Substitute Senate Bill No. 473
          Substitute Senate Bill No. 473

               PUBLIC ACT NO. 98-22


AN  ACT CONCERNING FUNDING OF THE OFFICE OF HEALTH
CARE ACCESS.


    Be  it  enacted  by  the  Senate  and House of
Representatives in General Assembly convened:
    Section  1.  Section  19a-631  of  the general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  As  used  in  this  section  and  section
19a-632, AS AMENDED BY THIS ACT, "hospital"  means
each  hospital  subject  to the provisions of this
chapter and licensed as  a  short-term  acute-care
general  hospital or a children's hospital or both
by the Department of Public Health.
    (b)  Each  hospital  shall annually pay to the
Commissioner  of  [Public  Health]   HEALTH   CARE
ACCESS, for deposit in the General Fund, an amount
equal to its share of the actual expenditures made
by  the  office  [which  are  accountable  to  the
functions  of  the  office  transferred  from  the
Commission  on  Hospitals and Health Care pursuant
to  section  19a-612b]  during  each  fiscal  year
including  the  cost of fringe benefits for office
personnel as estimated  by  the  Comptroller,  the
amount  of  expenses  for  central  state services
attributable to the office for the fiscal year  as
estimated    by    the   Comptroller,   plus   the
expenditures made on behalf of the office from the
Capital   Equipment   Purchase  Fund  pursuant  to
section 4a-9 for such year. Payments shall be made
by  assessment  of  all  hospitals  of  the  costs
calculated and collected in  accordance  with  the
provisions of this section and section 19a-632, AS
AMENDED BY THIS ACT. IF FOR ANY REASON A  HOSPITAL
CEASES  OPERATION,  ANY  UNPAID ASSESSMENT FOR THE
OPERATIONS OF THE OFFICE  SHALL  BE  REAPPORTIONED
AMONG  THE  REMAINING  HOSPITALS  TO  BE  PAID  IN
ADDITION TO ANY OTHER ASSESSMENT.
    Sec.   2.   Section  19a-632  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  On  or  before September first, annually,
the Office of Health Care Access  shall  determine
(1) the total net revenue of each hospital for the
most  recently  completed  hospital  fiscal   year
beginning  October  first;  and  (2)  the proposed
assessment on the hospital for  the  state  fiscal
year.  The  assessment  on  each hospital shall be
calculated   by   multiplying    the    hospital's
percentage   share   of   the  total  net  revenue
specified in subdivision (1)  of  this  subsection
times   the   costs  of  the  office,  [which  are
accountable  to  the  functions  of   the   office
transferred  from  the Commission on Hospitals and
Health Care  pursuant  to  section  19a-612b,]  as
determined in subsection (b) of this section.
    (b)  The  costs  of  the  office  shall be the
total  of  [that  portion  of]  (1)   the   amount
appropriated  for  the operation of the office for
the fiscal year, (2) the cost of  fringe  benefits
for  office  personnel for such year, as estimated
by the Comptroller, (3) the amount of expenses for
central  state services attributable to the office
for  the  fiscal  year   as   estimated   by   the
Comptroller, and (4) the estimated expenditures on
behalf of the office from  the  Capital  Equipment
Purchase  Fund  pursuant  to section 4a-9 for such
year, [which are attributable to the functions  of
the  office  transferred  from  the  Commission on
Hospitals and  Health  Care  pursuant  to  section
19a-612b,]   provided   for   purposes   of   this
calculation the amount so  appropriated  plus  the
cost  of fringe benefits for personnel, the amount
of expenses for said central  state  services  for
the  fiscal  year as estimated by the Comptroller,
and said estimated expenditures from  the  Capital
Equipment  Purchase  Fund pursuant to section 4a-9
shall be deemed to be the actual  expenditures  of
the office.
    (c)   On   or  before  December  thirty-first,
annually, for  each  fiscal  year,  each  hospital
shall  pay  the office twenty-five per cent of its
proposed  assessment,  adjusted  to  reflect   any
credit   or  amount  due  under  the  recalculated
assessment for the preceding state fiscal year  as
determined  pursuant  to  subsection  (d)  of this
section OR ANY REAPPORTIONED  ASSESSMENT  PURSUANT
TO  SUBSECTION  (b) OF SECTION 19a-631, AS AMENDED
BY THIS ACT. The hospital shall pay the  remaining
seventy-five  per  cent  of  its assessment to the
office in three equal instalments on or before the
following  March  thirty-first, June thirtieth and
September thirtieth, annually.
    (d)  Immediately  following  the close of each
state   fiscal   year   the   commissioner   shall
recalculate   the  proposed  assessment  for  each
hospital based on  the  costs  of  the  office  in
accordance  with  subsection  (b)  of this section
using the actual expenditures made by  the  office
during   that   fiscal   year   and   the   actual
expenditures made on behalf of the office from the
Capital   Equipment   Purchase  Fund  pursuant  to
section 4a-9.  On  or  before  July  thirty-first,
annually,  the  [commissioner] OFFICE shall render
to  each  hospital   a   statement   showing   the
difference  between  the  respective  recalculated
assessment and the amount previously paid.  On  or
before   August  thirty-first,  the  commissioner,
after receiving any objections to such statements,
shall  make  such adjustments which in his opinion
may be indicated  and  shall  render  an  adjusted
assessment,  if  any,  to  the affected hospitals.
Adjustments to reflect any credit  or  amount  due
under the recalculated assessment for the previous
state fiscal year shall be made  to  the  proposed
assessment  due on or before December thirty-first
of the following state fiscal year.
    (e)  If any assessment is not paid when due, a
late fee of ten dollars shall be added thereto and
interest  at  the  rate  of one and one-fourth per
cent per month or fraction thereof shall  be  paid
on such assessment and late fee.
    (f)  The  office  shall  deposit  all payments
received pursuant to this section with  the  State
Treasurer.   The  moneys  so  deposited  shall  be
credited  to  the  General  Fund  and   shall   be
accounted   for   as   expenses   recovered   from
hospitals.
    (g)  For  the  hospital fiscal year commencing
October 1, 1993, and for subsequent fiscal  years,
assessments made under this section, excluding any
interest or fee payable pursuant to subsection (e)
of   this   section,  shall  be  included  in  the
computation of net and gross revenue caps for each
hospital.
    Sec.  3.  This  act  shall take effect July 1,
1998.

Approved April 29, 1998