No. HB 4041
Filed under Healthcare.
Compensation for Health Care Services for Inmates in Indian River County; Limits compensation to health care provider that provides any medical services for inmate housed in Indian River County detention center under certain conditions; requires certain compensation for specified hospital that provides medical services for specified inmates if hospital does not have contract with county to provide such services; limits compensation to entity that provides emergency medical transportation services for inmate housed in Indian River County detention center if entity does not have contract with county to provide such services.
Plain English Summary
AI-GENERATEDSets pay rates for an uncontracted provider treating an inmate in the Indian River County detention center. General medical care is capped at 110% of the Medicare rate, or 125% with a reported negative operating margin.
A hospital designated as a trauma center must be paid exactly 175% of the Medicare rate for treating an inmate classified as a trauma alert victim, if it lacks a county contract. Ambulance and air-ambulance transport for these inmates is separately capped at 110%.
The definition of covered 'health care provider' spans hospitals, physicians, osteopathic and podiatric physicians, HMOs, ambulatory surgical centers, and group practices, but excludes abortion clinics and a physician's or dentist's private office. None of these rate rules apply to Indian River County's own hospital.
AIA health care provider with no contract with Indian River County to provide inmate medical services may not be paid more than 110% of the Medicare allowable rate for treating a detention center inmate.
AIA health care provider with no county contract may be paid up to 125%, instead of 110%, of the Medicare allowable rate if it reported a negative operating margin for the previous year to AHCA through hospital-audited financial data.
AIA hospital designated as a trauma center, with no county contract, must be paid exactly 175% of the Medicare allowable rate to treat an inmate classified as a trauma alert victim -- a required rate, not merely a ceiling.
AIAn entity providing emergency medical transportation for a detention center inmate, without a county contract for that service, may not be paid more than 110% of the Medicare allowable rate.
AINone of these Medicare-rate ceilings or required rates apply to charges for medical services provided at a hospital that Indian River County itself operates.