (256B.199) modifies language that requires DHS to seek federal matching funds during the upcoming biennium for certain payments made by HCMC, Regions Hospital, and Fairview-University Medical Center. The new language requires DHS also to seek federal matching funds for GAMC fee-for-service inpatient hospital payments made by the department.

Section 4 requires DHS to implement sections 1 to 3 on the earliest date for which the federal government grants approval.

DG:rdr




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