reglab/housing_qa huggingface dataset:
ID Code § 31-3505A (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505A - INVESTIGATION OF APPLICATION BY THE CLERK.

31-3505A. INVESTIGATION OF APPLICATION BY THE CLERK. (1) The clerk shall interview the applicant and investigate the information provided on the application, along with all other required information, in accordance with the procedures established by the county commissioners, the board and this chapter. The clerk shall promptly notify the applicant, or third party filing an application on behalf of an applicant, of any material information missing from the application which, if omitted, may cause the application to be denied for incompleteness. In addition, any provider requesting notification shall be notified at the same time. When necessary, such persons as may be deemed essential, may be compelled by the clerk to give testimony and produce documents and other evidence under oath in order to complete the investigation. The clerk is hereby authorized to issue subpoenas to carry out the intent of this provision and to otherwise compel compliance in accordance with provisions of Idaho law. (2) The applicant and third party filing an application on behalf of an applicant to the extent they have knowledge, shall have a duty to cooperate with the clerk in investigating, providing documentation, submitting to an interview and ascertaining eligibility and shall have a continuing duty to notify the obligated county of the receipt of resources after an application has been filed. (3) The clerk shall have twenty (20) days to complete the investigation of an application for nonemergency necessary medical services. (4) The clerk shall have forty-five (45) days to complete the investigation of an application for emergency necessary medical utilization management services or a portion thereof. (5) In the case of follow-up treatment, the clerk shall have ten (10) days to complete an interview on a request for additional treatment to update the financial and other information contained in a previous application for an original diagnosis in accordance with a treatment plan previously approved by the county commissioners. (6) Upon completion of the interview and investigation of the application or request, a statement of the clerk’s findings shall be filed with the county commissioners. Such findings of indigency shall start on the date necessary medical services are first provided.  History: [31-3505A, added 1996, ch. 410, sec. 9, p. 1364; am. 2010, ch. 273, sec. 9, p. 699; am. 2011, ch. 291, sec. 10, p. 803; am. 2013, ch. 279, sec. 5, p. 727.]
ID Code § 31-3505B (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505B - APPROVAL BY THE COUNTY COMMISSIONERS.

31-3505B. APPROVAL BY THE COUNTY COMMISSIONERS. The county commissioners shall approve an application for financial assistance if it determines that necessary medical services have been or will be provided to a medically indigent resident in accordance with this chapter; provided, the amount approved when paid, at the reimbursement rate, by the obligated county for any medically indigent resident shall not exceed the lesser of: (1) The total sum of eleven thousand dollars ($11,000) in the aggregate per resident in any consecutive twelve (12) month period; or (2) The reimbursement for services recommended by any or all of the utilization management activities pursuant to section 31-3502, Idaho Code.  History: [31-3505B, added 1996, ch. 410, sec. 10, p. 1365; am. 2009, ch. 177, sec. 10, p. 568; am. 2010, ch. 273, sec. 10, p. 699; am. 2011, ch. 291, sec. 11, p. 804.]
ID Code § 31-3505C (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505C - INITIAL DECISION BY THE COUNTY COMMISSIONERS.

