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SF0145 • 2015

Hospital uncompensated care.

AN ACT relating to public health; providing for payments to acute care hospitals for uncompensated charity care as specified; providing definitions; creating a grant program for uncompensated charity care as specified; creating an account; providing an appropriation; providing a sunset date; and providing for an effective date.

Budget Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Senator Peterson
Last action
2015-03-12
Official status
enrolled
Effective date
7/1/2015

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

SF0145H2001

2nd reading • Harvey

Corrected, Adopted

Plain English: Corrected, Adopted 2nd reading by Harvey

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H2002

2nd reading • Greear

Corrected, Adopted

Plain English: Corrected, Adopted 2nd reading by Greear

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3001

3rd reading • Esquibel, K.

Failed

Plain English: Failed 3rd reading by Esquibel, K.

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3002

3rd reading • Throne

Failed

Plain English: Failed 3rd reading by Throne

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3003

3rd reading • Harshman

Adopted

Plain English: Adopted 3rd reading by Harshman

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3004

3rd reading • Harshman

Adopted

Plain English: Adopted 3rd reading by Harshman

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3005

3rd reading • Halverson

Divided

Plain English: Divided 3rd reading by Halverson

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3005.01

3rd reading • Halverson

Corrected, Failed

Plain English: Corrected, Failed 3rd reading by Halverson

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145H3005.02

3rd reading • Halverson

Corrected, Withdrawn

Plain English: Corrected, Withdrawn 3rd reading by Halverson

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145HW001

Committee of the Whole • Harvey

Withdrawn

Plain English: Withdrawn Committee of the Whole by Harvey

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145HS001

Standing Committee • House Labor

Corrected, Adopted

Plain English: Corrected, Adopted Standing Committee by House Labor

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145HS002

Standing Committee • HAC

Corrected, Failed

Plain English: Corrected, Failed Standing Committee by HAC

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145S2001

2nd reading • Ross

Failed

Plain English: Failed 2nd reading by Ross

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145S2002

2nd reading • Scott

Adopted

Plain English: Adopted 2nd reading by Scott

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145S3001

3rd reading • Burns

Failed

Plain English: Failed 3rd reading by Burns

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145SW001

Committee of the Whole • Ross

Failed

Plain English: Failed Committee of the Whole by Ross

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145SW002

Committee of the Whole • Peterson

Adopted

Plain English: Adopted Committee of the Whole by Peterson

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145JC001

Conference Committee

S Adopted, H Adopted

Plain English: S Adopted, H Adopted Conference Committee

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145SS001

Standing Committee • SLabor

Adopted

Plain English: Adopted Standing Committee by SLabor

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SF0145SS002

Standing Committee • SAppropriations

Withdrawn

Plain English: Withdrawn Standing Committee by SAppropriations

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.

