Medicaid Disproportionate Share Hospital and Hospital ...

The Florida Senate

The Florida House of Representatives

Medicaid Disproportionate Share Hospital and Hospital Reimbursement Programs Fiscal Year 2019-2020

SB 2500 Conference Report

May 1, 2019

THE FLORIDA SENATE

COMMITTEE ON APPROPRIATIONS

Location 201 The Capitol

Mailing Address 404 South Monroe Street Tallahassee, Florida 32399-1100

(850) 487-5140 Senator Rob Bradley, Chair Senator Wilton Simpson, Vice Chair

Professional Staff: Cynthia Sauls Kynoch, Staff Director

Senate's Website:

MEMORANDUM

To: From:

Subject: Date:

Debbie Brown, Secretary Senator Rob Bradley, Chair Appropriations Committee Medicaid Disproportionate Share Hospital and Hospital Reimbursement Programs May 1, 2019

For the 2019-2020 fiscal year, we intend to incorporate by reference in Senate Bill 2500, the document titled "Medicaid Disproportionate Share Hospital and Hospital Reimbursement Programs," dated May 1, 2019.

The purpose of the document is to display the calculations used by the Legislature, consistent with the requirements of Florida Statutes, in making appropriations for the Medicaid Disproportionate Share Hospital and Hospital Reimbursement Programs.

The document will be made available as a PDF file that can be searched by anyone interested in the calculations and parameters used by the Legislature to make appropriations for the Medicaid Disproportionate Share Hospital and Hospital Reimbursement Programs.

A hard copy of the document is attached to this memorandum to formalize the exact document that is incorporated by reference in Senate Bill 2500.

BILL GALVANO President of the Senate

DAVID SIMMONS President Pro Tempore

Medicaid Number

Provider Name

010189300 010260100 012037500 010123100 010156700 012040500 010821900 010012900 010021800 010026900 011971700 010192300 010103600 010180000 010004800 010120600 720140100 010129000 010080300 011134100 011761700 012032400 010184200 010135400 010188500 010086200 010226100 010106100 010042100 010173700 010151600 010822700 010144300 011974100 012005700 010053600 010110900 010115000 010121400 010072200 010345400 010222900 010252100 010020000 010158300 010046300 004087600 010060900 010862600 010049800 026002900 010190700 012007300 010988600 011174100 010133800 010138900 010460400 012026000 010010200 012000600 010114100 010076500 010176100

AdventHealth Palm Coast AdventHealth Wauchula Aventura Hospital and Medical Center Baptist Medical Center - Nassau Bayfront Health St. Petersburg Broward Health Coral Springs Broward Health Imperial Point Broward Health Medical Center Broward Health North Calhoun-Liberty Hospital Cape Coral Hospital Desoto Memorial Hospital Doctors Memorial Hospital - Bonifay Doctors' Memorial Hospital - Perry Ed Fraser Memorial Hospital Fishermen's Community Hospital Florida Department of Health Florida Hospital George E Weems Memorial Hospital Gulf Coast Medical Center Lee Memorial Health System Gulf Coast Regional Medical Center H Lee Moffitt Cancer Center & Research Institute Hospital Halifax Health Medical Center Health Central Healthmark Regional Medical Center Hendry Regional Medical Center Homestead Hospital Jackson Hospital Jackson Memorial Hospital Jay Hospital Johns Hopkins All Children's Hospital Lake Butler Hospital Lakeside Medical Center Largo Medical Center Larkin Community Hospital Larkin Community Hospital Palm Springs Campus Lee Memorial Hospital Madison County Memorial Hospital Mariners Hospital Mayo Clinic Memorial Hospital Miramar Memorial Hospital Pembroke Memorial Hospital West Memorial Regional Hospital Morton Plant Hospital Mount Sinai Medical Center Nemours Children's Hospital Nicklaus Children's Hospital North Florida Regional Medical Center North Shore Medical Center Northeast Florida State Hospital Northwest Florida Community Hospital Oak Hill Hospital Ocala Regional Medical Center Orange Park Medical Center Orlando Health Osceola Regional Medical Center Palmetto General Hospital Palms West Hospital Parrish Medical Center Plantation General Hospital Regional General Hospital Williston Sacred Heart Hospital Sarasota Memorial Hospital

Conference Report on SB 2500 State Fiscal Year 2019-2020

Disproportionate Share Hospital Program

DSH Distribution per Florida Statutes for SFY 2019-20

Public DSH

Provider Service Network DSH

-

-

-

-

$9,728 $3,339,549 $1,409,924 $18,001,086 $5,319,478

$2,657,300

$150,000 $150,000

$150,000

$150,000 $2,607,650 $5,493 $3,935,058 $4,765 $150,000 $5,734 $501,069 $36,237,594 $18,746 $353,430 $8,394,623 $2,232,172 $5,374,591 $7,462,243 $23,941,885 $15,613 $13,397 $52,694 $10,409 $6,191 $1,564,802 $14,861 $15,610 $4,767,490

