03. Hospital provider fee. (a) Beginning October 1, 2019, and subject to § 44-664.04, the District may charge each hospital a fee based on its outpatient gross patient revenue. The fee shall be charged at a uniform rate necessary to generate the following: (1) An amount equal to the non-federal share of the total available spending room under the outpatient Medicaid upper payment limit for private hospitals applicable to District Fiscal Year 2020, consistent with requirements and approvals from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services; plus (2) An amount equal to the non-federal share of the total available spending room under the outpatient Medicaid upper payment limit for District operated hospitals applicable to District Fiscal Year 2020, consistent with the federal approval of the authorizing Medicaid State Plan amendment or associated templates and other authorities; plus (3) An amount equal to the Department's administrative expenses as described in § 44-664.02(c)(2). (b)(1) Except as provided in paragraph (2) of this subsection, the following hospitals shall be exempt from the fee imposed under subsection administrative expenses as described in § 44-664.02(c)(2). (b)(1) Except as provided in paragraph (2) of this subsection, the following hospitals shall be exempt from the fee imposed under subsection (a) of this subsection: (A) A psychiatric hospital that is an agency or a unit of the District government; and (B) Howard University Hospital. (2) If an exemption provided to a hospital by paragraph (1) of this subsection is not approved for a provider tax waiver from the Centers for Medicare and Medicaid Services (if such waiver is determined to be necessary), the hospital shall be subject to the fee imposed under subsection (a) of this section. (Dec. 13, 2017, D.C. Law 22-33, § 5064, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5032(b), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5082(b), 66 DCR 8621; Dec. 3, 2020, D.C. Law 23-149, § 5002(c), 67 DCR 10493; Sept. 18, 2024, D.C. Law 25-217, § 5042(b), 71 DCR 9990.) Emergency Legislation For temporary (90 days) amendment of this section, see § 5042(b) of Fiscal Year 2025 Budget Support Emergency Act of 2024 (D.C. Act 25-506, July 15, 2024, 71 DCR 8406). R 9990.) Emergency Legislation For temporary (90 days) amendment of this section, see § 5042(b) of Fiscal Year 2025 Budget Support Emergency Act of 2024 (D.C. Act 25-506, July 15, 2024, 71 DCR 8406). For temporary (90 days) amendment of this section, see § 5082(b) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964). For temporary (90 days) amendment of this section, see § 5082(b) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497). For temporary (90 days) amendment of this section, see § 5032(b) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212). For temporary (90 days) amendment of this section, see § 5032(b) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200). For temporary (90-day) creation of this section, see § 5064 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802). temporary (90-day) creation of this section, see § 5064 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802). For temporary (90-day) creation of this section, see § 5064 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
District of Columbia Legal Code