Section 108A-147.11 - Health advancement reconciliation adjustment component(a) The health advancement reconciliation adjustment component is a positive or negative dollar amount equal to the actual nonfederal expenditures for the quarter that is two quarters prior to the current quarter minus the sum of the following specified amounts: (1) The presumptive service cost component calculated under G.S. 108A-147.5 for the quarter that is two quarters prior to the current quarter.(2) The positive or negative gross premiums tax offset amount calculated under G.S. 108A-147.12(b).(3) The HASP health advancement component calculated under G.S. 108A-147.6 for the quarter that is two quarters prior to the current quarter.(b) The IGT share of the reconciliation adjustment component is a positive or negative dollar amount that is calculated by multiplying the health advancement reconciliation adjustment component calculated under subsection (a) of this section by the share of public hospital costs calculated under subsection (c) of this section.(c) The share of public hospital costs is calculated by adding total hospital costs for the UNC Health Care System, total hospital costs for the primary affiliated teaching hospital for the East Carolina University Brody School of Medicine, and sixty percent (60%) of the total hospital costs for all public acute care hospitals and dividing that sum by the total hospital costs for all acute care hospitals except for critical access hospitals and rural emergency hospitals.N.C. Gen. Stat. § 108A-147.11
Amended by 2024 N.C. Sess. Laws 28,s. 5.3-h, eff. 7/1/2024, effective on the first day of the next assessment quarter after the date this act becomes law and applies to assessments imposed on or after that date.Added by 2023 N.C. Sess. Laws 7, s. 1.6-b, eff. 3/27/2023, op. on the first day of the next assessment quarter after this act becomes law. Subsection (e) of this section becomes effective on the later of the following dates: (i) the first day of the next assessment quarter after the Centers for Medicare and Medicaid Services (CMS) approve the initial 42 C.F.R. § 438.6(c) preprint requesting approval of the healthcare access and stabilization program (HASP) submitted in accordance with G.S. 108A-148.1 or (ii) the first day of the next assessment quarter after this act becomes law..