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PA Bulletin, Doc. No. 11-907



Additional Class of Disproportionate Share Payments

[41 Pa.B. 2769]
[Saturday, May 28, 2011]

 The Department of Public Welfare (Department) is providing final notice of decreased funding for Fiscal Year (FY) 2010-2011 for disproportionate share hospital (DSH) payments to certain qualifying Medical Assistance (MA) enrolled hospitals that advance the Department's goal of enhancing access to multiple types of medical care in economically distressed areas of this Commonwealth. This decrease is the result of the Commonwealth's budget constraints. There is no change in the qualifying criteria or payment methodology for this additional class of DSH payments.

 In making these payments, the Department ensures that no acute care general hospital receives any DSH payment that is in excess of its hospital specific DSH upper payment limit and the Commonwealth does not exceed its aggregate annual DSH allotment.

 The Department published notice of its intent to decrease the funding allocation for DSH payments to certain qualifying MA enrolled hospitals at 40 Pa.B. 7161 (December 11, 2010). The Department received no public comments during the 30-day comment period, and will implement the changes described in its notice of intent.

Fiscal Impact

 The FY 2010-2011 fiscal impact of this allocation for the additional class of DSH payments is $36.105 million ($16.016 million in State funds). These funds are provided for in the FY 2010-2011 MA—Inpatient appropriation.

Acting Secretary

Fiscal Note: 14-NOT-691. (1) General Fund; (2) Implementing Year 2010-11 is $16,016,000; (3) 1st Succeeding Year 2011-12 is $16,016,000; 2nd Succeeding Year 2012-13 is $16,016,000; 3rd Succeeding Year 2013-14 is $16,016,000; 4th Succeeding Year 2014-15 is $16,016,000; 5th Succeeding Year 2015-16 is $16,016,000; (4) 2007-08 Program—$468,589,000; 2008-09 Program—$426,822,000; 2009-10 Program—$373,515,000; (7) MA—Inpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 11-907. Filed for public inspection May 27, 2011, 9:00 a.m.]

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