reglab/housing_qa huggingface dataset:
UT Code § 26-36c-203 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 203 - Hospital share.

 Affected by 63I-1-226 on 7/1/2024  Effective 2/11/2019  26-36c-203. Hospital share.    (1) The hospital share is:   (a) for the period from April 1, 2019, through June 30, 2020, $15,000,000; and     (b) beginning July 1, 2020, 100% of the state's net cost of the qualified Medicaid expansion, after deducting appropriate offsets and savings expected as a result of implementing the qualified Medicaid expansion, including:   (i) savings from:   (A) the Primary Care Network program;     (B) the health coverage improvement program, as defined in Section 26-18-411;     (C) the state portion of inpatient prison medical coverage;     (D) behavioral health coverage; and     (E) county contributions to the non-federal share of Medicaid expenditures; and       (ii) any funds appropriated to the Medicaid Expansion Fund.         (2)   (a) Beginning July 1, 2020, the hospital share is capped at no more than $15,000,000 annually.     (b) Beginning July 1, 2020, the division shall prorate the cap specified in Subsection (2)(a) in any year in which the qualified Medicaid expansion is not in effect for the full fiscal year.      Amended by Chapter 1, 2019 General Session
UT Code § 26-36c-204 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 204 - Hospital financing.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/12/2020  26-36c-204. Hospital financing.    (1) Private hospitals shall be assessed under this chapter for the portion of the hospital share described in Section 26-36c-209.     (2) In the report described in Subsection 26-18-3.9(8), the department shall calculate the state's net cost of the qualified Medicaid expansion.     (3) If the assessment collected in the previous fiscal year is above or below the hospital share for private hospitals for the previous fiscal year, the division shall apply the underpayment or overpayment of the assessment by the private hospitals to the fiscal year in which the report is issued.    Amended by Chapter 225, 2020 General Session
UT Code § 26-36c-206 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 206 - State teaching hospital and non-state government hospital mandatory intergovernmental transfer.

 Affected by 63I-1-226 on 7/1/2024  Effective 2/11/2019  26-36c-206. State teaching hospital and non-state government hospital mandatory intergovernmental transfer.    (1) A state teaching hospital and a non-state government hospital shall make an intergovernmental transfer to the Medicaid Expansion Fund, in accordance with this section.     (2) The hospitals described in Subsection (1) shall pay the intergovernmental transfer beginning on the later of:   (a) April 1, 2019; or     (b) CMS approval of the assessment for private hospitals in this chapter.       (3) The intergovernmental transfer is apportioned between the non-state government hospitals as follows:   (a) the state teaching hospital shall pay for the portion of the hospital share described in Section 26-36c-209; and     (b) non-state government hospitals shall pay for the portion of the hospital share described in Section 26-36c-209.       (4) The department shall, by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, designate:   (a) the method of calculating the amounts designated in Subsection (3); and     (b) the schedule for the intergovernmental transfers.      Amended by Chapter 1, 2019 General Session
UT Code § 26-36c-207 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 207 - Penalties.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/8/2018  26-36c-207. Penalties.    (1) A hospital that fails to pay a quarterly assessment, make the mandated intergovernmental transfer, or file a return as required under this chapter, within the time required by this chapter, shall pay penalties described in this section, in addition to the assessment or intergovernmental transfer.     (2) If a hospital fails to timely pay the full amount of a quarterly assessment or the mandated intergovernmental transfer, the department shall add to the assessment or intergovernmental transfer:   (a) a penalty equal to 5% of the quarterly amount not paid on or before the due date; and     (b) on the last day of each quarter after the due date until the assessed amount and the penalty imposed under Subsection (2)(a) are paid in full, an additional 5% penalty on:   (i) any unpaid quarterly assessment or intergovernmental transfer; and     (ii) any unpaid penalty assessment.         (3) Upon making a record of the division's actions, and upon reasonable cause shown, the division may waive or reduce any of the penalties imposed under this chapter.    Enacted by Chapter 468, 2018 General Session
UT Code § 26-36c-208 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 208 - Hospital reimbursement.

