Statutes > Illinois Statutes > CHAPTER 305 PUBLIC AID > 305 ILCS 5/ Illinois Public Aid Code. > Article V-a - Hospital Provider Funding

Article V-a - Hospital Provider Funding


      (305 ILCS 5/Art. V‑A heading)
ARTICLE V‑A.
HOSPITAL PROVIDER FUNDING

    (305 ILCS 5/5A‑1)(from Ch. 23, par. 5A‑1)
    Sec. 5A‑1. Definitions. As used in this Article, unless the context requires otherwise:
    "Adjusted gross hospital revenue" shall be determined separately for inpatient and outpatient services for each hospital conducted, operated or maintained by a hospital provider, and means the hospital provider's total gross revenues less: (i) gross revenue attributable to non‑hospital based services including home dialysis services, durable medical equipment, ambulance services, outpatient clinics and any other non‑hospital based services as determined by the Illinois Department by rule; and (ii) gross revenues attributable to the routine services provided to persons receiving skilled or intermediate long‑term care services within the meaning of Title XVIII or XIX of the Social Security Act; and (iii) Medicare gross revenue (excluding the Medicare gross revenue attributable to clauses (i) and (ii) of this paragraph and the Medicare gross revenue attributable to the routine services provided to patients in a psychiatric hospital, a rehabilitation hospital, a distinct part psychiatric unit, a distinct part rehabilitation unit, or swing beds). Adjusted gross hospital revenue shall be determined using the most recent data available from each hospital's 2003 Medicare cost report as contained in the Healthcare Cost Report Information System file, for the quarter ending on December 31, 2004, without regard to any subsequent adjustments or changes to such data. If a hospital's 2003 Medicare cost report is not contained in the Healthcare Cost Report Information System, the hospital provider shall furnish such cost report or the data necessary to determine its adjusted gross hospital revenue as required by rule by the Illinois Department.
    "Fund" means the Hospital Provider Fund.
    "Hospital" means an institution, place, building, or agency located in this State that is subject to licensure by the Illinois Department of Public Health under the Hospital Licensing Act, whether public or private and whether organized for profit or not‑for‑profit.
    "Hospital provider" means a person licensed by the Department of Public Health to conduct, operate, or maintain a hospital, regardless of whether the person is a Medicaid provider. For purposes of this paragraph, "person" means any political subdivision of the State, municipal corporation, individual, firm, partnership, corporation, company, limited liability company, association, joint stock association, or trust, or a receiver, executor, trustee, guardian, or other representative appointed by order of any court.
    "Medicare bed days" means, for each hospital, the sum of the number of days that each bed was occupied by a patient who was covered by Title XVIII of the Social Security Act, excluding days attributable to the routine services provided to persons receiving skilled or intermediate long term care services. Medicare bed days shall be computed separately for each hospital operated or maintained by a hospital provider.
    "Occupied bed days" means the sum of the number of days that each bed was occupied by a patient for all beds, excluding days attributable to the routine services provided to persons receiving skilled or intermediate long term care services. Occupied bed days shall be computed separately for each hospital operated or maintained by a hospital provider.
    "Proration factor" means a fraction, the numerator of which is 53 and the denominator of which is 365.
(Source: P.A. 94‑242, eff. 7‑18‑05; 95‑859, eff. 8‑19‑08.)

