A BILL TO BE ENTITLED
AN ACT TO MAKE TECHNICAL ADJUSTMENTS TO THE mEDICAID MODERNIZED HOSPITAL ASSESSMENTS.
The General Assembly of North Carolina enacts:
SECTION 1.(a)  G.S. 108A‑146.12, as enacted by Section 9D.13A(c) of S.L. 2021‑180, reads as rewritten:
"§ 108A‑146.12.  Postpartum coverage component.
The postpartum coverage component is twelve million five hundred thousand dollars ($12,500,000) for each quarter of the 2021‑2022 State fiscal year. For each quarter of the 2022‑2023 State fiscal year, the postpartum coverage component is eleven million four thousand four hundred twenty‑four dollars ($11,004,424). For each State fiscal year after the 2022‑2023 State fiscal year, the postpartum coverage component shall be increased over the prior year's quarterly amount by the Medicare Economic Index."
SECTION 1.(b)  G.S. 108A‑146.13, as amended by Section 9D.13A(d) of S.L. 2021‑180, reads as rewritten:
"§ 108A‑146.13.  Intergovernmental transfer adjustment component.
(a)	The intergovernmental transfer adjustment component is the sum of all of the following subcomponents:
(1)	The historical subcomponent is forty‑one million two hundred twenty‑seven thousand three hundred twenty‑one dollars ($41,227,321) for each quarter of the 2021‑2022 State fiscal year. For each quarter of the 2022‑2023 State fiscal year, the historical subcomponent is forty‑one million one hundred ninety‑three thousand one hundred eighty‑one dollars ($41,193,181). For each State fiscal year after the 2022‑2023 State fiscal year, the historical subcomponent shall be increased over the prior year's quarterly amount by the market basket percentage.
(2)	The postpartum subcomponent applies to the assessments under this Part only during the period of April 1, 2022, through March 31, 2027, and is two million nine hundred sixty‑two thousand five hundred dollars ($2,962,500) for each quarter of the 2021‑2022 State fiscal year. For each quarter of the 2022‑2023 State fiscal year, the postpartum subcomponent is two million six hundred six thousand three hundred eighty‑four dollars ($2,606,384). For each State fiscal year after the 2022‑2023 State fiscal year, the postpartum subcomponent shall be increased over the prior year's quarterly amount by the Medicare Economic Index.
…
(b)	If a public acute care hospital closes or becomes a private acute care hospital, then, beginning in the first assessment quarter following the closure or change to a private acute care hospital and for each quarter thereafter, the intergovernmental transfer adjustment component described in subsection (a) of this section, as inflated in accordance with that section, shall be reduced by the amount of the public acute care hospital's intergovernmental transfer obligation to the Department during its last quarter of operation as a public acute care hospital."
SECTION 1.(c)  Notwithstanding G.S. 108A‑146.12 and G.S. 108A‑146.13, for the quarter beginning October 1, 2022, the postpartum coverage component is three million three hundred forty‑nine thousand seven hundred thirty‑one dollars ($3,349,731) and the postpartum subcomponent of the intergovernmental transfer adjustment component is seven hundred eighty‑nine thousand five hundred fifty‑nine dollars ($789,559).
SECTION 2.  This act becomes effective October 1, 2022, and applies to modernized hospital assessments imposed under Part 2 of Article 7A of Chapter 108A of the General Statutes on or after that date.