Connecticut General Statutes
Chapter 368z - Health Systems Planning Unit
Section 19a-632. (Formerly Sec. 19a-148b). - Calculation of assessment and costs.

(a) On or before September first, annually, the Health Systems Planning Unit shall determine (1) the total net revenue of each hospital for the most recently completed hospital fiscal year beginning October first; and (2) the proposed assessment on the hospital for the state fiscal year. The assessment on each hospital shall be calculated by multiplying the hospital's percentage share of the total net revenue specified in subdivision (1) of this subsection times the costs of the unit, as determined in subsection (b) of this section.

(b) The costs of the unit shall be the total of (1) the amount appropriated for expenses for the operation of the unit for the fiscal year, as estimated by the Comptroller, (2) the cost of fringe benefits for unit personnel for such year, as estimated by the Comptroller, (3) the amount of expenses for central state services attributable to the unit for the fiscal year as estimated by the Comptroller, and (4) the estimated expenditures on behalf of the unit from the Capital Equipment Purchase Fund pursuant to section 4a-9 for such year, provided for purposes of this calculation the amount of expenses for the operation of the unit for the fiscal year as estimated by the Comptroller, plus the cost of fringe benefits for personnel, the amount of expenses for said central state services for the fiscal year as estimated by the Comptroller, and said estimated expenditures from the Capital Equipment Purchase Fund pursuant to section 4a-9 shall be deemed to be the actual expenditures of the unit.
(c) On or before December thirty-first, annually, for each fiscal year, each hospital shall pay the unit twenty-five per cent of its proposed assessment, adjusted to reflect any credit or amount due under the recalculated assessment for the preceding state fiscal year as determined pursuant to subsection (d) of this section or any reapportioned assessment pursuant to subsection (b) of section 19a-631. The hospital shall pay the remaining seventy-five per cent of its assessment to the unit in three equal installments on or before the following March thirty-first, June thirtieth and September thirtieth, annually.
(d) Immediately following the close of each state fiscal year the executive director shall recalculate the proposed assessment for each hospital based on the costs of the unit in accordance with subsection (b) of this section using the actual expenditures made by the unit during that fiscal year and the actual expenditures made on behalf of the unit from the Capital Equipment Purchase Fund pursuant to section 4a-9. On or before August thirty-first, annually, the unit shall render to each hospital a statement showing the difference between the respective recalculated assessment and the amount previously paid. On or before September thirtieth, the executive director, after receiving any objections to such statements, shall make such adjustments which in said executive director's opinion may be indicated and shall render an adjusted assessment, if any, to the affected hospitals. Adjustments to reflect any credit or amount due under the recalculated assessment for the previous state fiscal year shall be made to the proposed assessment due on or before December thirty-first of the following state fiscal year.
(e) If any assessment is not paid when due, the executive director shall impose a fee equal to (1) two per cent of the assessment if such failure to pay is for not more than five days, (2) five per cent of the assessment if such failure to pay is for more than five days but not more than fifteen days, or (3) ten per cent of the assessment if such failure to pay is for more than fifteen days. If a hospital fails to pay any assessment for more than thirty days after the date when due, the executive director may, in addition to the fees imposed pursuant to this subsection, impose a civil penalty of up to one thousand dollars per day for each day past the initial thirty days that the assessment is not paid. Any civil penalty authorized by this subsection shall be imposed by the executive director in accordance with subsections (b) to (e), inclusive, of section 19a-653.
(f) The unit shall deposit all payments received pursuant to this section with the State Treasurer. The moneys so deposited shall be credited to the General Fund and shall be accounted for as expenses recovered from hospitals.
(P.A. 93-229, S. 19, 21; P.A. 95-257, S. 39, 43, 58; P.A. 98-22, S. 2, 3; P.A. 03-222, S. 1; P.A. 06-64, S. 4; Sept. Sp. Sess. P.A. 09-3, S. 7; P.A. 11-242, S. 86; P.A. 18-91, S. 20.)
History: P.A. 93-229 effective June 4, 1993; P.A. 95-257 replaced Commission on Hospitals and Health Care with Office of Health Care Access, “commission” with “office” and “chairman of the commission” with “commissioner” and amended Subsecs. (a)(1) and Subsec. (b)(4) to qualify expenditures as those accountable or attributable to the functions of the office, effective July 1, 1995; Sec. 19a-148b transferred to Sec. 19a-632 in 1997; P.A. 98-22 deleted, in Subsecs. (a) and (b), reference to expenditures “which are accountable to the functions of the office transferred from the Commission on Hospitals and Health Care,” changed “total of that portion of” to “total of” in Subsec. (b), inserted “or any reapportioned assessment pursuant to subsection (b) of section 19a-631” in Subsec. (c) and required the “office” rather than the “commissioner” to render recalculated assessments in Subsec. (d), effective July 1, 1998; P.A. 03-222 amended Subsec. (d) by changing due date of statement from office to hospital from July thirty-first to August thirty-first, changing due date of adjusted assessment from August thirty-first to September thirtieth and making a technical change, effective July 1, 2003; P.A. 06-64 deleted Subsec. (g) re inclusion of assessments in computation of net and gross revenue caps, effective July 1, 2006; Sept. Sp. Sess. P.A. 09-3 amended Subsec. (b) by adding “for expenses” and “as estimated by the Comptroller,” in Subdiv. (1) and by replacing “so appropriated” with “of expenses for the operation of the office for the fiscal year as estimated by the Comptroller,” in Subdiv. (4), effective October 6, 2009; P.A. 11-242 amended Subsec. (e) by replacing provision re fee and interest charged when assessment is not timely paid with provision re late fee based on number of days that assessment payment is overdue and by adding provisions permitting commissioner to impose a civil penalty not to exceed $1000 per day for each day past initial 30 days that assessment is not paid, effective July 1, 2011; P.A. 18-91 replaced references to Office of Health Care Access with references to Health Systems Planning Unit, and amended Subsecs. (d) and (e) by replacing references to commissioner with references to executive director, effective May 14, 2018.
Annotation to former section 19a-148b:
Cited. 235 C. 128.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 19a - Public Health and Well-Being