$133,988 $255,630 $1,934,058 $217,047 $2,169,624 $43,634 $87,268 $201,192 $1,358,119 -

Rural DSH

State Only Rural DSH

Graduation Medical

Education DSH

Family Practice DSH

Mental Health DSH

Pediatric DSH Specialty DSH

$213,034 $138,380

$217,624 -

$249,996 -

$278,960 $213,003 $211,366 $1,506,357 $299,455

$426,141 $129,046 $448,418 $240,346 $211,740 $684,394 $305,950 $256,320 $382,318 $1,759,121 $214,371 -

$29,556 $19,199

$30,194 -

$34,685 -

$38,703 $29,552 $29,324 $208,993 $41,546

$59,123 $17,904 $62,214 $33,346 $29,377 $94,954 $42,448 $35,562 $53,043 $244,062 $29,743 -

$1,213,055 $3,401,253 $5,192,909 $3,021,490 $12,792,909 $3,196,396 $3,096,822 $2,995,568 $3,127,253 $1,263,969 $5,028,003 $1,329,414 -

-

$885,654

$885,654 $885,654 $885,654 $885,654 $885,654 $885,654 $885,654 -

-

$52,942,772 -

-

$10,286,159 $2,090,637 $4,610,879 -

-

$1,443,885 -

DSH Total

$242,590 $157,579 $1,213,055 $247,818 $895,382 $3,473,537 $1,665,554 $23,336,397 $5,536,525 $284,681 $2,657,300 $467,663 $392,555 $240,690 $1,865,350 $341,001 $1,443,885 $5,192,909 $635,264 $2,607,650

$5,493 $3,021,490 $4,820,712

$4,765 $146,950 $660,632

$5,734 $774,761 $51,200,127 $241,117 $10,304,905 $779,348 $701,828 $3,196,396 $3,096,822 $885,654 $8,394,623 $291,882 $435,361 $2,995,568 $2,275,806 $5,461,859 $7,663,435 $25,300,004 $885,654 $3,127,253 $2,090,637 $4,626,492 $1,263,969

$13,397 $52,942,772

$2,003,183 $885,654 $885,654 $885,654

$5,080,697 $1,329,414

$896,063 $6,191

$1,564,802 $14,861

$244,114 $15,610

$4,767,490

Page 1 of 2

Medicaid Number

Provider Name

010033100 010179600 010007200 026004500 011997100 010148600 012010300 010073100 010113300 010099400 010067600 010003000 010047100

Shands Lake Shore Regional Medical Center Shands Live Oak Regional Medical Center Shands Starke Regional Medical Center South Florida State Hospital St. Lucie Medical Center St. Mary's Medical Center St. Petersburg General Hospital St. Vincent'S Medical Center Riverside Tallahassee Memorial Hospital Tampa General Hospital UF Health Jacksonville UF Health Shands Hospital University of Miami Hospital and Clinics AHCA Grants & Donations GR Children's DSH

Totals

Conference Report on SB 2500 State Fiscal Year 2019-2020

Disproportionate Share Hospital Program

DSH Distribution per Florida Statutes for SFY 2019-20

Public DSH

Provider Service Network DSH

$2,552 -

$19,516 -

$13,212 $30,230 $27,791 $31,729

-

$1,855,769 $221,817 -

Rural DSH

State Only Rural DSH

Graduation Medical

Education DSH

Family Practice DSH

Mental Health DSH

Pediatric DSH Specialty DSH

$214,182

$29,716

-

-

-

-

-

$197,082

$27,344

-

-

-

-

-

$212,516

$29,485

-

-

-

-

-

-

-

-

-

$23,020,935

-

-

-

-

-

$885,654

-

-

-

-

-

-

-

-

-

-

-

-

-

$885,654

-

-

-

-

-

-

$885,654

-

-

-

-

-

-

$885,654

-

-

-

-

-

$7,324,622

-

-

-

-

-

-

$5,378,825

-

-

-

-

-

-

$12,201,083

-

-

-

-

-

-

$3,737,314

-

-

-

-

DSH Total

$246,450 $224,426 $242,001 $23,020,935 $885,654

$19,516 $885,654 $885,654 $898,866 $7,354,852 $7,262,385 $12,454,629 $3,737,314

$129,148,215

$8,478,146

$9,010,120

$1,250,073

$74,300,885

$10,627,848

$75,963,707

$16,987,675

$1,443,885 $327,210,554

Page 2 of 2

Conference Report on SB 2500 State Fiscal Year 2019-2020 Hospital Exemption Funding

