New Jersey § 26:2h-18

§ 26:2h-18.

a. The monies in the other uncompensated care component of the disproportionate share

hospital subsidy account shall be distributed to eligible hospitals in accordance

with the formulas provided in subsections b. and c. of this section. In 1993, the fund shall distribute $100 million in subsidies to eligible hospitals;

in 1994, the fund shall distribute $67 million to eligible hospitals; and in 1995,

the fund shall distribute $33 million to eligible hospitals. Such funds as may be necessary shall be transferred by the department from the fund

to the Division of Medical Assistance and Health Services in the Department of Human

Services for payment to disproportionate share hospitals. b. The determination of whether a hospital is eligible to receive a subsidy shall

be based on the following: Hospital Specific Other Uncompensated Care for Year Hospital Specific Revenue for Year = Hospital Specific % Other Uncompensated Care (% OUC) A hospital is eligible for a subsidy if, upon establishing a rank order of the % OUC

for all hospitals: (1) in 1993, the hospital is among the 45% of hospitals with the highest % OUC; (2) in 1994, the hospital is among the 30% of hospitals with the highest % OUC; and (3) in 1995, the hospital is among the 15% of hospitals with the highest % OUC. c. The amount of the subsidy an eligible hospital shall receive shall be based on

the following: Hospital Specific Other Uncompensated Care for Year Total Other Uncompensated Care for All Eligible Hospitals for Year x Total Amount of Subsidy Allocated for the Year = Hospital Specific Subsidy for the Year In 1993, the formulas shall use 1991 Hospital Specific Other Uncompensated Care and

Total Other Uncompensated Care for All Eligible Hospitals, and a hospital's 1992 preliminary

cost base established pursuant to section 18 of P.L.1971, c. 136 ( C.26:2H-18 ), for “Hospital Specific Revenue for Year.” In 1994 and through the payment for April of 1995, the formulas shall use 1992 Hospital

Specific Other Uncompensated Care and Total Other Uncompensated Care for All Eligible

Hospitals, and a hospital's 1993 revenue cap established pursuant to section 3 of

this act 1 for “Hospital Specific Revenue for Year.” Payments made under these formulas for February, March and April of 1995 shall, as

of May 1, 1995, be final payments and shall not be subject to any reconciliation or

other adjustment. Beginning with the payment for May of 1995, the formulas shall use actual 1993 Medicare

revenues, as approved by the department, in place of “Hospital Specific Other Uncompensated

Care for Year” and “Total Other Uncompensated Care for All Eligible Hospitals for

Year,” and a hospital's 1993 total operating revenue as defined by the department

in accordance with financial reporting requirements established pursuant to N.J.A.C.8:31B-3.3 , in place of “Hospital Specific Revenue for Year.” d. The department shall notify the Division of Medical Assistance and Health Services

of the amount of Other Uncompensated Care hospital subsidy payment to be included

in the disproportionate share payment to each eligible hospital. 1

N.J.S.A. § 26:2H-18.53.