DHS BUDGET REQUEST FOR FY ($ Amounts. in Thousands)

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Jane Nelson
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1 DHS BUDGET REQUEST FOR FY ($ Amounts. in Thousands) Page # of Governor's Executive Budget: Pp. E30.9, E30.15, H82 Tobacco Settlement Fund - Uncompensated Care I. SUMMARY FINANCIAL DATA Actual Available Budgeted State Funds $12,917 $25,140 $23,906 Federal Funds Total $15,722 $27,039 $25,909 Federal Sources Itemized Medical Assistance - Uncompensated Care $15,722 $27,039 $25,909 Other Funds $0 $0 $0 Total $28,639 $52,179 $49,815 IA. REQUESTED SUPPLEMENTALS (Included above) State Funds $0 Federal Funds $0 Total $0 178

SUMMARY FINANCIAL DATA 2013-2014 2014-2015 2015-2016 Actual Available Budgeted State Funds $12,917 $25,140 $23,906 Federal Funds Total

2 II. DETAIL BY MAJOR OBJECT ($ Amounts in Thousands) Tobacco Settlement Fund - Uncompensated Care Change Budgeted Percent Actual Available Budgeted vs. Available Chang e PERSONNEL Total Personnel $0 $0 $0 $0 0.00% OPERATING Total Operating $0 $0 $0 $0 0.00% FIXED ASSETS State Funds $0 $0 $0 '$0 0.00% Total Fixed Assets $0 $0 $0 $0 0.00% GRANT & SUBSIDY State Funds $12,917 $25,140 $23,906 ($1,234) % Federal Funds $15,722 $27,039 $25,909 ($1,130) -4.18% Total Grant & Subsidy $28,639 $52,179 $49,815 ($2,364) -4.53% NONEXPENSE Total Nonexpense $0 $0 $0 $0 0.00% BUDGETARY RESERVE State Funds $0 $0 $0 $0 r 0.00% Total Budgetary Reserve $0 $0 $0 $0 0.00% UNCOMMITTED ' Total Uncommitted $0 $0 $0 $0 0.00% OTHER, Total Other $0 $0 $0 $0 0.00% TOTAL FUNDS State Funds $12,917 $25,140 $23,906 ($1,234) -4.91% Federal Funds $15,722 $27,039 $25,909 ($1,130) -4.18% )~ Total Funds $28,639 $52,179 $'49,815 ($2,364) -4.53% 179

00% GRANT & SUBSIDY State Funds $12,917 $25,140 $23,906 ($1,234) -4.91 % Federal Funds $15,722 $27,039 $25,909 ($1,130) -4.18% Total Grant & Subsidy $28,639 $52,179 $49,815 ($2,364) -4.

3 Tobacco Settlement Fund - Uncompensated Care III. HISTORY OF LAPSES ($ Amounts in Thousands) Estimated State Funds $0 $25,835 $0 IV. COMPLEMENT INFORMATION / /2014 Budgeted State/Federally Funded Federally Funded Other Funded Total V. DERIVATION OF REQUEST I LEGISLATIVE CITATIONS I DISBURSEMENT CRITERIA Derivation of Request:. The Fiscal Year Governor's Executive Budget recommends that $ million be allocated from the Tobacco Settlement Fund for payments under the Uncompensated Care Payment Program. Legislative Citations: 35 P.S et seq. Disbursement Criteria: This appropriation provides for annual payments to qualifying hospitals for a portion of the hospitals' uncompensated CO$ts for services provided to uninsured individuals. It also provides for payment of qualifying extraordinary expenses for services rendered to uninsured patients. Disbursement is administered by the Office of Medical Assistance Programs. Of the total appropriation, 85 percent is allocated for uncompensated care and 15 percent is allocated for extraordinary expenses. Hospitals must have a plan in place to treat the uninsured. Eligibility for payment is based on criteria specified in Act 77. Qualifying hospitals receive a pro rata share of the uncompensated care allocation based on the methodology specified in the Act. For a hospital to receive payment for extraordinary expenses, specified criteria must be met as outlined in the Act. Although a hospital may qualify for both the uncompensated care payment and the extraordinary expense payment, they are required to choose which payment they wish to receive. 180

DERIVATION OF REQUEST I LEGISLATIVE CITATIONS I DISBURSEMENT CRITERIA Derivation of Request:. The Fiscal Year 2015-2016 Governor's Executive Budget recommends that $23.

4 VI. EXPLANATION OF CHANGES ($ Amounts in Thousands) Tobacco Settlement Fund - Uncompensated Care GRANT & SUBSIDY 1. Reflects a decrease in available Uncompensated Care funds in Fiscal Year : 2. Impact of the increase in the Federal Medical Assistance Percentage from percent to percent, effective October 1, 2015: State $ Federal $ Other $ Total $ ($1,139) ($1,225) $0 ($2,364) ($95) $95 $0 $0 TOTAL ($1,234) ($1,130) $0 ($2,364) 181

Impact of the increase in the Federal Medical Assistance Percentage from 51.82 percent to 52.

5 TOBACCO SETTLEMENT FUND - UNCOMPENSATED CARE PROGRAM STATEMENT The Tobacco Settlement Act of 2001 (Act 77) established the Uncompensated Care program to provide funding to -hospitals in Pennsylvania for the cost of care provided to uninsured patients or those who are runable to pay for services rendered by the hospital. The payments are made annually to qualified acute, psychiatric and rehabilitative care hospitals. 182

cost of care provided to uninsured patients or those who are runable to pay for services rendered by the

DHS BUDGET REQUEST FOR FY 2015-2016 ($ Amounts in Thousands)

DHS BUDGET REQUEST FOR FY 2015-2016 ($ Amounts in Thousands) Page # of Governor's Executive Budget: APPROPRIATION: Pp. C1.8, C3-4, E30.6, E30.8, E30.15, 30.17 Medical Assistance - Transportation I. SUMMARY