[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5657 Introduced in House (IH)]







110th CONGRESS
  2d Session
                                H. R. 5657

  To clarify the authority of States to use funds as the non-Federal 
  share of Medicaid expenditures for certain regional medical centers.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 31, 2008

  Mr. Cohen introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To clarify the authority of States to use funds as the non-Federal 
  share of Medicaid expenditures for certain regional medical centers.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. CLARIFICATION OF TREATMENT OF STATE AUTHORITY TO USE FUNDS 
              AS THE NON-FEDERAL SHARE OF MEDICAID EXPENDITURES FOR 
              CERTAIN REGIONAL MEDICAL CENTERS.

    (a) In General.--Nothing in section 1903(w) of the Social Security 
Act (42 U.S.C. 1396b(w)) shall be construed by the Secretary of Health 
and Human Services as prohibiting a State's use of funds as the non-
Federal share of expenditures under title XIX of such Act where such 
funds are transferred from or certified by a publicly-owned regional 
medical center located in another State and described in subsection 
(b), so long as the Secretary determines that such use of funds is 
proper and in the interest of the program under title XIX.
    (b) Center Described.--A center described in this subsection is a 
publicly-owned regional medical center that--
            (1) provides level 1 trauma and burn care services;
            (2) provides level 3 neonatal care services;
            (3) is obligated to serve all patients, regardless of 
        ability to pay;
            (4) is located within a Standard Metropolitan Statistical 
        Area (SMSA) that includes at least 3 States;
            (5) provides services as a tertiary care provider for 
        patients residing within a 125-mile radius; and
            (6) meets the criteria for a disproportionate share 
        hospital under section 1923 of such Act (42 U.S.C. 1396r-4) in 
        at least one State other than the State in which the center is 
        located.
                                 <all>