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Hospital assessment supplemental draws scrutiny; lawmakers ask whether funds flow to hospitals or offset Medicaid costs

2676575 · February 26, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

A $190 million supplemental tied to changes in the hospital assessment and the upper payment limit (UPL) drew questions on Feb. 26 about how much of the assessment remains with state government versus being passed through to hospitals and whether policy changes could redirect funds to offset Medicaid expansion costs.

BOISE — Committee members on Feb. 26 pressed Medicaid analysts and department officials about a $190 million supplemental request related to the hospital assessment fund and changes to upper payment limit (UPL) calculations enacted in 2022.

Alex Williamson told JFAC the $190 million request is coded as entrusted benefit payments; about $77 million would come from dedicated funds (the hospital assessment fund) and roughly $113…

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