Sections 31, 32, 33, 34, 35 & 36: Division of Health Care Finance and Policy Definitions

As used in this chapter, the following words shall, unless the context clearly requires otherwise, have the following meanings: [unchanged text not shown]

“Non-providing employer”, an employer of a state-funded employee, as defined in this section; provided, however, that the term “non- providing employer” shall not include:

(i) an employer who complies with chapter 151F for such employee;

 

(ii) an employer that is signatory to or obligated under a negotiated, bona fide collective bargaining agreement between such employer and bona fide employee representative which agreement governs the employment conditions of such person receiving free care;

 

(iii) an employer who participates in the Insurance Partnership Program; or

 

(iv) an employer that employs not more than 10. For the purposes of this definition, an employer shall not be considered to pay for or arrange for the purchase of health care services provided by acute hospitals and ambulatory surgical centers by making or arranging for any payments to the uncompensated care pool. [unchanged text not shown]


“Payments from non-providing employers”, all amounts paid to the Uncompensated Care Trust Fund or the General Fund or any successor fund by non-providing employers. [unchanged text not shown]

“State-funded employee”, any employed person, or dependent of such person, who receives, on more than 3 occasions during any hospital fiscal year, health services paid for as free care; or any employed persons, or dependents of such persons, of a company that has 5 or more occurrences of health services paid for as free care by all employees in aggregate during any fiscal year. An occurrence shall include all healthcare related services incurred during a single visit to a health care professional. [unchanged text not shown]

 

Summary: 

Makes technical language changes in the defintions section of the Division of Health Care Finance and Policy statute. The changes relate to the replacement of the Uncompensated Care Pool program with the Health Safety Net.