Bill History

  1. 2015-03-12 LSO

    Assigned Chapter Number

  2. 2015-03-12 Governor

    Governor Signed SEA No. 0090

  3. 2015-03-06 House

    H Speaker Signed SEA No. 0090

  4. 2015-03-06 Senate

    S President Signed SEA No. 0090

  5. 2015-03-06 LSO

    Assigned Number SEA No. 0090

  6. 2015-03-06 House

    H Adopted SF0145JC001: 42-15-3-0-0

  7. 2015-03-06 Senate

    S Adopted SF0145JC001: 20-7-3-0-0

  8. 2015-03-05 Senate

    S Appointed JCC01 Members

  9. 2015-03-05 Senate

    S Appointed JCC01 Members

  10. 2015-03-05 House

    H Appointed JCC01 Members

  11. 2015-03-05 Senate

    S Appointed JCC01 Members

  12. 2015-03-05 Senate

    S Concur:Failed 1-28-1-0-0

  13. 2015-03-05 Senate

    S Received for Concurrence

  14. 2015-03-04 House

    H 3rd Reading:Passed 50-9-1-0-0

  15. 2015-03-04 House

    Amendment was withdrawn before vote

  16. 2015-03-04 House

    Amendment failed

  17. 2015-03-04 House

    Amendment Adopted

  18. 2015-03-04 House

    Amendment Adopted

  19. 2015-03-04 House

    Amendment failed

  20. 2015-03-04 House

    Amendment failed

  21. 2015-03-03 House

    H 2nd Reading:Passed

  22. 2015-03-03 House

    Amendment Adopted

  23. 2015-03-02 House

    H 2nd Reading:Laid Back

  24. 2015-02-27 House

    Amendment Adopted

  25. 2015-02-27 House

    H COW:Passed

  26. 2015-02-27 House

    Amendment was withdrawn before vote

  27. 2015-02-27 House

    Amendment failed

  28. 2015-02-27 House

    Amendment Adopted

  29. 2015-02-26 House

    H Placed on General File

  30. 2015-02-26 House

    Appropriations:Recommend Amend and Do Pass 5-2-0-0-0

  31. 2015-02-24 House

    H COW:Rerefer to H02 - Appropriations

  32. 2015-02-24 House

    H Placed on General File

  33. 2015-02-24 House

    Labor:Recommend Amend and Do Pass 9-0-0-0-0

  34. 2015-02-18 House

    H Introduced and Referred to H10 - Labor

  35. 2015-02-12 House

    H Received for Introduction

  36. 2015-02-11 Senate

    S 3rd Reading:Passed 19-11-0-0-0

  37. 2015-02-11 Senate

    Amendment failed

  38. 2015-02-10 Senate

    S 2nd Reading:Passed

  39. 2015-02-10 Senate

    Amendment Adopted

  40. 2015-02-10 Senate

    Amendment failed 11-19-0-0-0

  41. 2015-02-09 Senate

    S COW:Passed

  42. 2015-02-09 Senate

    Amendment Adopted

  43. 2015-02-09 Senate

    Amendment failed

  44. 2015-02-09 Senate

    Amendment was withdrawn before vote

  45. 2015-02-09 Senate

    Amendment Adopted

  46. 2015-02-05 Senate

    S Placed on General File

  47. 2015-02-05 Senate

    Appropriations:Do Pass Failed 1-3-1-0-0

  48. 2015-02-04 Senate

    S COW:Rerefer to S02 - Appropriations

  49. 2015-02-04 Senate

    S Placed on General File

  50. 2015-02-04 Senate

    Labor:Recommend Amend and Do Pass 5-0-0-0-0

  51. 2015-01-29 Senate

    S Introduced and Referred to S10 - Labor

  52. 2015-01-28 Senate

    S Received for Introduction

  53. 2015-01-28 LSO

    Bill Number Assigned

Official Summary Text

Summary for LSO115
Bill No.:
SF0145
Effective
:
7/1/2015

LSO No.:
15LSO-0539

Enrolled Act No.:
SEA 90

Chapter No.:
196

Prime Sponsor:
Peterson

Catch Title:
Hospital uncompensated care.

Subject:
A
ppropriates funds for hospitals’
uncompensated care.

Summary/Major Elements:

This act:

Establishes the uncompensated charity care account and appropriates
$2 Million from the general fund
to the account, to be administered by the Department of Health to reimburse acute care hospitals for uncompensated charity care
incurred between July 1, 2014 and June 30, 2015
;

Requires that the appropriation be divided between small and large hospitals, with 2/3's for small hospitals and 1/3 for large hospitals;

Defines “
acute care hospitals
”
and
“
uncompensated charity care
”
;

Requires rulemaking, which shall limit reimbursements to necessary support of the poor, require applicant hospitals to report uncompensated
care by July 1, 2015 and prevent duplication of payments from other payors;

A
n additional
$1 Million

remain
ing
from an appropriation to the critical access/rural hospital endowment challenge program
is reappropriated to the state auditor,
for
a grant program for
hospital
s
having fewer than 25 beds and cash reserves
of
less than
1
00 days of operation
.

Includes a sunset date of
June 30,
2016.

The above summary is not an official publication of the Wyoming Legislature and is not an official statement of legislative intent. While the Legislative Service Office endeavored to provide accurate information in this summary, it should not be relied upon as a comprehensive abstract of the bill.

Current Bill Text

Read the full stored bill text 
ORIGINAL
Senate
File No
.
SF0145

ENROLLED ACT NO. 90,

SENATE

SIXTY-THIRD LEGISLATURE OF THE STATE OF WYOMING
2015 General Session

AN ACT relating to public health; providing for payments to acute care hospitals for uncompensated charity care as specified; providing definitions; creating a grant program for uncompensated charity care as specified; creating an account; providing an appropriation; providing a sunset date; and providing for an effective date.