Chapter 368z - Health Systems Planning Unit

Section 19a-610. - Short title: Office of Health Care Access Act.

Section 19a-611. - Definitions.

Section 19a-612. - Health Systems Planning Unit within Office of Health Strategy.

Section 19a-612a. - Office within Department of Public Health for administrative purposes only.

Section 19a-612b. - Office of Health Care Access to be successor agency to the Commission on Hospitals and Health Care.

Section 19a-612c. - Term “Commission on Hospitals and Health Care” deemed to mean “Office of Health Care Access”.

Section 19a-612d. - Health Systems Planning Unit overseen by executive director of the Office of Health Strategy.

Section 19a-613. - Powers and duties. Data collection.

Section 19a-614. - Support staff and consultants.

Section 19a-615. - Health Care Reform Review Board. Reports.

Section 19a-616. - Connecticut Health Care Data Institute. Regulations.

Section 19a-617. - Advisory board.

Section 19a-617a. - Demonstration project converting acute care hospital to provider of other medical services. Certificate of need waiver, property tax abatement.

Section 19a-617b. - Demonstration project for long-term acute care hospitals or satellite facilities. Waiver of licensure requirements. Certificate of need. Report.

Section 19a-617c. - Payments for services provided in long-term acute care hospitals or satellite facilities.

Section 19a-618 to 19a-622. - Definitions. Collection; methodology; reporting requirements. Fee schedule; reports, analyses and studies. Confidentiality of data. Filing of data with institute.

Section 19a-630. (Formerly Sec. 19a-145). - Definitions.

Section 19a-630a. - Affiliate deemed controlled by another person.

Section 19a-631. (Formerly Sec. 19a-148a). - Assessments of hospitals for expenses of the unit.

Section 19a-632. (Formerly Sec. 19a-148b). - Calculation of assessment and costs.

Section 19a-632a. - Payment of assessment by electronic funds transfer.

Section 19a-633. (Formerly Sec. 19a-149). - Investigative powers.

Section 19a-634. (Formerly Sec. 19a-150). - State-wide health care facility utilization study. State-wide health care facilities and services plan. Inventory of health care facilities, equipment and services.

Section 19a-635 and 19a-636. (Formerly Secs. 19a-151 and 19a-152). - Rate-setting powers. Requests for approval of lesser increases.

Section 19a-637. (Formerly Sec. 19a-153). - Office to promote effective health planning in the state.

Section 19a-637a. - Short-term acute care general or children's hospitals to submit budgets for next hospital fiscal year.

Section 19a-638. (Formerly Sec. 19a-154). - Certificate of need. When required and not required. Request for unit determination. Policies, procedures and regulations.

Section 19a-639. (Formerly Sec. 19a-155). - Certificate of need guidelines and principles. Application involving transfer of ownership of a hospital; denial; conditions on approval; hiring of post-transfer compliance reporter.

Section 19a-639a. - Certificate of need application process. Issuance of decision. Public hearings. Policies, procedures and regulations.

Section 19a-639b. - Certificate of need. Validity, extension, revocation and nontransferability. Policies, procedures and regulations.

Section 19a-639c. - Proposed relocation of a health care facility. Policies, procedures and regulations.

Section 19a-639d. - Certificate of need. Waiver for year 2000 computer capability.

Section 19a-639e. - Proposed termination of service by a health care facility. Policies, procedures and regulations.

Section 19a-639f. - Certificate of need involving hospital ownership. Cost and market impact review.

Section 19a-640. (Formerly Sec. 19a-156). - Submission and review of proposed budget. Hearing. Guidelines. Revisions.

Section 19a-641. (Formerly Sec. 19a-158). - Appeals.

Section 19a-642. (Formerly Sec. 19a-159). - Judicial enforcement.

Section 19a-643. (Formerly Sec. 19a-160). - Regulations.

Section 19a-644. (Formerly Sec. 19a-161). - Annual reports of short-term acute care general or children's hospitals. Regulations on affiliation or control of health care facilities and institutions. Required reporting of audited financial statements.

Section 19a-645. (Formerly Sec. 19a-162). - Taking of land to enlarge hospitals.