    (305 ILCS 5/5A‑2)(from Ch. 23, par. 5A‑2)
    (Section scheduled to be repealed on July 1, 2013)
    Sec. 5A‑2. Assessment.
    (a) Subject to Sections 5A‑3 and 5A‑10, an annual assessment on inpatient services is imposed on each hospital provider in an amount equal to the hospital's occupied bed days multiplied by $84.19 multiplied by the proration factor for State fiscal year 2004 and the hospital's occupied bed days multiplied by $84.19 for State fiscal year 2005.
    For State fiscal years 2004 and 2005, the Department of Healthcare and Family Services shall use the number of occupied bed days as reported by each hospital on the Annual Survey of Hospitals conducted by the Department of Public Health to calculate the hospital's annual assessment. If the sum of a hospital's occupied bed days is not reported on the Annual Survey of Hospitals or if there are data errors in the reported sum of a hospital's occupied bed days as determined by the Department of Healthcare and Family Services (formerly Department of Public Aid), then the Department of Healthcare and Family Services may obtain the sum of occupied bed days from any source available, including, but not limited to, records maintained by the hospital provider, which may be inspected at all times during business hours of the day by the Department of Healthcare and Family Services or its duly authorized agents and employees.
    Subject to Sections 5A‑3 and 5A‑10, for the privilege of engaging in the occupation of hospital provider, beginning August 1, 2005, an annual assessment is imposed on each hospital provider for State fiscal years 2006, 2007, and 2008, in an amount equal to 2.5835% of the hospital provider's adjusted gross hospital revenue for inpatient services and 2.5835% of the hospital provider's adjusted gross hospital revenue for outpatient services. If the hospital provider's adjusted gross hospital revenue is not available, then the Illinois Department may obtain the hospital provider's adjusted gross hospital revenue from any source available, including, but not limited to, records maintained by the hospital provider, which may be inspected at all times during business hours of the day by the Illinois Department or its duly authorized agents and employees.
    Subject to Sections 5A‑3 and 5A‑10, for State fiscal years 2009 through 2013, an annual assessment on inpatient services is imposed on each hospital provider in an amount equal to $218.38 multiplied by the difference of the hospital's occupied bed days less the hospital's Medicare bed days.
    For State fiscal years 2009 through 2013, a hospital's occupied bed days and Medicare bed days shall be determined using the most recent data available from each hospital's 2005 Medicare cost report as contained in the Healthcare Cost Report Information System file, for the quarter ending on December 31, 2006, without regard to any subsequent adjustments or changes to such data. If a hospital's 2005 Medicare cost report is not contained in the Healthcare Cost Report Information System, then the Illinois Department may obtain the hospital provider's occupied bed days and Medicare bed days from any source available, including, but not limited to, records maintained by the hospital provider, which may be inspected at all times during business hours of the day by the Illinois Department or its duly authorized agents and employees.
    (b) (Blank).
    (c) (Blank).
    (d) Notwithstanding any of the other provisions of this Section, the Department is authorized, during this 94th General Assembly, to adopt rules to reduce the rate of any annual assessment imposed under this Section, as authorized by Section 5‑46.2 of the Illinois Administrative Procedure Act.
    (e) Notwithstanding any other provision of this Section, any plan providing for an assessment on a hospital provider as a permissible tax under Title XIX of the federal Social Security Act and Medicaid‑eligible payments to hospital providers from the revenues derived from that assessment shall be reviewed by the Illinois Department of Healthcare and Family Services, as the Single State Medicaid Agency required by federal law, to determine whether those assessments and hospital provider payments meet federal Medicaid standards. If the Department determines that the elements of the plan may meet federal Medicaid standards and a related State Medicaid Plan Amendment is prepared in a manner and form suitable for submission, that State Plan Amendment shall be submitted in a timely manner for review by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services and subject to approval by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services. No such plan shall become effective without approval by the Illinois General Assembly by the enactment into law of related legislation. Notwithstanding any other provision of this Section, the Department is authorized to adopt rules to reduce the rate of any annual assessment imposed under this Section. Any such rules may be adopted by the Department under Section 5‑50 of the Illinois Administrative Procedure Act.
(Source: P.A. 94‑242, eff. 7‑18‑05; 94‑838, eff. 6‑6‑06; 95‑859, eff. 8‑19‑08.)

    (305 ILCS 5/5A‑3)(from Ch. 23, par. 5A‑3)
    Sec. 5A‑3. Exemptions.
    (a) (Blank).
    (b) A hospital provider that is a State agency, a State university, or a county with a population of 3,000,000 or more is exempt from the assessment imposed by Section 5A‑2.
    (b‑2) A hospital provider that is a county with a population of less than 3,000,000 or a township, municipality, hospital district, or any other local governmental unit is exempt from the assessment imposed by Section 5A‑2.
    (b‑5) (Blank).
    (b‑10) For State fiscal years 2004 through 2013, a hospital provider, described in Section 1903(w)(3)(F) of the Social Security Act, whose hospital does not charge for its services is exempt from the assessment imposed by Section 5A‑2, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case the hospital provider shall pay the assessment imposed by Section 5A‑2.
    (b‑15) For State fiscal years 2004 and 2005, a hospital provider whose hospital is licensed by the Department of Public Health as a psychiatric hospital is exempt from the assessment imposed by Section 5A‑2, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case the hospital provider shall pay the assessment imposed by Section 5A‑2.
    (b‑20) For State fiscal years 2004 and 2005, a hospital provider whose hospital is licensed by the Department of Public Health as a rehabilitation hospital is exempt from the assessment imposed by Section 5A‑2, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case the hospital provider shall pay the assessment imposed by Section 5A‑2.
    (b‑25) For State fiscal years 2004 and 2005, a hospital provider whose hospital (i) is not a psychiatric hospital, rehabilitation hospital, or children's hospital and (ii) has an average length of inpatient stay greater than 25 days is exempt from the assessment imposed by Section 5A‑2, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case the hospital provider shall pay the assessment imposed by Section 5A‑2.
    (c) (Blank).
(Source: P.A. 94‑242, eff. 7‑18‑05; 95‑859, eff. 8‑19‑08.)

