assistance managed care organizations for additional payments
for health care services within the municipality.
Section 805-E. No hold harmless.
No [general acute care hospital or high volume Medicaid]
hospital subject to the assessment shall be directly guaranteed
a repayment of its assessment in derogation of 42 CFR 433.68(f)
(relating to permissible health care-related taxes), except
that, in each fiscal year in which an assessment is implemented,
the department shall use a portion of the funds received under
section 804-E(a) for the purposes outlined under section 804-
E(b) to the extent permissible under Federal and State law or
regulation and without creating an indirect guarantee to hold
harmless, as those terms are used under 42 CFR 433.68(f)(i). The
secretary shall submit any [State Medicaid plan] Title XIX State
Plan amendments to the United States Department of Health and
Human Services that are necessary to make the payments
authorized under section 804-E(b).
Section 807-E. Tax exemption.
Notwithstanding any exemptions granted by any other Federal,
State or local tax or other law, including section 204(a)(3) of
the act of May 22, 1933 (P.L.853, No.155), known as The General
County Assessment Law, no [general acute care hospital or high
volume Medicaid] hospital [in the municipality] subject to the
assessment shall be exempt from the assessment.
Section 808-E. Time period.
(a) Cessation.--The assessment authorized under this article
shall cease June 30, [2019] 2024.
(b) Assessment.--
(1) A municipality shall have the power to enact the
assessment authorized in section 802-E(a)(2) either prior to
or during its fiscal year ending June 30, 2010.
(2) A municipality may adjust an assessment percentage
as specified under section [802-E(a.1)] 802-E(a.2) either
prior to or during the fiscal year in which the adjusted
assessment percentage takes effect.
Section 8. The definitions of "net inpatient revenue" and
"net outpatient revenue" in section 801-G of the act, amended or
added June 22, 2018 (P.L.258, No.40), are amended to read:
Section 801-G. Definitions.
The following words and phrases when used in this article
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
* * *
"Net inpatient revenue." Gross [charges for facilities for
inpatient services less any deducted amounts for bad debt
expense, charity care expense and contractual allowances as
reported on forms specified by the department and] revenues
received or earned by a hospital for inpatient services,
including medical assistance supplemental revenues received by
the hospital for inpatient hospital services, less any deducted
amounts for bad debt expense, charity care expense and
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