SB 650
Designating psychiatric hospital that treats exclusively civil and forensic patients
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- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill designates a psychiatric hospital in West Virginia as a ‘state-designated facility’ for specific tax purposes related to Medicaid funding. The hospital must treat primarily civil and forensic patients committed from state custody or state hospitals and maintain an inpatient census of over 95% of such patients. The bill aims to ensure that these hospitals receive increased tax revenue to support West Virginia Medicaid and a directed payment program, subject to federal guidelines and certain conditions.
Key provisions
- Designates a psychiatric hospital as a ‘state-designated facility’ based on patient mix (over 95% forensic/civil involuntary commitments).
- Increases hospital taxes to contribute to non-federal share funding for Medicaid.
- Establishes a dedicated account (Eligible Facility Directed Payment Program Enhancement Account) for collected tax revenue.
- Funds from this account can only be used to support West Virginia Medicaid and the directed payment program.
- Suspends tax collection if federal guidelines are impacted.
- Transfers remaining funds from the enhancement account to the West Virginia Medical Services Fund annually.
- The designation and related tax changes become effective upon CMS approval of a state plan amendment.
- Defines ‘eligible hospital’ based on whether it is a state-owned facility or certain other types of hospitals.
Who is affected
- Psychiatric hospitals
- West Virginia Medicaid recipients
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