    (305 ILCS 5/5A‑4)(from Ch. 23, par. 5A‑4)
    Sec. 5A‑4. Payment of assessment; penalty.
    (a) The annual assessment imposed by Section 5A‑2 for State fiscal year 2004 shall be due and payable on June 18 of the year. The assessment imposed by Section 5A‑2 for State fiscal year 2005 shall be due and payable in quarterly installments, each equalling one‑fourth of the assessment for the year, on July 19, October 19, January 18, and April 19 of the year. The assessment imposed by Section 5A‑2 for State fiscal years 2006 through 2008 shall be due and payable in quarterly installments, each equaling one‑fourth of the assessment for the year, on the fourteenth State business day of September, December, March, and May. Except as provided in subsection (a‑5) of this Section, the assessment imposed by Section 5A‑2 for State fiscal year 2009 and each subsequent State fiscal year shall be due and payable in monthly installments, each equaling one‑twelfth of the assessment for the year, on the fourteenth State business day of each month. No installment payment of an assessment imposed by Section 5A‑2 shall be due and payable, however, until after: (i) the Department notifies the hospital provider, in writing, that the payment methodologies to hospitals required under Section 5A‑12, Section 5A‑12.1, or Section 5A‑12.2, whichever is applicable for that fiscal year, have been approved by the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services and the waiver under 42 CFR 433.68 for the assessment imposed by Section 5A‑2, if necessary, has been granted by the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services; and (ii) the Comptroller has issued the payments required under Section 5A‑12, Section 5A‑12.1, or Section 5A‑12.2, whichever is applicable for that fiscal year. Upon notification to the Department of approval of the payment methodologies required under Section 5A‑12, Section 5A‑12.1, or Section 5A‑12.2, whichever is applicable for that fiscal year, and the waiver granted under 42 CFR 433.68, all installments otherwise due under Section 5A‑2 prior to the date of notification shall be due and payable to the Department upon written direction from the Department and issuance by the Comptroller of the payments required under Section 5A‑12.1 or Section 5A‑12.2, whichever is applicable for that fiscal year.
    (a‑5) The Illinois Department may, for the purpose of maximizing federal revenue, accelerate the schedule upon which assessment installments are due and payable by hospitals with a payment ratio greater than or equal to one. Such acceleration of due dates for payment of the assessment may be made only in conjunction with a corresponding acceleration in access payments identified in Section 5A‑12.2 to the same hospitals. For the purposes of this subsection (a‑5), a hospital's payment ratio is defined as the quotient obtained by dividing the total payments for the State fiscal year, as authorized under Section 5A‑12.2, by the total assessment for the State fiscal year imposed under Section 5A‑2.
    (b) The Illinois Department is authorized to establish delayed payment schedules for hospital providers that are unable to make installment payments when due under this Section due to financial difficulties, as determined by the Illinois Department.
    (c) If a hospital provider fails to pay the full amount of an installment when due (including any extensions granted under subsection (b)), there shall, unless waived by the Illinois Department for reasonable cause, be added to the assessment imposed by Section 5A‑2 a penalty assessment equal to the lesser of (i) 5% of the amount of the installment not paid on or before the due date plus 5% of the portion thereof remaining unpaid on the last day of each 30‑day period thereafter or (ii) 100% of the installment amount not paid on or before the due date. For purposes of this subsection, payments will be credited first to unpaid installment amounts (rather than to penalty or interest), beginning with the most delinquent installments.
    (d) Any assessment amount that is due and payable to the Illinois Department more frequently than once per calendar quarter shall be remitted to the Illinois Department by the hospital provider by means of electronic funds transfer. The Illinois Department may provide for remittance by other means if (i) the amount due is less than $10,000 or (ii) electronic funds transfer is unavailable for this purpose.
(Source: P.A. 95‑331, eff. 8‑21‑07; 95‑859, eff. 8‑19‑08; 96‑821, eff. 11‑20‑09.)

