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House keeps hospital 'bed tax' for one more year, citing Medicaid match
Summary
The House voted Feb. 26, 1997 to extend a hospital bed tax mechanism (HB331) that sponsors said yields a $6.5 million state cap and attracts roughly $19.5 million in federal Medicaid matching funds; the recorded floor vote was 51–15 in favor.
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Representative John L. Valentine opened debate on House Bill 331, describing it as a mechanism that imposes a per-patient 'bed tax' to generate state revenue and, crucially, leverage federal Medicaid matching funds. Valentine said the bill sets the statutory rate (cited on the floor as $1 per patient encounter for the program) and reduces the executive director's discretionary cap to $6.5 million while preserving the federal match estimated at roughly $19.5 million. Sponsor and supporters said the tax was originally requested and supported by hospitals as a way to increase Medicaid funding available to the state.
Floor discussion included moral framing (several members characterized it as a "tax on being sick"), questions about the collection and cap-setting authority, and one member declared a conflict of interest (serving on a hospital board) before the vote. The Speaker recorded the floor vote as 51 yes, 15 no; the bill will be sent to the Senate for further consideration.
Ending: The sponsor argued the mechanism yields needed federal funds for Medicaid and that removing it would reduce federal and state Medicaid resources; opponents criticized the policy as an onerous charge on patients and urged a timetable for removing the tax in the future.
Provenance: Sponsor explanation and vote recorded on the House floor (transcript segments cited).