31-3505C. INITIAL DECISION BY THE COUNTY COMMISSIONERS. (1) Except as otherwise provided in subsection (2) of this section, the county commissioners shall make an initial determination to approve or deny an application within fifteen (15) days from receipt of the clerk’s statement and within five (5) days from receiving the clerk’s statement on a request. The initial determination to approve or deny an application shall be mailed to the applicant or the third party making application on behalf of the applicant, as the case may be, and each provider listed on the application within five (5) days of the initial determination. (2) The county commissioners shall hold in suspension an initial determination to deny an application, if the sole basis for the denial is that the applicant may be eligible for other forms of public assistance, crime victims compensation, worker’s compensation, veterans benefits, medicaid, medicare, supplemental security income, third party insurance or other insurance. The decision to hold an initial determination to deny an application in suspension shall be mailed to the applicant or the third party making application on behalf of the applicant, as the case may be, and each provider listed on the application within five (5) days of the decision to suspend. (a) If an applicant is subsequently determined to be eligible for other forms of public assistance, crime victims compensation, worker’s compensation, veterans benefits, medicaid, medicare, supplemental security income, third party insurance or other insurance, the application shall be denied. The applicant or the third party making application on behalf of the applicant, as the case may be, and each provider listed on the application shall be notified within five (5) days of the denial. (b) If an applicant is subsequently determined not to be eligible for other forms of public assistance, crime victims compensation, worker’s compensation, veterans benefits, medicaid, medicare, supplemental security income, third party insurance or other insurance, the application for financial assistance shall be approved. The applicant or the third party making application on behalf of the applicant, as the case may be, and each provider listed on the application shall be notified within five (5) days of the approval. (3) If the county commissioners hold in suspension an initial determination to deny an application, any time limitation used in this chapter shall be tolled and not deemed to run during the period of suspension.  History: [31-3505C, added 1996, ch. 410, sec. 11, p. 1365; am. 2010, ch. 273, sec. 11, p. 700; am. 2011, ch. 291, sec. 12, p. 804.]
ID Code § 31-3505D (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505D - APPEAL OF INITIAL DETERMINATION DENYING AN APPLICATION.

31-3505D. APPEAL OF INITIAL DETERMINATION DENYING AN APPLICATION. An applicant, provider or third party applicant may appeal an initial determination of the county commissioners denying an application by filing a written notice of appeal with the county commissioners within twenty-eight (28) days of the date of the denial. If no appeal is filed within the time allowed, the initial determination of the county commissioners denying an application shall become final.  History: [31-3505D, added 1996, ch. 410, sec. 12, p. 1365; am. 2010, ch. 273, sec. 12, p. 700; am. 2011, ch. 291, sec. 13, p. 805.]
ID Code § 31-3505E (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505E - HEARING ON APPEAL OF INITIAL DETERMINATION DENYING AN APPLICATION.

31-3505E. HEARING ON APPEAL OF INITIAL DETERMINATION DENYING AN APPLICATION. The county commissioners shall hold a hearing on the appeal within seventy-five (75) days of receipt of the notice of appeal. The hearing may be continued by the county commissioners for not more than forty-five (45) days from the date of the hearing to allow the applicant to produce additional information, documents, records, testimony or other evidence required in the discretion of the county commissioners or to allow a decision on eligibility of the applicant for benefits to be reached by another agency such as, but not limited to, the social security administration or the department. The hearing may be continued for additional periods by mutual stipulation of the county commissioners and the applicant. The county commissioners shall make a final determination within thirty (30) days of the conclusion of the hearing. The final determination of the county commissioners denying an application shall be mailed to the applicant, or the third party making application on behalf of an applicant, as the case may be and each provider listed on the application, within five (5) days of the date of the final determination.  History: [31-3505E, added 1996, ch. 410, sec. 13, p. 1365; am. 2010, ch. 273, sec. 13, p. 701.]
ID Code § 31-3505F (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505F - ARBITRATION.

31-3505F. ARBITRATION. In the event that a county determines that a service is not a necessary medical service, a provider may submit the issue to a panel for arbitration as follows: (1) Within thirty (30) days of the determination, the county commissioners and the provider shall each appoint one (1) licensed medical or osteopathic doctor with expertise in the condition treated or to be treated. The two (2) appointees shall jointly select a third medical or osteopathic licensed doctor with equivalent expertise. The panel shall review such information as it deems necessary and render a decision within thirty (30) days as to whether the covered service is a necessary medical service. (2) There shall be no judicial or other review or appeal of the findings of the panel. No party shall be obligated to comply with or otherwise be affected or prejudiced by the proposals, conclusions or suggestions of the panel or any member or segment thereof; however, in the interest of due consideration being given to such proceedings and in the interest of encouraging consideration of claims informally and without the necessity of litigation, the applicable statute of limitations shall be tolled and not deemed to run during the time that such a claim is pending before the panel and for thirty (30) days thereafter. (3) Expenses incurred by the members of the panel in the performance of their duties will be borne by the respective parties making their appointment, and expenses of the third member shall be divided equally among the respective parties.  History: [31-3505F, added 1996, ch. 410, sec. 14, p. 1366; am. 2010, ch. 273, sec. 14, p. 701.]
ID Code § 31-3505G (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505G - PETITION FOR JUDICIAL REVIEW OF FINAL DETERMINATION.