 Affected by 63I-1-226 on 7/1/2024  Effective 2/11/2019  26-36c-208. Hospital reimbursement.    (1) If the qualified Medicaid expansion is implemented by contracting with a Medicaid accountable care organization, the department shall, to the extent allowed by law, include in a contract to provide benefits under the qualified Medicaid expansion a requirement that the accountable care organization reimburse hospitals in the accountable care organization's provider network at no less than the Medicaid fee-for-service rate.     (2) If the qualified Medicaid expansion is implemented by the department as a fee-for-service program, the department shall reimburse hospitals at no less than the Medicaid fee-for-service rate.     (3) Nothing in this section prohibits the department or a Medicaid accountable care organization from paying a rate that exceeds the Medicaid fee-for-service rate.    Amended by Chapter 1, 2019 General Session
UT Code § 26-36c-209 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 209 - Hospital financing of the hospital share.

 Affected by 63I-1-226 on 7/1/2024  Effective 2/11/2019  26-36c-209. Hospital financing of the hospital share.    (1) For the first two full fiscal years that the assessment is in effect, the department shall:   (a) assess private hospitals under this chapter for 69% of the hospital share;     (b) require the state teaching hospital to make an intergovernmental transfer under this chapter for 30% of the hospital share; and     (c) require non-state government hospitals to make an intergovernmental transfer under this chapter for 1% of the hospital share.       (2)   (a) At the beginning of the third full fiscal year that the assessment is in effect, and at the beginning of each subsequent fiscal year, the department may set a different percentage share for private hospitals, the state teaching hospital, and non-state government hospitals by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, with input from private hospitals and private teaching hospitals.     (b) If the department does not set a different percentage share under Subsection (2)(a), the percentage shares in Subsection (1) shall apply.      Amended by Chapter 1, 2019 General Session
UT Code § 26-36c-210 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36c - Medicaid Expansion Hospital Assessment Act|Part 2 - Assessment and Collection|Section 210 - Suspension of assessment.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36c-210. Suspension of assessment.    (1) The department shall suspend the assessment imposed by this chapter when the executive director certifies that:   (a) action by Congress is in effect that disqualifies the assessment imposed by this chapter from counting toward state Medicaid funds available to be used to determine the amount of federal financial participation;     (b) a decision, enactment, or other determination by the Legislature or by any court, officer, department, or agency of the state, or of the federal government, is in effect that:   (i) disqualifies the assessment from counting toward state Medicaid funds available to be used to determine federal financial participation for Medicaid matching funds; or     (ii) creates for any reason a failure of the state to use the assessments for at least one of the Medicaid programs described in this chapter; or       (c) a change is in effect that reduces the aggregate hospital inpatient and outpatient payment rate below the aggregate hospital inpatient and outpatient payment rate for July 1, 2015.       (2) If the assessment is suspended under Subsection (1):   (a) the division may not collect any assessment or intergovernmental transfer under this chapter;     (b) the division shall disburse money in the Medicaid Expansion Fund that was derived from assessments imposed by this chapter in accordance with the requirements in Subsection 26-36b-208(4), to the extent federal matching is not reduced by CMS due to the repeal of the assessment; and     (c) the division shall refund any money remaining in the Medicaid Expansion Fund after the disbursement described in Subsection (2)(b) that was derived from assessments imposed by this chapter to the hospitals in proportion to the amount paid by each hospital for the last three fiscal years.      Amended by Chapter 136, 2019 General Session
UT Code § 26-36d-101 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 1 - General Provisions|Section 101 - Title.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-101. Title.  This chapter is known as the "Hospital Provider Assessment Act." Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-102 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 1 - General Provisions|Section 102 - Legislative findings.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-102. Legislative findings.    (1) The Legislature finds that there is an important state purpose to improve the access of Medicaid patients to quality care in Utah hospitals because of continuous decreases in state revenues and increases in enrollment under the Utah Medicaid program.     (2) The Legislature finds that in order to improve this access to those persons described in Subsection (1):   (a) the rates paid to Utah hospitals shall be adequate to encourage and support improved access; and     (b) adequate funding shall be provided to increase the rates paid to Utah hospitals providing services pursuant to the Utah Medicaid program.      Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-103 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 1 - General Provisions|Section 103 - Definitions.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-103. Definitions.  As used in this chapter:  (1) "Accountable care organization" means a managed care organization, as defined in 42 C.F.R. Sec. 438, that contracts with the department under the provisions of Section 26-18-405.     (2) "Assessment" means the Medicaid hospital provider assessment established by this chapter.     (3) "Discharges" means the number of total hospital discharges reported on Worksheet S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare Cost Report or on Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare Cost Report for the applicable assessment year.     (4) "Division" means the Division of Health Care Financing of the department.     (5) "Hospital":   (a) means a privately owned:   (i) general acute hospital operating in the state as defined in Section 26-21-2; and     (ii) specialty hospital operating in the state, which shall include a privately owned hospital whose inpatient admissions are predominantly:   (A) rehabilitation;     (B) psychiatric;     (C) chemical dependency; or     (D) long-term acute care services; and         (b) does not include:   (i) a human services program, as defined in Section 62A-2-101;     (ii) a hospital owned by the federal government, including the Veterans Administration Hospital; or     (iii) a hospital that is owned by the state government, a state agency, or a political subdivision of the state, including:   (A) a state-owned teaching hospital; and     (B) the Utah State Hospital.           (6) "Medicare Cost Report" means CMS-2552-96 or CMS-2552-10, the cost report for electronic filing of hospitals.     (7) "State plan amendment" means a change or update to the state Medicaid plan.    Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-201 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 201 - Application of chapter.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-201. Application of chapter.    (1) Other than for the imposition of the assessment described in this chapter, nothing in this chapter shall affect the nonprofit or tax exempt status of any nonprofit charitable, religious, or educational health care provider under:   (a) Section 501(c), as amended, of the Internal Revenue Code;     (b) other applicable federal law;     (c) any state law;     (d) any ad valorem property taxes;     (e) any sales or use taxes; or     (f) any other taxes, fees, or assessments, whether imposed or sought to be imposed by the state or any political subdivision, county, municipality, district, authority, or any agency or department thereof.       (2) All assessments paid under this chapter may be included as an allowable cost of a hospital for purposes of any applicable Medicaid reimbursement formula.     (3) This chapter does not authorize a political subdivision of the state to:   (a) license a hospital for revenue;     (b) impose a tax or assessment upon hospitals; or     (c) impose a tax or assessment measured by the income or earnings of a hospital.      Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-202 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 202 - Assessment, collection, and payment of hospital provider assessment.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-202. Assessment, collection, and payment of hospital provider assessment.    (1) A uniform, broad based, assessment is imposed on each hospital as defined in Subsection 26-36d-103(5)(a):   (a) in the amount designated in Section 26-36d-203; and     (b) in accordance with Section 26-36d-204.       (2)   (a) The assessment imposed by this chapter is due and payable on a quarterly basis in accordance with Section 26-36d-204.     (b) The collecting agent for this assessment is the department which is vested with the administration and enforcement of this chapter, including the right to adopt administrative rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, necessary to:   (i) implement and enforce the provisions of this act; and     (ii) audit records of a facility:   (A) that is subject to the assessment imposed by this chapter; and     (B) does not file a Medicare Cost Report.         (c) The department shall forward proceeds from the assessment imposed by this chapter to the state treasurer for deposit in the expendable special revenue fund as specified in Section 26-36d-207.       (3) The department may, by rule, extend the time for paying the assessment.    Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-204 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 204 - Quarterly notice -- Collection.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-204. Quarterly notice -- Collection.  Quarterly assessments imposed by this chapter shall be paid to the division within 15 business days after the original invoice date that appears on the invoice issued by the division. Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-205 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 205 - Medicaid hospital adjustment under accountable care organization rates.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-205. Medicaid hospital adjustment under accountable care organization rates.  To preserve and improve access to hospital services, the division shall, for accountable care organization rates effective on or after April 1, 2013, incorporate into the accountable care organization rate structure calculation consistent with the certified actuarial rate range:  (1) $154,000,000 to be allocated toward the hospital inpatient directed payments for the Medicaid eligibility categories covered in Utah before January 1, 2019; and     (2) an amount equal to the difference between payments made to hospitals by accountable care organizations for the Medicaid eligibility categories covered in Utah before January 1, 2019, based on submitted encounter data and the maximum amount that could be paid for those services using Medicare payment principles to be used for directed payments to hospitals for outpatient services.    Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-206 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 206 - Penalties and interest.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-206. Penalties and interest.    (1) A facility that fails to pay any assessment or file a return as required under this chapter, within the time required by this chapter, shall pay, in addition to the assessment, penalties and interest established by the department.     (2)   (a) Consistent with Subsection (2)(b), the department shall adopt rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which establish reasonable penalties and interest for the violations described in Subsection (1).     (b) If a hospital fails to timely pay the full amount of a quarterly assessment, the department shall add to the assessment:   (i) a penalty equal to 5% of the quarterly amount not paid on or before the due date; and     (ii) on the last day of each quarter after the due date until the assessed amount and the penalty imposed under Subsection (2)(b)(i) are paid in full, an additional 5% penalty on:   (A) any unpaid quarterly assessment; and     (B) any unpaid penalty assessment.         (c) Upon making a record of its actions, and upon reasonable cause shown, the division may waive, reduce, or compromise any of the penalties imposed under this part.      Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-36d-207 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 207 - Hospital Provider Assessment Expendable Revenue Fund.

