Page 220

in the program in each fiscal year of the biennium shall be compared 1 to a baseline amount. The baseline amount will be determined by the 2 total of (a) the inpatient claim payment amounts that would have been 3 paid during the fiscal year had the hospital not been in the CPE 4 program based on the reimbursement rates developed, implemented, and 5 consistent with policies approved in the 2023-2025 biennial operating 6 appropriations act and in effect on July 1, 2015, (b) one-half of the 7 indigent assistance disproportionate share hospital payment amounts 8 paid to and retained by each hospital during fiscal year 2005, and 9 (c) all of the other disproportionate share hospital payment amounts 10 paid to and retained by each hospital during fiscal year 2005 to the 11 extent the same disproportionate share hospital programs exist in the 12 2019-2021 fiscal biennium. If payments during the fiscal year exceed 13 the hospital's baseline amount, no additional payments will be made 14 to the hospital except the federal portion of allowable 15 disproportionate share hospital payments for which the hospital can 16 certify allowable match. If payments during the fiscal year are less 17 than the baseline amount, the hospital will be paid a state grant 18 equal to the difference between payments during the fiscal year and 19 the applicable baseline amount. Payment of the state grant shall be 20 made in the applicable fiscal year and distributed in monthly 21 payments. The grants will be recalculated and redistributed as the 22 baseline is updated during the fiscal year. The grant payments are 23 subject to an interim settlement within 11 months after the end of 24 the fiscal year. A final settlement shall be performed. To the extent 25 that either settlement determines that a hospital has received funds 26 in excess of what it would have received as described in this 27 subsection, the hospital must repay the excess amounts to the state 28 when requested. $237,000 of the general fund—state appropriation for 29 fiscal year 2024 and $218,000 of the general fund—state appropriation 30 for fiscal year 2025 are provided solely for state grants for the 31 participating hospitals. 32 (16) The health care authority shall seek public-private 33 partnerships and federal funds that are or may become available to 34 provide ongoing support for outreach and education efforts under the 35 federal children's health insurance program reauthorization act of 36 2009. 37 (17) The health care authority shall target funding for maternity 38 support services towards pregnant women with factors that lead to 39 higher rates of poor birth outcomes, including hypertension, a 40 p. 219 ESSB 5187.SL