HB 532 would lay the groundwork to recreate a “sick tax” levied on
those admitted into hospitals that indirectly would be passed on to consumers. But
it also would eliminate flexibility in reimbursement rates paid by the state to
hospitals by locking them and guaranteeing adjustment upwards by inflation
rate, removing completely the idea of payment on the basis of market
conditions. HB 533 would extend this to other providers where payment is made
for nursing homes, pharmacies, intermediate care facilities, medical
transporters, and managed care organizations with Medicaid contracts. Exceptions
to the automatic adjustments could be made in times of budget deficit as long
as all other providers are cut similarly.
Were these constitutional amendments offered by House Speaker Chuck Kleckley
to pass, this could commit the state to paying excess taxpayer dollars to fund
these special interests, if the market rate went below the rate being paid.
Worse, it leaves out one set of providers that is different from all of these: those
for home- and community-based waiver services. This means in times of budgetary
stress only these rates could be cut, or they could be cut at least as much as
the other shielded providers’. In essence, this also would decouple the rates
being paid from market considerations, as these rates now would be held hostage
to external factors created by the inability to cut other rates or would have
to be cut in concert with the others regardless of the market conditions
affecting them.