 Affected by 63I-1-226 on 7/1/2024  Effective 6/29/2020  26-36d-207. Hospital Provider Assessment Expendable Revenue Fund.    (1) There is created an expendable special revenue fund known as the "Hospital Provider Assessment Expendable Revenue Fund."     (2) The fund shall consist of:   (a) the assessments collected by the department under this chapter;     (b) any interest and penalties levied with the administration of this chapter; and     (c) any other funds received as donations for the fund and appropriations from other sources.       (3) Money in the fund shall be used:   (a) to support capitated rates consistent with Subsection 26-36d-203(1)(d) for accountable care organizations; and     (b) to reimburse money collected by the division from a hospital through a mistake made under this chapter.       (4)   (a) Subject to Subsection (4)(b), for the fiscal year beginning July 1, 2019, and ending July 1, 2020, any fund balance in excess of the amount necessary to pay for the costs described in Subsection (3) shall be deposited into the General Fund.     (b) Subsection (4)(a) applies only to funds that were appropriated by the Legislature from the General Fund to the fund and the interest and penalties deposited into the fund under Subsection (2)(b).      Amended by Chapter 20, 2020 Special Session 5
UT Code § 26-36d-208 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 36d - Hospital Provider Assessment Act|Part 2 - Hospital Provider Assessment|Section 208 - Repeal of assessment.

 Affected by 63I-1-226 on 7/1/2024  Effective 5/14/2019  26-36d-208. Repeal of assessment.    (1) The repeal of the assessment imposed by this chapter shall occur upon the certification by the executive director of the department that the sooner of the following has occurred:   (a) the effective date of any action by Congress that would disqualify the assessment imposed by this chapter from counting toward state Medicaid funds available to be used to determine the federal financial participation;     (b) the effective date of any decision, enactment, or other determination by the Legislature or by any court, officer, department, or agency of the state, or of the federal government that has the effect of:   (i) disqualifying the assessment from counting towards state Medicaid funds available to be used to determine federal financial participation for Medicaid matching funds; or     (ii) creating for any reason a failure of the state to use the assessments for the Medicaid program as described in this chapter;       (c) the effective date of:   (i) an appropriation for any state fiscal year from the General Fund for hospital payments under the state Medicaid program that is less than the amount appropriated for state fiscal year 2012;     (ii) the annual revenues of the state General Fund budget return to the level that was appropriated for fiscal year 2008;     (iii) a division change in rules that reduces any of the following below July 1, 2011, payments:   (A) aggregate hospital inpatient payments;     (B) adjustment payment rates; or     (C) any cost settlement protocol; or       (iv) a division change in rules that reduces the aggregate outpatient payments below July 1, 2011, payments; and       (d) the sunset of this chapter in accordance with Section 63I-1-226.       (2) If the assessment is repealed under Subsection (1), money in the fund that was derived from assessments imposed by this chapter, before the determination made under Subsection (1), shall be disbursed under Section 26-36d-205 to the extent federal matching is not reduced due to the impermissibility of the assessments. Any funds remaining in the special revenue fund shall be refunded to the hospitals in proportion to the amount paid by each hospital.    Repealed and Re-enacted by Chapter 455, 2019 General Session
UT Code § 26-37a-101 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 37a - Ambulance Service Provider Assessment|Part 1 - General Provisions|Section 101 - Title.

 Effective 7/1/2015  26-37a-101. Title.  This chapter is known as "Ambulance Service Provider Assessment." Enacted by Chapter 440, 2015 General Session