aggregate amount of assessment funds collected for the year
less $121,000,000.
(2) For the second year of the assessment, the amount
used for the medical assistance payments for hospitals and
medical assistance managed care organizations may not exceed
the aggregate amount of assessment funds collected for the
year less $109,000,000.
(4) For the third year of the assessment, the amount
used for the medical assistance payment for hospitals and
medical assistance managed care organizations may not exceed
the aggregate amount of the assessment funds collected for
the year less $109,000,000.
(4.1) For State fiscal years 2013-2014 and 2014-2015,
the amount used for the medical assistance payment for
hospitals and medical assistance managed care organizations
may not exceed the aggregate amount of the assessment funds
collected for the year less $150,000,000.
(4.2) For State fiscal years 2015-2016, 2016-2017 and
2017-2018, the amount used for the medical assistance payment
for hospitals and medical assistance managed care
organizations may not exceed the aggregate amount of the
assessment funds collected for the year less $220,000,000.
(4.3) For State fiscal years 2018-2019, 2019-2020 and
2020-2021, the amount used for the medical assistance payment
for hospitals and medical assistance managed care
organizations may not exceed the aggregate amount of the
assessment funds collected for the year less $295,000,000.
(4.4) For State fiscal years 2021-2022 and 2022-2023,
the amount used for the medical assistance payment for
hospitals and medical assistance managed care organizations
may not exceed the aggregate amount of the assessment funds
collected for the year less $300,000,000.
(5) The amounts retained by the department pursuant to
paragraphs (1), (2), (4), (4.1) [and (4.2)], (4.2), (4.3) and
(4.4) and any additional amounts remaining in the restricted
accounts after the payments described in subsection (a)(1)
and (2) are made shall be used for purposes approved by the
secretary under subsection (a)(3), subject to paragraph (7).
(6) Not later than 180 days following the end of the
State fiscal year, the department shall prepare a revenue
reconciliation schedule for the prior State fiscal year that
includes information supporting the amounts received or
deposited into and paid out of the restricted account to
support actual payments to hospitals and managed care
organizations pursuant to subsection (a)(1) and (2).
(7) Any positive balance remaining in the restricted
account in excess of $10,000,000 annually, which is not used
by the Commonwealth to obtain Federal matching funds and paid
out for hospital payments, shall be factored into the
calculation of a new assessment rate by reducing the amount
of hospital assessment funds that must be generated during
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