GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2001
H	4
HOUSE BILL 1147
 Committee Substitute Favorable 4/23/01
 Senate Health Care Committee Substitute Adopted 9/10/01 
Fourth Edition Engrossed 9/11/01 

Short Title:	Hospital Temporary Bed Increases.	()	
Sponsors:	     	
Referred to:	     	
April 12, 2001

A BILL TO BE ENTITLED
AN ACT TO PERMIT A HOSPITAL TO TEMPORARILY INCREASE ITS BED CAPACITY AFTER NOTIFYING THE DIVISION OF FACILITY SERVICES; PERTAINING TO HOSPITAL PAYMENTS FOR TREATMENT AND SERVICES RENDERED TO WORKERS' COMPENSATION PATIENTS; and to direct the medical care commission to adopt temporary rules for the licensing of neonatal care beds.  

The General Assembly of North Carolina enacts:
SECTION 1.  Chapter 131E of the General Statutes is amended by adding a new section to read:
"§ 131E-83.  Temporary change of hospital bed capacity.
A hospital may temporarily increase its bed capacity by up to ten percent (10%) over its licensed bed capacity by utilizing observation beds for hospital inpatients if the hospital notifies and obtains the approval of the Division of Facility Services. For purposes of this section, 'temporarily' means not longer than 60 consecutive days."
SECTION 2.  Notwithstanding G.S. 150B‑21.1(a), the Medical Care Commission shall adopt temporary rules setting forth conditions for licensing all levels of neonatal care beds.  After having the proposed temporary rules published in the North Carolina Register and at least 30 days prior to adopting any temporary rules pursuant to this section, the Commission shall:
(1)	Notify persons on its mailing list maintained pursuant to G.S. 150B‑21.2(d) and any other interested parties of its intent to adopt the temporary rules.
(2)	Accept oral and written comments on the proposed temporary rules.
(3)	Hold at least one public hearing on the proposed temporary rules.
When the Commission adopts temporary rules pursuant to this section, the Commission shall submit a reference to this section as the Commission's statement of need to the Codifier of Rules. The Codifier of Rules shall review the Commission's proposed temporary rules in accordance with G.S. 150B‑21.1(b).
SECTION 3.  G.S. 96-27(b) reads as rewritten:
"(b)	Hospital Fees. – Each hospital subject to the provisions of this subsection shall be reimbursed the amount provided for in this subsection unless it has agreed under contract with the insurer, managed care organization, employer (or other payor obligated to reimburse for inpatient hospital services rendered under this Chapter) to accept a different amount or reimbursement methodology.
Except as otherwise provided herein, payment for medical treatment and services rendered to workers' compensation patients by a hospital shall be a reasonable fee determined by the Commission.  Effective September 16, 2001, through June 30, 2002, the fee shall be the following amount unless the Commission adopts a different fee schedule in accordance with the provisions of this section:
(1)	For inpatient hospital services, the amount that the hospital would have received for those services as of June 30, 2001.  The payment shall not be more than a maximum of one hundred percent (100%) of the hospital's itemized charges as shown on the UB-92 claim form nor less than the minimum percentage for payment of inpatient DRG claims that was in effect as of June 30, 2001.
(2)	For outpatient hospital services and any other services that were reimbursed as a discount off of charges under the State Plan as of June 30, 2001, the amount calculated by the Commission as a percentage of the hospital charges for such services.  The percentage applicable to each hospital shall be the percentage used by the Commission to determine outpatient rates for each hospital as of June 30, 2001.
(3)	For any other services, a reasonable fee as determined by the Industrial Commission.
Notwithstanding any other provisions of law, the Commission's determination of payment rates under this subsection shall:
(1)	Comply with the procedures for adoption of a fee schedule established in G.S. 97-26(a);
(2)	Include publication of the proposed payment rate, and a summary of the data and calculations on which the rate is based at least 90 days before the proposed effective date;
(3)	Be subject to the declaratory ruling provisions of G.S. 150B-4; and
(4)	Be deemed to constitute a final permanent rule under Article 2A of Chapter 150B for purposes of judicial review under Article 4 of that Chapter.

A hospital's itemized charges on the UB-92 claim form for workers' compensation services shall be the same as itemized charges for like services for all other payers."
SECTION 4.  Section 1 of this act becomes effective November 1, 2001.  Section 2 of this act is effective when it becomes law and expires 180 days from the effective date.  Section 3 of this act becomes effective September 15, 2001. The remainder of this act is effective when it becomes law.