    (305 ILCS 5/5A‑5)(from Ch. 23, par. 5A‑5)
    Sec. 5A‑5. Notice; penalty; maintenance of records.
    (a) The Department of Healthcare and Family Services shall send a notice of assessment to every hospital provider subject to assessment under this Article. The notice of assessment shall notify the hospital of its assessment and shall be sent after receipt by the Department of notification from the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services that the payment methodologies required under Section 5A‑12, Section 5A‑12.1, or Section 5A‑12.2, whichever is applicable for that fiscal year, and, if necessary, the waiver granted under 42 CFR 433.68 have been approved. The notice shall be on a form prepared by the Illinois Department and shall state the following:
        (1) The name of the hospital provider.
        (2) The address of the hospital provider's principal
     place of business from which the provider engages in the occupation of hospital provider in this State, and the name and address of each hospital operated, conducted, or maintained by the provider in this State.
        (3) The occupied bed days, occupied bed days less
     Medicare days, or adjusted gross hospital revenue of the hospital provider (whichever is applicable), the amount of assessment imposed under Section 5A‑2 for the State fiscal year for which the notice is sent, and the amount of each installment to be paid during the State fiscal year.
        (4) (Blank).
        (5) Other reasonable information as determined by the
     Illinois Department.
    (b) If a hospital provider conducts, operates, or maintains more than one hospital licensed by the Illinois Department of Public Health, the provider shall pay the assessment for each hospital separately.
    (c) Notwithstanding any other provision in this Article, in the case of a person who ceases to conduct, operate, or maintain a hospital in respect of which the person is subject to assessment under this Article as a hospital provider, the assessment for the State fiscal year in which the cessation occurs shall be adjusted by multiplying the assessment computed under Section 5A‑2 by a fraction, the numerator of which is the number of days in the year during which the provider conducts, operates, or maintains the hospital and the denominator of which is 365. Immediately upon ceasing to conduct, operate, or maintain a hospital, the person shall pay the assessment for the year as so adjusted (to the extent not previously paid).
    (d) Notwithstanding any other provision in this Article, a provider who commences conducting, operating, or maintaining a hospital, upon notice by the Illinois Department, shall pay the assessment computed under Section 5A‑2 and subsection (e) in installments on the due dates stated in the notice and on the regular installment due dates for the State fiscal year occurring after the due dates of the initial notice.
    (e) Notwithstanding any other provision in this Article, for State fiscal years 2004 and 2005, in the case of a hospital provider that did not conduct, operate, or maintain a hospital throughout calendar year 2001, the assessment for that State fiscal year shall be computed on the basis of hypothetical occupied bed days for the full calendar year as determined by the Illinois Department. Notwithstanding any other provision in this Article, for State fiscal years 2006 through 2008, in the case of a hospital provider that did not conduct, operate, or maintain a hospital in 2003, the assessment for that State fiscal year shall be computed on the basis of hypothetical adjusted gross hospital revenue for the hospital's first full fiscal year as determined by the Illinois Department (which may be based on annualization of the provider's actual revenues for a portion of the year, or revenues of a comparable hospital for the year, including revenues realized by a prior provider of the same hospital during the year). Notwithstanding any other provision in this Article, for State fiscal years 2009 through 2013, in the case of a hospital provider that did not conduct, operate, or maintain a hospital in 2005, the assessment for that State fiscal year shall be computed on the basis of hypothetical occupied bed days for the full calendar year as determined by the Illinois Department.
    (f) Every hospital provider subject to assessment under this Article shall keep sufficient records to permit the determination of adjusted gross hospital revenue for the hospital's fiscal year. All such records shall be kept in the English language and shall, at all times during regular business hours of the day, be subject to inspection by the Illinois Department or its duly authorized agents and employees.
    (g) The Illinois Department may, by rule, provide a hospital provider a reasonable opportunity to request a clarification or correction of any clerical or computational errors contained in the calculation of its assessment, but such corrections shall not extend to updating the cost report information used to calculate the assessment.
    (h) (Blank).
(Source: P.A. 94‑242, eff. 7‑18‑05; 95‑331, eff. 8‑21‑07; 95‑859, eff. 8‑19‑08.)

    (305 ILCS 5/5A‑6) (from Ch. 23, par. 5A‑6)
    Sec. 5A‑6. Disposition of proceeds. The Illinois Department shall pay all moneys received from hospital providers under this Article into the Hospital Provider Fund. Upon certification by the Illinois Department to the State Comptroller of its intent to withhold from a provider under Section 5A‑7(b), the State Comptroller shall draw a warrant on the treasury or other fund held by the State Treasurer, as appropriate. The warrant shall state the amount for which the provider is entitled to a warrant, the amount of the deduction, and the reason therefor and shall direct the State Treasurer to pay the balance to the provider, all in accordance with Section 10.05 of the State Comptroller Act. The warrant also shall direct the State Treasurer to transfer the amount of the deduction so ordered from the treasury or other fund into the Hospital Provider Fund.
(Source: P.A. 87‑861.)