Section 19a-646. (Formerly Sec. 19a-166). - Negotiation of discounts and different rates and methods of payments with hospitals. Filing with the unit.

Section 19a-647. (Formerly Sec. 19a-166b). - Preferred provider network. Definitions. Filing requirements.

Section 19a-648. (Formerly Sec. 19a-167e). - Performance or billing by affiliates after the base year. Adjustments. Civil penalty.

Section 19a-649. (Formerly Sec. 19a-167f). - Uncompensated care. Annual submission of information.

Section 19a-650. (Formerly Sec. 19a-167g). - Regulations.

Section 19a-651. (Formerly Sec. 19a-167h). - Data requirement. Rate order compliance. Adjustment.

Section 19a-652. (Formerly Sec. 19a-167i). - Termination of prospective payment system. Savings clause.

Section 19a-653. (Formerly Sec. 19a-167j). - Failure to file data or information. Civil penalty. Notice. Extension. Hearing. Appeal. Deduction from Medicaid payments.

Section 19a-654. (Formerly Sec. 19a-167k). - Data submission requirements. Memorandum of understanding. Regulations.

Section 19a-655. (Formerly Sec. 19a-167l). - Hospital budget calculations for the fiscal year commencing October 1, 1993.

Section 19a-656 to 19a-658. (Formerly Secs. 19a-167m to 19a-167o). - Compliance assessment calculation for fiscal year commencing October 1, 1991, to be applied in fiscal year commencing fiscal year October 1, 1993. Request for adjustment to authoriz...

Section 19a-659. (Formerly Sec. 19a-170). - Definitions.

Section 19a-660. (Formerly Sec. 19a-168g). - Adjustments to orders.

Section 19a-661. (Formerly Sec. 19a-168i). - Penalty.

Section 19a-662. (Formerly Sec. 19a-168j). - Cost reduction plan requirement. Regulations.

Section 19a-663. (Formerly Sec. 19a-168p). - Bond authorization.

Section 19a-664 and 19a-665. (Formerly Secs. 19a-168s and 19a-168t). - Assessment factor for the uncompensated care pool adjustments for the fiscal year commencing October 1, 1993. Authorized governmental shortfall calculation for the fiscal year com...

Section 19a-666. (Formerly Sec. 19a-168u). - Uncompensated care pool expenditures.

Section 19a-667 and 19a-668. (Formerly Secs. 19a-168v and 19a-168w). - Uncompensated care pool termination; final settlement. Assistance for termination of uncompensated care pool.

Section 19a-669. (Formerly Sec. 19a-169). - Determination and information re disproportionate share payments and emergency assistance to families.

Section 19a-670. (Formerly Sec. 19a-169a). - Unit to report on review and financial stability of hospitals.

Section 19a-670a. - Application for federal approval by the Department of Social Services.

Section 19a-670b. - Construction with respect to children's general hospitals.

Section 19a-671 (Formerly Sec. 19a-169b) and 19a-671a. - Calculation and determination of payments. Adjustment of overpayments for disproportionate share-medical emergency assistance by reducing Medicaid payments.

Section 19a-671b. - Provisions for waiver of certain penalties and interest assessed pertaining to liability for taxes owed under chapter 211a or 219.

Section 19a-672 (Formerly Sec. 19a-169c) and 19a-672a. - Use of medical assistance disproportionate share-emergency assistance account funds. Payments when short-term general hospital changes ownership during fiscal year.

Section 19a-673. (Formerly Sec. 19a-169e). - Collections by hospitals and entities owned by or affiliated with a hospital from uninsured patients.

Section 19a-673. (Formerly Sec. 19a-169e). *(See end of section f - Collections by hospitals from uninsured patients.

Section 19a-673a. - Regulations re uniform debt collection standards for hospitals.

Section 19a-673b. - *(See end of section for amended version and effective date.) Initiation of debt collection activities.

Section 19a-673c. - Debt collection report.

Section 19a-673d. - *(See end of section for amended version and effective date.) Cessation of collection efforts upon debtor's eligibility for bed funds or other services.

Section 19a-674 and 19a-675. (Formerly Secs. 19a-170a and 19a-170b). - Net revenue limit. Filings for partial or detailed budget review; hearings.

Section 19a-676. (Formerly Sec. 19a-170c). - Compliance with authorized revenue limits.

Section 19a-676a. - Termination of net revenue compliance payments.

Section 19a-677. (Formerly Sec. 19a-170d). - Computation of relative cost of hospitals.

Section 19a-678. (Formerly Sec. 19a-170e). - Inflation factor.

Section 19a-679. (Formerly Sec. 19a-170f). - Computation of equivalent discharges. Inpatient and outpatient gross revenues and units of service.

Section 19a-680. (Formerly Sec. 19a-170g). - Net revenue limit interim adjustment.

Section 19a-681. - Definitions. Filing of current pricemaster. Charges to be in accordance with detailed schedule of charges on file. Penalty.

Section 19a-682. - Additional billing for services rendered from November 1, 1994, through June 1, 1995.

Section 19a-683. - Reconciliation account.