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Legislators press department on hospital assessment and capitation increases
Summary
Committee members questioned whether Idaho's hospital assessment and related capitation changes effectively benefit Medicaid patients or primarily augment hospital revenue; department staff said changes stem from SB 1350 (2022) and federal UPL calculations.
Lawmakers at the Feb. 26 JFAC hearing pressed Department of Health and Welfare staff about a proposed $190 million supplemental tied to hospital assessments and changes to upper payment limit (UPL) methodology.
Representative Tanner said the hospital assessment “looks more like a blank check to the hospitals” and asked whether the Legislature could redirect assessment proceeds to offset expansion medical costs rather than increasing hospital receipts. Alex Williamson, the Legislative Services analyst, said…
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