31-3505G. PETITION FOR JUDICIAL REVIEW OF FINAL DETERMINATION. If, after a hearing as provided in section 31-3505E, Idaho Code, the final determination of the county commissioners is to deny an application for financial assistance, the applicant, or a third party applicant, may seek judicial review of the final determination of the county commissioners in the manner provided in section 31-1506, Idaho Code.  History: [31-3505G, added 1996, ch. 410, sec. 15, p. 1366; am. 2010, ch. 273, sec. 15, p. 701; am. 2011, ch. 291, sec. 14, p. 805.]
ID Code § 31-3505H (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3505H - ELIGIBILITY FOR FINANCIAL ASSISTANCE.

31-3505H. ELIGIBILITY FOR FINANCIAL ASSISTANCE. [EFFECTIVE MARCH 1, 2022] (1) Notwithstanding any provision of law or rule to the contrary, no person eligible for medicaid pursuant to section 56-254 or 56-267, Idaho Code, shall be eligible for financial assistance pursuant to this chapter. (2) Notwithstanding any provision of law or rule to the contrary, no person eligible for health insurance shall be eligible for financial assistance pursuant to this chapter. (3) Notwithstanding any provision of law or rule to the contrary, no person in a commitment proceeding pursuant to chapter 3, title 66, Idaho Code, who is eligible for medicaid or eligible for health insurance shall be eligible for financial assistance pursuant to this chapter. (4) It is the intent of the legislature that moneys saved by counties pursuant to this section may be used for additional county aid to public health districts as required by section 39-424A, Idaho Code.  History: [31-3505H, added 2021, ch. 336, sec. 1, p. 1020.]
ID Code § 31-3506 (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3506 - OBLIGATED COUNTY.

31-3506. OBLIGATED COUNTY. The county obligated for payment shall be determined as follows: (1) The obligated county for payment of pharmaceuticals for noninstitutionalized individuals shall be the county where the applicant currently resides. (2) The obligated county for payment of necessary medical services for medical indigent individuals shall be as follows: (a) The last county in which the applicant or head of household has maintained a residence for six (6) consecutive months or longer within the past five (5) years preceding incurrence shall be obligated. If the applicant or head of household maintains another residence in a different county or state for purposes of employment, the county where the family residence is maintained shall be deemed the applicant’s or head of household’s place of residence. (b) If an individual has not resided in any county for a period of six (6) months within the five (5) years preceding incurrence of medical costs for which counties have a responsibility in whole or in part, then the county where the applicant maintained a residence for at least thirty (30) days immediately preceding such incurrence shall be the obligated county. (c) Active military duty, or being admitted as a patient in a hospital, nursing home, other medical facility or institution, shall not change the obligated county. The county obligated shall remain the same county that would have been obligated prior to institutionalization as above described. (d) For full-time students at public institutions of higher learning, the obligated county shall be the county of residence of the applicant unless an obligated person, for whom the applicant is claimed as a dependent, resides in another county or state. (e) If an individual has not resided in any county for a consecutive period of thirty (30) days but has resided in the state of Idaho for a consecutive period of thirty (30) days then the county where the individual last resided prior to receiving medical services shall be the obligated county.  History: [31-3506, added 1974, ch. 302, sec. 12, p. 1769; am. 1976, ch. 121, sec. 9, p. 468; am. 1988, ch. 332; sec. 3, p. 996; am. 1989, ch. 193, sec. 3, p. 476; repealed 1990, ch. 87, sec. 1, p. 178; reinstated 1991, ch. 233, sec. 1, p. 553; am. 1996, ch. 410, sec. 16, p. 1367; am. 2000, ch. 317, sec. 4, p. 1072; am. 2008, ch. 189, sec. 1, p. 593.]
ID Code § 31-3507 (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3507 - TRANSFER OF A MEDICALLY INDIGENT PATIENT.

