H.B. 990
GENERAL ASSEMBLY OF NORTH CAROLINA
May 18, 2022
SESSION 2021 HOUSE PRINCIPAL CLERK
H D
HOUSE BILL DRH40682-MRxf-154
Short Title: Tech. Adjustmts/Medicaid Hospital Assessments. (Public)
Sponsors: Representative Lambeth.
Referred to:
1 A BILL TO BE ENTITLED
2 AN ACT TO MAKE TECHNICAL ADJUSTMENTS TO THE MEDICAID MODERNIZED
3 HOSPITAL ASSESSMENTS.
4 The General Assembly of North Carolina enacts:
5 SECTION 1.(a) G.S. 108A-146.12, as enacted by Section 9D.13A(c) of S.L.
6 2021-180, reads as rewritten:
7 "§ 108A-146.12. Postpartum coverage component.
8 The postpartum coverage component is twelve million five hundred thousand dollars
9 ($12,500,000) for each quarter of the 2021-2022 State fiscal year. For each quarter of the
10 2022-2023 State fiscal year, the postpartum coverage component is eleven million four thousand
11 four hundred twenty-four dollars ($11,004,424). For each subsequent State fiscal year after the
12 2022-2023 State fiscal year, the postpartum coverage component shall be increased over the prior
13 year's quarterly amount by the Medicare Economic Index."
14 SECTION 1.(b) G.S. 108A-146.13, as amended by Section 9D.13A(d) of S.L.
15 2021-180, reads as rewritten:
16 "§ 108A-146.13. Intergovernmental transfer adjustment component.
17 (a) The intergovernmental transfer adjustment component is the sum of all of the
18 following subcomponents:
19 (1) The historical subcomponent is forty-one million two hundred twenty-seven
20 thousand three hundred twenty-one dollars ($41,227,321) for each quarter of
21 the 2021-2022 State fiscal year. For each quarter of the 2022-2023 State fiscal
22 year, the historical subcomponent is forty-one million one hundred
23 ninety-three thousand one hundred eighty-one dollars ($41,193,181). For each
24 subsequent State fiscal year after the 2022-2023 State fiscal year, the historical
25 subcomponent shall be increased over the prior year's quarterly amount by the
26 market basket percentage.
27 (2) The postpartum subcomponent applies to the assessments under this Part only
28 during the period of April 1, 2022, through March 31, 2027, and is two million
29 nine hundred sixty-two thousand five hundred dollars ($2,962,500) for each
30 quarter of the 2021-2022 State fiscal year. For each quarter of the 2022-2023
31 State fiscal year, the postpartum subcomponent is two million six hundred six
32 thousand three hundred eighty-four dollars ($2,606,384). For each subsequent
33 State fiscal year after the 2022-2023 State fiscal year, the postpartum
34 subcomponent shall be increased over the prior year's quarterly amount by the
35 Medicare Economic Index.
36 …
*DRH40682-MRxf-154*
 General Assembly Of North Carolina Session 2021
1 (b) If a public acute care hospital closes or becomes a private acute care hospital, then,
2 beginning in the first assessment quarter following the closure or change to a private acute care
3 hospital and for each quarter thereafter, the intergovernmental transfer adjustment component
4 described in subsection (a) of this section, as inflated in accordance with that section, shall be
5 reduced by the amount of the public acute care hospital's intergovernmental transfer obligation
6 to the Department made during its last quarter of operation as a public acute care hospital."
7 SECTION 1.(c) Notwithstanding G.S. 108A-146.12 and G.S. 108A-146.13, for the
8 quarter beginning October 1, 2022, the postpartum coverage component is three million three
9 hundred forty-nine thousand seven hundred thirty-one dollars ($3,349,731) and the postpartum
10 subcomponent of the intergovernmental transfer adjustment component is seven hundred
11 eighty-nine thousand five hundred fifty-nine dollars ($789,559).
12 SECTION 2. This act becomes effective October 1, 2022, and applies to modernized
13 hospital assessments imposed under Part 2 of Article 7A of Chapter 108A of the General Statutes
14 on or after that date.
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