Sec. 603. State health security budgets
437 words·~2 min read·
/bill/113/hr/1200/ih/section-603·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Each State health security program shall establish and submit to the Board for each year a proposed and a final State health security budget, which specifies the following: The total expenditures (including expenditures for administrative costs) to be made under the program in the State for covered health care services under this Act, consistent with subsection (b), broken down as follows: By the 4 components (described in section 601(a)(2)), consistent with subsection (b). Within the operating component— expenditures for operating costs of hospitals and other facility-based services in the State; expenditures for payment to comprehensive health service organizations; expenditures for payment of services provided by health care practitioners; and expenditures for other covered items and services.
Amounts included in the operating component include amounts that may be used by providers for capital expenditures. The total revenues required to meet the State health security expenditures. The proposed budget for a year shall be submitted under paragraph
(1)not later than June 1 before the year. The final budget for a year shall— be established and submitted under paragraph
(1)not later than October 1 before the year, and take into account the amounts established under the national health security budget under section 601 for the year. Subject to subparagraphs
(B)and (C), in the case of a final budget, a State may change the allocation of amounts among components. No such change may be made unless the State has provided prior notice of the change to the Board. Such a change may not be made if the Board, within such time period as the Board specifies, disapproves such change. The total expenditures specified in each State health security budget under subsection (a)(1) shall take into account Federal contributions made under section 604. Each State health security budget shall provide that State administrative expenditures, including expenditures for claims processing and billing, shall not exceed 3 percent of the total expenditures under the State health security program, unless the Board determines, on a case-by-case basis, that additional administrative expenditures would improve health care quality and cost effectiveness. A State health security program may provide that, for budgets for years before 2017, up to 1 percent of the budget may be used for purposes of programs providing assistance to workers who are currently performing functions in the administration of the health insurance system and who may experience economic dislocation as a result of the implementation of the program. Nothing in this title shall be construed as preventing a State health security program from providing for a process for the approval of capital expenditures based on information derived from regional planning agencies.