31-3507. TRANSFER OF A MEDICALLY INDIGENT PATIENT. An obligated county or the board shall have the right to have an approved medically indigent resident transferred to a hospital or facility, in accordance with requirements of the federal emergency medical treatment and active labor act, 42 U.S.C., section 1395dd; provided however, treatment for the necessary medical service must be available at the designated facility, and the county contract physician, or the attending physician if no county contract physician is available, must certify that the transfer of such person would not present a significant risk of further injury. The obligated county, the board, and hospital from which or to which a person is taken or removed as herein provided, as well as the attending physician(s), shall not be liable in any manner whatsoever and shall be immune from suit for any causes of action arising from a transfer performed in accordance with this section. The immunities and freedom from liability granted pursuant to this section shall extend to any person, firm or corporation acting in accordance with this section.  History: [31-3507, added 1996, ch. 410, sec. 17, p. 1367; am. 2009, ch. 177, sec. 11, p. 568; am. 2010, ch. 273, sec. 16, p. 702; am. 2011, ch. 291, sec. 15, p. 805.]
ID Code § 31-3508 (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3508 - LIMITATIONS ON PAYMENTS FOR NECESSARY MEDICAL SERVICES.

31-3508. LIMITATIONS ON PAYMENTS FOR NECESSARY MEDICAL SERVICES. (1) Each hospital and provider seeking reimbursement under the provisions of this chapter shall fully participate in the utilization management program and third party recovery system. (2) The board and the county shall determine the amount to be paid based on the application of the appropriate reimbursement rate to those medical services determined to be necessary medical services. The board may use contractors to undertake utilization management review in any part of that analysis. The bill submitted for payment shall show the total provider charges less any amounts which have been received under any other federal or state law. Bills of less than twenty-five dollars ($25.00) shall not be presented for payment.  History: [31-3508, added 1974, ch. 302, sec. 12, p. 1769; am. 1976, ch. 121, sec. 10, p. 468; am. 1983, ch. 215, sec. 3, p. 597; repealed 1990, ch. 87, sec. 1, p. 178; reinstated 1991, ch. 233, sec. 1, p. 553; am. 1996, ch. 410, sec. 18, p. 1368; am. 2009, ch. 177, sec. 12, p. 568; am. 2010, ch. 273, sec. 17, p. 702; am. 2011, ch. 291, sec. 16, p. 806.]
ID Code § 31-3508A (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3508A - PAYMENT FOR NECESSARY MEDICAL SERVICES BY AN OBLIGATED COUNTY.

31-3508A. PAYMENT FOR NECESSARY MEDICAL SERVICES BY AN OBLIGATED COUNTY. (1) Upon receipt of a final determination by the county commissioners approving an application for financial assistance under the provisions of this chapter, an applicant, or the third party applicant on behalf of the applicant, shall, within sixty (60) days, submit any remaining medical claims pursuant to the procedures provided in chapter 15, title 31, Idaho Code. (2) Payment shall be made to hospitals or providers on behalf of an applicant and shall be made on the next payment cycle. In no event shall payment be delayed longer than sixty (60) days from receipt of the county claim. (3) Payment to a hospital or provider pursuant to this chapter shall be payment of the debt in full and the provider or hospital shall not seek additional funds from the applicant. (4) Within fourteen (14) days after the county payment, the clerk of the obligated county shall forward to the board any application for financial assistance exceeding, at the reimbursement rate, the total sum of eleven thousand dollars ($11,000) in the aggregate per resident in any consecutive twelve (12) month period. A copy of the clerk’s findings, the final decision of the county commissioners and a statement of which costs the clerk has paid shall be forwarded with the application to the board.  History: [31-3508A, added 2011, ch. 291, sec. 17, p. 806; am. 2013, ch. 279, sec. 6, p. 728.]
ID Code § 31-3510 (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3510 - RIGHT OF SUBROGATION.

