North Carolina § 108A-146 - 1. Public hospital assessment.

§ 108A-146. 1. Public hospital assessment.

The public hospital assessment imposed under this Part shall apply to all public acute care hospitals. The public hospital assessment shall be assessed as a percentage of each public acute care hospital's hospital costs. The assessment percentage shall be calculated quarterly by the Department of Health and Human Services in accordance with this Part. The percentage for each quarter shall equal the aggregate assessment collection amount under G.S. 108A-146.5 multiplied by the public hospital historical assessment share and divided by the total hospital costs for all public acute care hospitals holding a license on the first day of the assessment quarter. History (2021-61, s. 2.) Editor's Note. - Session Laws 2021-61, s. 2, enacted this Article and made it effective July 1, 2021. Session Laws 2021-61, s. 3(a), provides: "Notwithstanding G.S. 108A-146.1 , established in Section 2 of this act, for the assessment quarter beginning July 1, 2021, the public hospital assessment shall be thirty-nine hundredths percent (0.39%) of total hospital costs for all public acute care hospitals." Session Laws 2021-61, s. 4(a), provides: "Notwithstanding G.S. 108A-146.1 , established in Section 2 of this act, for the assessment quarter beginning October 1, 2021, the Department of Health and Human Services shall determine the public hospital assessment percentage by, first, either increasing or reducing the aggregate assessment collection amount under G.S. 108A-146.5 by the reconciliation component under subsection (c) of this section, and then multiplying that amount by the public hospital historical assessment share, and lastly dividing by the total hospital costs of all public acute care hospitals." Session Laws 2021-61, s. 5, provides: "In response to changes in the Medicaid reimbursement environment that may occur as a result of the transition to managed care, the Department of Health and Human Services shall report to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice and the Fiscal Research Division by January 1, 2026, with a proposal to replace or adjust the market basket percentage as the inflation factor that is used in the modernized hospital assessments in Part 2 of Article 7B of Chapter 108A of the General Statutes, as well as in the hospital base rates for Medicaid fee-for-service reimbursements, beginning July 1, 2026."