2001 REGULAR SESSION (71st)                                                                       A SB377 R1 970

Amendment No. 970

 

Assembly Amendment to Senate Bill No. 377  First Reprint                                                (BDR 38‑316)

Proposed by: Committee on Health and Human Services

Amendment Box:

Resolves Conflicts with: N/A

Amends:         Summary:               Title:              Preamble:               Joint Sponsorship:

 

Adoption of this amendment will:

      (1) MAINTAIN a 2/3s majority vote requirement for final passage of SB377 R1 (§ 1); and

      (2) MAINTAIN an unfunded mandate not requested by the affected local government to SB377 R1 (§ 1).

 

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 section 1, page 1, by deleting line 15 and inserting:

“fiscal year; or”.

     Amend section 1, page 2, line 14, after “3.” by inserting:

“The money transferred to the division of health care financing and policy pursuant to subsection 1 must not come from any source of funding that could result in any reduction in revenue to the state pursuant to 42 U.S.C. § 1396b(w).

     4.”.

     Amend section 1, page 2, line 19, by deleting “4.” and inserting “[4.] 5.”.

     Amend sec. 3, page 3, by deleting lines 16 through 19 and inserting:

     “(c) For a payment to each private hospital:

          (1) Which provides acute care and is located in a county that has a public hospital; and

          (2) Whose Medicaid utilization percentage is greater than 20 percent,

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in an amount of not less than $150 for each Medicaid”.

     Amend sec. 3, page 3, line 36, after “(a)” by inserting:

““Medicaid day” means a day in which medical care is provided to a Medicaid patient, including a patient who receives his Medicaid benefits through a health maintenance organization.

     (b)”.

     Amend sec. 3, page 3, by deleting lines 40 through 45.

     Amend sec. 4, page 4, line 5, after “(2)” by inserting:

“Any private hospital in a county whose population is 50,000 or more but less than 100,000 that is qualified to receive a payment pursuant to paragraph (b) of subsection 2 of NRS 422.387, $4,000,000 or the amount of the uncompensated costs of the hospital as defined in the state plan for Medicaid, whichever is less, for the fiscal year 2001-2002 and for the fiscal year 2002-2003.

          (3)”.

     Amend sec. 4, page 4, line 6, by deleting “100,000” and inserting “50,000”.

     Amend sec. 4, page 4, line 11, by deleting “(3)” and inserting “(4)”.

     Amend sec. 4, page 4, line 24, by deleting “$1,500,000” and inserting “$3,000,000”.

     Amend sec. 4, page 4, line 28, by deleting “$750,000” and inserting “$1,500,000”.

     Amend sec. 4, page 4, between lines 30 and 31, by inserting:

          “(4) If the payment was received pursuant to subparagraph (4) of that paragraph, $750,000 or 75 percent of the amount received by the hospital, whichever is less, for the fiscal year 2001-2002 and for the fiscal year 2002-2003.”.

     Amend the bill as a whole by renumbering sections 5 through 7 as sections 6 through 8 and adding a new section designated sec. 5, following sec. 4, to read as follows:

     “Sec. 5. 1.  The board of county commissioners of a county within which is located only one private hospital or one group of affiliated hospitals and which makes a transfer of money pursuant to paragraph (b) of subsection 1 of NRS 422.382 may obtain the money for that transfer by imposing  a tax on the revenue of those hospitals during the fiscal years 2001-2002 and 2002-2003 at a rate that does not exceed 6 percent of that revenue.

     2.  The proceeds of the tax imposed pursuant to this section are exempt from the limitations imposed by NRS 354.59811 and must be excluded in determining the allowed revenue from taxes ad valorem for the county.”.

     Amend sec. 5, page 4, line 39, by deleting:

“department of human resources” and inserting:

“legislative committee on health care”.

     Amend sec. 5, page 5, line 30, by deleting:

“department of human resources” and inserting:

“legislative committee on health care”.

     Amend sec. 5, page 5, lines 33 and 34, by deleting “department” and inserting “committee”.

     Amend sec. 5, page 5, by deleting lines 36 through 39.

     Amend the title of the bill by deleting the fourth line and inserting:

“for the treatment of those patients; authorizing the imposition in certain counties of a temporary tax on the revenue of hospitals; requiring the legislative committee on health care”.