31-3510. RIGHT OF SUBROGATION. (1) Upon payment of a claim for necessary medical services pursuant to this chapter, the obligated county and the board making such payment shall become jointly subrogated to all the rights of the hospital and other providers and to all rights of the medically indigent resident against any third parties who may be the cause of or liable for such necessary medical services. The board may pursue collection of the county’s and the board’s subrogation interests. (2) Upon any recovery by the recipient against a third party, the obligated county and the board shall pay or have deducted from their respective subrogated portion thereof, a proportionate share of the costs and attorney’s fees incurred by the recipient in obtaining such recovery, provided that such proportionate share shall not exceed twenty-five percent (25%) of the subrogated interest unless one (1) or more of the following circumstances exist: (a) Otherwise agreed. (b) If prior to the date of a written retention agreement between the recipient and an attorney, the obligated county and the board have reached an agreement with the third party, in writing, agreeing to pay in full the county and the board’s subrogated interest. (3) The obligated county and the board shall have joint subrogated interests in proportion to the amount each has paid.  History: [31-3510, added 1974, ch. 302, sec. 12, p. 1769; repealed 1990, ch. 87, sec. 1, p. 178; reinstated 1991, ch. 233, sec. 1, p. 553; am. 1996, ch. 410, sec. 20, p. 1369; am. 2009, ch. 177, sec. 14, p. 569; am. 2010, ch. 273, sec. 19, p. 703; am. 2011, ch. 291, sec. 19, p. 807.]
ID Code § 31-3510A (2021)
2021 Idaho Code|Title 31 - COUNTIES AND COUNTY LAW|Chapter 35 - HOSPITALS FOR INDIGENT SICK|Section 31-3510A - REIMBURSEMENT.

31-3510A. REIMBURSEMENT. (1) Receipt of financial assistance pursuant to this chapter shall obligate an applicant to reimburse the obligated county and the board for such reasonable portion of the financial assistance paid on behalf of the applicant as the county commissioners may determine that the applicant is able to pay from resources over a reasonable period of time. Cash amounts received shall be prorated between the county and the board in proportion to the amount each has paid. (2) A final determination shall not relieve the applicant’s duty to make additional reimbursement from resources if the county commissioners subsequently find within a reasonable period of time that there has been a substantial change in circumstances such that the applicant is able to pay additional amounts up to the total claim paid on behalf of the applicant. (3) A final determination shall not prohibit the county commissioners from reviewing a petition from an applicant to reduce an order of reimbursement based on a substantial change in circumstances. (4) The automatic lien created pursuant to the chapter may be filed and recorded in any county of this state wherein the applicant has resources and may be liquidated or unliquidated in amount. Nothing herein shall prohibit an applicant from executing a consensual lien in addition to the automatic lien created by filing an application pursuant to this chapter. In the event that resources can be located in another state, the clerk may file the lien with the district court and provide notice to the recipient. The recipient shall have twenty (20) days to object, following which the district court shall enter judgment against the recipient. The judgment entered may thereafter be filed as provided for the filing of a foreign judgment in that jurisdiction. (5) The county shall have the same right of recovery as provided to the state of Idaho pursuant to sections 56-218 and 56-218A, Idaho Code. (6) The county commissioners may require the employment of such of the medically indigent as are capable and able to work and whose attending physician certifies they are capable of working. (7) That portion of the moneys received by a county as reimbursement that are not assigned to the catastrophic health care cost program shall be credited to the respective county medically indigent fund. (8) If, after a hearing, the final determination of the county commissioners is to require a reimbursement amount or rate the applicant believes excessive, the applicant may seek judicial review of the final determination of the county commissioners in the manner provided in section 31-1506, Idaho Code.  History: [31-3510A, added 1983, ch. 215, sec. 4, p. 597; repealed 1990, ch. 87, sec. 1, p. 178; reinstated 1991, ch. 233, sec. 1, p. 553; am. 1996, ch. 410, sec. 21, p. 1369; am. 2008, ch. 189, sec. 2, p. 594; am. 2010, ch. 273, sec. 20, p. 704; am. 2011, ch. 291, sec. 20, p. 808.]