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or she would receive if eligible for medicaid, using state-only funds 1 to the extent necessary. 2 (((18))) (15) $3,733,000 of the general fund—state appropriation 3 for fiscal year 2022, (($4,261,000)) $3,785,000 of the general fund— 4 state appropriation for fiscal year 2023, and (($9,050,000)) 5 $9,553,000 of the general fund—federal appropriation are provided 6 solely for low-income disproportionate share hospital payments. 7 (((19))) (16) Within the amounts appropriated in this section, 8 the health care authority shall provide disproportionate share 9 hospital payments to hospitals that provide services to children in 10 the children's health program who are not eligible for services under 11 Title XIX or XXI of the federal social security act due to their 12 citizenship status. 13 (((20))) (17) $7,000,000 of the general fund—federal 14 appropriation is provided solely for supplemental payments to nursing 15 homes operated by public hospital districts. The public hospital 16 district shall be responsible for providing the required nonfederal 17 match for the supplemental payment, and the payments shall not exceed 18 the maximum allowable under federal rules. It is the legislature's 19 intent that the payments shall be supplemental to and shall not in 20 any way offset or reduce the payments calculated and provided in 21 accordance with part E of chapter 74.46 RCW. It is the legislature's 22 further intent that costs otherwise allowable for rate-setting and 23 settlement against payments under chapter 74.46 RCW shall not be 24 disallowed solely because such costs have been paid by revenues 25 retained by the nursing home from these supplemental payments. The 26 supplemental payments are subject to retrospective interim and final 27 cost settlements based on the nursing homes' as-filed and final 28 medicare cost reports. The timing of the interim and final cost 29 settlements shall be at the health care authority's discretion. 30 During either the interim cost settlement or the final cost 31 settlement, the health care authority shall recoup from the public 32 hospital districts the supplemental payments that exceed the medicaid 33 cost limit and/or the medicare upper payment limit. The health care 34 authority shall apply federal rules for identifying the eligible 35 incurred medicaid costs and the medicare upper payment limit. 36 (((21))) (18) The health care authority shall continue the 37 inpatient hospital certified public expenditures program for the 38 2021-2023 fiscal biennium. The program shall apply to all public 39 p. 962 ESSB 5187.SL