Amendment No. 491

Assembly Amendment to Assembly Bill No. 69 (BDR 38-912)

Proposed by: Committee on Health and Human Services

Amendment Box: Replaces Amendment No. 356.

Resolves Conflicts with: N/A

Amends: Summary: Title: Preamble: Joint Sponsorship:

ASSEMBLY ACTION Initial and Date | SENATE ACTION Initial and Date

Adopted Lost | Adopted Lost

Concurred In Not | Concurred In Not

Receded Not | Receded Not

Amend the bill as a whole by renumbering sections 1 and 2 as sections 2 and 3 and adding a new section designated section 1, following the enacting clause, to read as follows:

"Section 1. NRS 422.382 is hereby amended to read as follows:

422.382 1. Except as otherwise provided in this subsection, the department shall determine the amount that each state or local government or other entity responsible for the public hospital in a county within which a public hospital is located is required to transfer to the department for deposit in the intergovernmental transfer account in the state general fund to be administered by the department to maximize the amount of money that may be received from the Federal Government for distribution to hospitals that treat a disproportionate share of Medicaid, indigent or other low-income patients. The amount which the department determines that a state or local government or other entity is required to transfer pursuant to this section must not exceed the amount of the payment made pursuant to NRS 422.387 to the public hospital for which the state or local government or other entity is responsible.

2. In a county within which:

(a) A public hospital is located, the state or local government or other entity responsible for the public hospital shall transfer [an amount equal to 75 percent of the amount of the payment made to the public hospital pursuant to NRS 422.387 less $50,000] the amount determined by the department pursuant to subsection 1 to the department.

(b) A private hospital which receives a payment pursuant to NRS 422.387 is located, the county shall transfer an amount established by the legislature to the department.

[2.] 3. A county that transfers the amount required pursuant to paragraph (b) of subsection [1] 2 to the department is discharged of the duty and is released from liability for providing medical treatment for indigent inpatients who are treated in the hospital in the county that receives a payment pursuant to paragraph (b) of subsection [2] 1 of NRS 422.387.

[3.] 4. Any money collected pursuant to subsection [1,] 2, including any interest or penalties imposed for a delinquent payment, must be deposited in the state treasury for credit to the intergovernmental transfer account in the state general fund to be administered by the department.

[4.] 5. The interest and income earned on money in the intergovernmental transfer account, after deducting any applicable charges, must be credited to the account.

6. The amount of money that the department may retain from the amount transferred to the department pursuant to subsection 2 must not exceed 10 percent of the amount of the disproportionate share payment received from the Federal Government.".

Amend section 1, page 1, by deleting lines 2 through 9 and inserting:

"422.387 1. [Before making the payments required or authorized by this section, the department shall allocate money for the administrative costs necessary to carry out the provisions of NRS 422.380 to 422.390, inclusive. The amount allocated for administrative costs must not exceed the amount authorized for expenditure by the legislature for this purpose in a fiscal year. The interim finance committee may adjust the amount allowed for administrative costs.".

Amend section 1, page 1, line 10, by deleting "2." and inserting "2.]".

Amend section 1, page 2, by deleting lines 9 through 13.

Amend section 1, page 2, line 14, by deleting "4." and inserting "[3.] 2.".

Amend sec. 2, page 2, by deleting line 18 and inserting:

"Sec. 3. This act becomes effective on July 1, 2001.".

Amend the title of the bill to read as follows:

"AN ACT relating to welfare; revising the provisions governing the payment of hospitals for treating a disproportionate share of Medicaid patients, indigent patients or other low-income patients; and providing other matters properly relating thereto.".