Be It Enacted by the Legislature of the State of Wyoming:

Section 1
.

(a)

As used in this
section
:

(
i
)

"Acute care hospital" means a hospital licensed in
Wyoming
pursuant to W.S. 35
‑
2
‑
901 through 35
‑
2
‑
911
, including critical access hospitals that meet
the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital
,
and which provides acute patient care but excluding those hospitals that do not operate a full
‑
time emergency room or that do not accept Medicaid patients;

(ii)

"Department" means the
Wyoming
department of health;

(iii)

"Uncompensated charity care" means hospital care that an individual cannot reasonably be expected to pay for due to poverty. The department in administering this
section
shall use the definition of uncompensated charity care used by the federal government in preparing the Medicare cost report.

(
b
)

The uncompensated charity care account is established. The account shall be administered by the department.
Funds in the account shall be distributed on a
quarterly basis to acute care hospitals in the state to reduce hospitals' costs for uncompensated charity care.

(
c
)

The department shall promulgate rules and regulations to administer the fund. The rules and regulations shall include provisions for:

(
i
)

Ensuring that reimbursements do not exceed available funds;

(ii)

Limiting reimbursement to the necessary support of the poor;

(iii)

Preventing duplication between distributions from the account and proceeds from Medicaid or other third party
payors
;

(iv)

Providing
for hospital reports and distributions for uncompensated charity care beginning July 1, 2015. In calculating its uncompensated charity care each hospital shall use the cost
‑
to
‑
charge ratio in its most recent Medicare cost report.

(
d
)

The department may contract with a fiscal agent to make the actual payments and conduct any necessary audits or distribution requests. Distribution requests shall be made in a form and manner prescribed by the department. The department or its agent on its behalf may request any documentation it deems necessary to support any request for reimbursement.

(e)

Each acute care hospital shall report to the department for each fiscal year the total cost of uncompensated charity care based on audited and settled cost reports from the most recent settled year.

(f)

The department shall limit hospitals' distributions for uncompensated charity care as provided in this section.
The department shall coordinate distributions from the uncompensated charity care account to assure that, in any calendar year, two-thirds (2/3) of distributions shall be to critical access hospitals that meet the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital and one-third (1/3) of distributions shall be to prospective payment system acute care hospitals. T
he department shall calculate each hospital's fractional share of the total uncompensated charity care as shown in the most recent audited and settled Medicare cost report as of June 1, 2015. A hospital's distribution shall not exceed the available appropriated funds, multiplied by that hospital's fractional share of the total charity care.

(g)

The state auditor shall establish a grant program for any hospital having twenty-five (25) or fewer beds, that can demonstrate it provides uncompensated charity care, and that can demonstrate for the period July 1, 2014 through December 31, 2014 the hospital did not have cash reserves sufficient to cover one hundred (100) days of operation. Hospitals licensed under W.S. 35-2-901 through 35-2-911, that qualify under this section shall apply to the state auditor no later than July 30, 2015 to qualify for grant funding under this section based upon their demonstrated charity care costs on June 30, 2015, not to exceed seventy-five percent (75%) reimbursement for their uncompensated charity care or two hundred thousand dollars ($200,000.00) whichever is less, as determined by the state auditor.

(h)

This act is repealed June 30, 2016.

Section 2.

(a)

There is ap
propriated two million dollars
($
2
,000,000.00) from the general fund to the uncompe
nsated
charity care account
.
Notwithstanding any other provision of law, this appropriation shall not be included in the 2017
‑
2018 standard biennial budget. This appropriation shal
l be expended only as provided in section 1, subsection (f) of this act
.

(b)

One million dollars ($1,000,000.00) of general funds remaining from 2007 Wyoming Session Laws, Chapter 217, Section 2(a) on June 30, 2015, shall be
reappropriated
to the state auditor for the period beginning July 1, 2015 and ending June 30, 2016 to provide grants as provided in section 1, subsection (g) of this act.

Section 3
.

This act is effective July 1, 2015.

(END)

Speaker of the House

President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the
Senate
.

Chief Clerk

1