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Decision Package
Department of Medical Assistance Services (602)
Request Title Reduce appropriation to reflect the impact of DSH cuts on state behavioral health facilities
Biennium 2018-2020
Budget Round Initial Bill
Category Other spending or initiatives
Region Multiple Regions
Description

Reduces the appropriation (general fund and federal) that is used to provide Disproportionate Share Hospital (DSH) payments to two behavioral health facilities (Piedmont Geriatric Hospital and Catawba Hospital) operated by the Department of Behavioral Health and Developmental Services. DSH payments are made to qualifying hospitals that serve a large number of Medicaid and uninsured individuals. The Patient Protection and Affordable Care Act (ACA, P. L. 111-148 as amended) reduces DSH funding to all states beginning in federal FY 2018 (cuts were originally supposed to begin in FY 2014 but have been delayed). As such, it is expected that the payments (total funds) to Piedmont and Catawba will be reduced $907,820 in FY 2019 and $1,270,948 in FY 2020 (half of these amounts are general fund).

Funding Summary
Object Type FY 2018 FY 2019  
General Fund Dollars ($453,910) ($635,474)  
Nongeneral Fund Dollars ($453,910) ($635,474)  
General Fund Positions 0.00 0.00  
Nongeneral Positions 0.00 0.00  
General Fund Transfers $0 $0  
General Fund Revenue $0 $0  
Layoffs $0 $0  
Additions to Balance $0 $0  
Funding Details
By Program Program Code Program Title FY 2018 FY 2019
  456 Medicaid Program Services ($907,820) ($1,270,948)
By Fund Fund Code Fund Title FY 2018 FY 2019
  01000 General Fund ($453,910) ($635,474)
  10000 Federal Trust ($453,910) ($635,474)
Authorized Position Details
By Program Program Code Program Title FY 2018 FY 2019


p3_opview - Official Enacted Budget View Operating Bullet Details - 06-03-2025 22:06:58