Medicaid ID

Hospital

100609 NICKLAUS CHILDREN'S HOSPITAL

117617 GULF COAST REGIONAL MEDICAL CENTER

120138 KENDALL REGIONAL MEDICAL CENTER

100978 ST JOSEPHS HOSPITAL

101338 ORLANDO REGIONAL MEDICAL CENTER

101109 LEE MEMORIAL HOSPITAL

120260 PALMS WEST HOSPITAL

101486 ST MARY'S MEDICAL CENTER

100030 UF HEALTH SHANDS HOSPITAL

120308 WEST PALM HOSPITAL

104604 PALMETTO GENERAL HOSPITAL

100765 SACRED HEART HOSPITAL

100412 HIALEAH HOSPITAL

101516 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL

100200 MEMORIAL REGIONAL HOSPITAL

100994 TAMPA GENERAL HOSPITAL

100676 UF HEALTH JACKSONVILLE

120006 PLANTATION GENERAL HOSPITAL

100129 BROWARD HEALTH MEDICAL CENTER

100498 NORTH SHORE MEDICAL CENTER

100269 CALHOUN-LIBERTY HOSPITAL

120405 BROWARD HEALTH CORAL SPRINGS

102261 HOMESTEAD HOSPITAL

100625 WESTCHESTER GENERAL HOSPITAL

40876 NEMOURS CHILDREN'S HOSPITAL

100421 JACKSON MEMORIAL HOSPITAL

101443 LAKESIDE MEDICAL CENTER

25766 SHRINERS HOSPITALS FOR CHILDREN-TAMPA

Total

A

B

Total 2019-20 Base Inpatient Exemptions

25,646,111 319,583 364,851

1,838,766 19,947,607

9,713,496 247,808

6,617,609 23,777,041

92,362 610,736 7,751,700 490,178 20,906,870 13,997,719 21,579,060 13,781,272 342,717 17,361,145 622,506

3,228 2,154,255 4,520,322

124,872 6,414,728 65,846,136

453,283 239,453 265,765,413

Total 2019-20 Base Outpatient Exemptions

8,600,679 25,733 16,643

183,002 2,359,822 2,235,952

52,707 507,130 6,596,484

17,953 -

888,912 56,848

5,608,325 6,272,449 1,177,583 5,617,228

3,371,427

133,671 3,069

117,701 163,528

2,526 1,043,297 8,121,635

147,415 131,117 53,452,835

C

Total 2019-20 Base Inpatient and

Outpatient Exemptions

34,246,790 345,316 381,494

2,021,768 22,307,429 11,949,449

300,515 7,124,738 30,373,526

110,314 610,736 8,640,613 547,026 26,515,195 20,270,167 22,756,642 19,398,500 342,717 20,732,572 756,178

6,297 2,271,955 4,683,850

127,398 7,458,025 73,967,771

600,699 370,570 319,218,248

D

E

F

3% Reduction 2019-20 Inpatient

Exemptions

769,383 9,587

10,946 55,163 598,428 291,405

7,434 198,528 713,311

2,771 18,322 232,551 14,705 627,206 419,932 647,372 413,438 10,282 520,834 18,675

97 64,628 135,610

3,746 192,442 1,975,384

13,599 7,184

7,972,962

3% Reduction 2019-20 Outpatient

Exemptions

3 % Reduction Total 2019-20 Inpatient and Outpatient Exemptions

258,020 772 499

5,490 70,795 67,079

1,581 15,214 197,895

539 26,667 1,705 168,250 188,173 35,327 168,517 101,143 4,010 92 3,531 4,906 76 31,299 243,649 4,422 3,934 1,603,585

1,027,404 10,359 11,445 60,653

669,223 358,483

9,015 213,742 911,206

3,309 18,322 259,218 16,411 795,456 608,105 682,699 581,955 10,282 621,977 22,685

189 68,159 140,516

3,822 223,741 2,219,033

18,021 11,117 9,576,547

G

Total 2019-20 Inpatient Exemptions

24,876,728 309,996 353,905

1,783,603 19,349,179

9,422,091 240,373

6,419,081 23,063,730

89,591 592,414 7,519,149 475,473 20,279,664 13,577,787 20,931,688 13,367,834 332,435 16,840,310 603,831

3,131 2,089,627 4,384,713

121,126 6,222,286 63,870,752

439,685 232,269 257,792,451

H

I

Total 2019-20 Outpatient Exemptions

8,342,659 24,961 16,143

177,512 2,289,027 2,168,874

51,126 491,916 6,398,590

17,414 -

862,245 55,143

5,440,075 6,084,275 1,142,255 5,448,711

3,270,284

129,661 2,977

114,170 158,622

2,450 1,011,998 7,877,986

142,993 127,183 51,849,250

Total 2019-20 Inpatient

and Outpatient Exemptions

33,219,387 334,957 370,049

1,961,115 21,638,206 11,590,965

291,499 6,910,996 29,462,320

107,005 592,414 8,381,394 530,615 25,719,739 19,662,062 22,073,943 18,816,545 332,435 20,110,595 733,492

6,108 2,203,797 4,543,335

123,576 7,234,284 71,748,738

582,678 359,453 309,641,701

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