This text of Iowa § 249M.3 (Hospital health care access assessment program — termination of program) is published on Counsel Stack Legal Research, covering Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
1.A hospital health care access assessment is imposed on each participating hospital in
this state to be used to promote access to health care services for Iowans, including those
served by the medical assistance program.
2.The assessment rate for a participating hospital shall be calculated as one and
twenty-six one hundredths percent of net patient revenue as specified in the hospital’s fiscal
year 2008 Medicare cost report.
3.If a participating hospital’s fiscal year 2008 Medicare cost report is not contained in
the file of the centers for Medicare and Medicaid services health care cost report information
system dated June 30, 2009, the hospital shall submit a copy of the hospital’s 2008 Medicare
cost report to the department to allow the department to determine the hospital’s net pa
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1. A hospital health care access assessment is imposed on each participating hospital in
this state to be used to promote access to health care services for Iowans, including those
served by the medical assistance program.
2. The assessment rate for a participating hospital shall be calculated as one and
twenty-six one hundredths percent of net patient revenue as specified in the hospital’s fiscal
year 2008 Medicare cost report.
3. If a participating hospital’s fiscal year 2008 Medicare cost report is not contained in
the file of the centers for Medicare and Medicaid services health care cost report information
system dated June 30, 2009, the hospital shall submit a copy of the hospital’s 2008 Medicare
cost report to the department to allow the department to determine the hospital’s net patient
revenue for fiscal year 2008.
§249M.3, HOSPITAL HEALTH CARE ACCESS ASSESSMENT PROGRAM 2
4. A participating hospital paid under the prospective payment system by Medicare and
themedicalassistanceprogramthatwasnotinexistencepriortofiscalyear2008,shallsubmit
a prospective Medicare cost report to the department to determine anticipated net patient
revenue.
5. Net patient revenue as reported on each participating hospital’s fiscal year 2008
Medicare cost report, or as reported under subsection 4 if applicable, shall be the sole basis
for the health care access assessment for the duration of the program.
6. A participating hospital shall pay the assessment to the department in equal amounts
on a quarterly basis. A participating hospital shall submit the assessment amount no later
than thirty days following the end of each calendar quarter.
7. A participatinghospital shall retain and preserve the Medicare cost report and financial
statements used to prepare the cost report for a period of three years. All information
obtained by the department under this subsection is confidential and does not constitute a
public record.
8. The department shall collect the assessment imposed and shall deposit all revenues
collected in the hospital health care access trust fund created in section 249M.4.
9. If the department determines that a participating hospital has underpaid or overpaid
the assessment, the department shall notify the participating hospital of the amount of the
unpaid assessment or refund due. Such payment or refund shall be due or refunded within
thirty days of the issuance of the notice.
10. a. A participating hospital that fails to pay the assessment within the time frame
specified in this section shall pay, in addition to the outstanding assessment, a penalty of one
and five-tenths percent of the assessment amount owed for each month or portion of each
month that the payment is overdue. However, if the department determines that good cause
is shown for failure to comply with payment of the assessment, the department shall waive
the penalty or a portion of the penalty.
b. Ifanassessmentisnotreceivedbythedepartmentbythelastdayofthemonthinwhich
the payment is due, the department shall withhold an amount equal to the assessment and
penalty owed from any payment due such participating hospital under the medical assistance
program.
c. The assessment imposed under this chapter constitutes a debt due the state and may
be collected by civil action under any method provided for by law.
d. Anypenaltycollectedpursuanttothissubsectionshallbecreditedtothehospitalhealth
care access trust fund created in section 249M.4.
11. IfthefederalgovernmentfullyfundsIowa’smedicalassistanceprogram, iffederallaw
changes to negatively impact the assessment program as determined by the department, or if
a federal audit determines the assessment program is invalid, the department shall terminate
the imposition of the assessment and the program beginning on the date the federal statutory,
regulatory, or interpretive change takes effect.