HB 602-FN-A – AS INTRODUCED
2011 SESSION
01/09
HOUSE BILL 602-FN-A
AN ACT relative to funding the law requiring reporting of health care acquired infections.
SPONSORS: Rep. C. McMahon, Rock 4
COMMITTEE: Commerce and Consumer Affairs
This bill establishes a fee for ambulatory surgical centers required to report acquired infections and clarifies the fee required to be paid by hospitals. This bill also establishes a fund to be used for purposes of administration of the hospital and ambulatory surgical facility acquired infection law.
This bill was requested by the department of health and human services.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
11-0852
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eleven
AN ACT relative to funding the law requiring reporting of health care acquired infections.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Hospital and Ambulatory Surgical Facility Fee. Amend RSA 151:36 to read as follows:
151:36 Hospital Fee and Ambulatory Surgical Facility Fee; Fund Established.
I. Any hospital or ambulatory surgical facility required to report [infections] pursuant to this subdivision shall include, in its reports to the department, its [inpatient census] gross revenue for the previous year. The department shall assess a fee upon each hospital and each ambulatory surgical facility required to report under this subdivision based upon [the percentage of the hospital’s inpatient census, which] .001 percent of the reported gross revenue. The [fee] fees shall be used to fund the requirements of this subdivision. The department shall adopt rules, pursuant to RSA 541-A, relative to a payment schedule and a rate adequate to fund the requirements of this subdivision for each fiscal year. [For the purposes of this section, “inpatient census” means the average number of inpatients per year for each hospital.]
II. There is hereby established the health care acquired infection fund. The fund shall consist of moneys from the fees collected in accordance with paragraph I and shall be used to carry out the provisions of this subdivision. The fund shall be nonlapsing and continually appropriated to the commissioner for the purposes of this subdivision.
2 New Subparagraph; Hospital and Ambulatory Surgical Facility Fee. Amend RSA 6:12, I(b) by inserting after subparagraph (304) the following new subparagraph:
(305) Moneys deposited in the health care acquired infection fund under RSA 151:36, II.
3 Effective Date. This act shall take effect July 1, 2011.
LBAO
11-0852
Revised 01/27/11
HB 602 FISCAL NOTE
AN ACT relative to funding the law requiring reporting of health care acquired infections.
FISCAL IMPACT:
The Department of Health and Human Services states this bill will have an indeterminable fiscal impact on state restricted revenue and expenditures in FY 2012 and in each year thereafter. There will be no fiscal impact on county and local revenue or expenditures.
METHODOLOGY:
The Department states this bill establishes a fee for ambulatory surgical centers required to report healthcare-acquired infections, clarifies the fee required to be paid by hospitals and establishes the health care acquired infection fund. Fees paid by hospitals and ambulatory surgical centers, based on .001 percent of gross revenue, will support the cost to the state of administering the hospital and ambulatory surgical facility acquired infection law. The Department does not have current data on gross revenues for hospitals and ambulatory care centers and therefore can not determine the fiscal impact. The operating budget request proposed by the Department for this program was $170,000 for FY 2012 and $171,000 for FY 2013 based on 2008 hospital data only. Since the law applies to all licensed hospitals, and psychiatric and rehabilitation hospitals facilities do not perform the procedures being monitored, the Department assumed these facilities would pay a flat fee equal to the fee paid by the smallest acute care hospital.