    (305 ILCS 5/5A‑7)(from Ch. 23, par. 5A‑7)
    Sec. 5A‑7. Administration; enforcement provisions.
    (a) The Illinois Department shall establish and maintain a listing of all hospital providers appearing in the licensing records of the Illinois Department of Public Health, which shall show each provider's name and principal place of business and the name and address of each hospital operated, conducted, or maintained by the provider in this State. The Illinois Department shall administer and enforce this Article and collect the assessments and penalty assessments imposed under this Article using procedures employed in its administration of this Code generally. The Illinois Department, its Director, and every hospital provider subject to assessment under this Article shall have the following powers, duties, and rights:
        (1) The Illinois Department may initiate either
     administrative or judicial proceedings, or both, to enforce provisions of this Article. Administrative enforcement proceedings initiated hereunder shall be governed by the Illinois Department's administrative rules. Judicial enforcement proceedings initiated hereunder shall be governed by the rules of procedure applicable in the courts of this State.
        (2) No proceedings for collection, refund, credit, or
     other adjustment of an assessment amount shall be issued more than 3 years after the due date of the assessment, except in the case of an extended period agreed to in writing by the Illinois Department and the hospital provider before the expiration of this limitation period.
        (3) Any unpaid assessment under this Article shall
     become a lien upon the assets of the hospital upon which it was assessed. If any hospital provider, outside the usual course of its business, sells or transfers the major part of any one or more of (A) the real property and improvements, (B) the machinery and equipment, or (C) the furniture or fixtures, of any hospital that is subject to the provisions of this Article, the seller or transferor shall pay the Illinois Department the amount of any assessment, assessment penalty, and interest (if any) due from it under this Article up to the date of the sale or transfer. If the seller or transferor fails to pay any assessment, assessment penalty, and interest (if any) due, the purchaser or transferee of such asset shall be liable for the amount of the assessment, penalties, and interest (if any) up to the amount of the reasonable value of the property acquired by the purchaser or transferee. The purchaser or transferee shall continue to be liable until the purchaser or transferee pays the full amount of the assessment, penalties, and interest (if any) up to the amount of the reasonable value of the property acquired by the purchaser or transferee or until the purchaser or transferee receives from the Illinois Department a certificate showing that such assessment, penalty, and interest have been paid or a certificate from the Illinois Department showing that no assessment, penalty, or interest is due from the seller or transferor under this Article.
        (4) Payments under this Article are not subject to
     the Illinois Prompt Payment Act. Credits or refunds shall not bear interest.
    (b) In addition to any other remedy provided for and
     without sending a notice of assessment liability, the Illinois Department may collect an unpaid assessment by withholding, as payment of the assessment, reimbursements or other amounts otherwise payable by the Illinois Department to the hospital provider.
(Source: P.A. 93‑659, eff. 2‑3‑04; 93‑841, eff. 7‑30‑04; 94‑242, eff. 7‑18‑05.)

    (305 ILCS 5/5A‑8)(from Ch. 23, par. 5A‑8)
    Sec. 5A‑8. Hospital Provider Fund.
    (a) There is created in the State Treasury the Hospital Provider Fund. Interest earned by the Fund shall be credited to the Fund. The Fund shall not be used to replace any moneys appropriated to the Medicaid program by the General Assembly.
    (b) The Fund is created for the purpose of receiving moneys in accordance with Section 5A‑6 and disbursing moneys only for the following purposes, notwithstanding any other provision of law:
        (1) For making payments to hospitals as required
     under Articles V, V‑A, VI, and XIV of this Code, under the Children's Health Insurance Program Act, under the Covering ALL KIDS Health Insurance Act, and under the Senior Citizens and Disabled Persons Property Tax Relief and Pharmaceutical Assistance Act.
        (2) For the reimbursement of moneys collected by the
     Illinois Department from hospitals or hospital providers through error or mistake in performing the activities authorized under this Article and Article V of this Code.
        (3) For payment of administrative expenses incurred
     by the Illinois Department or its agent in performing the activities authorized by this Article.
        (4) For payments of any amounts which are
     reimbursable to the federal government for payments from this Fund which are required to be paid by State warrant.
        (5) For making transfers, as those transfers are
     authorized in the proceedings authorizing debt under the Short Term Borrowing Act, but transfers made under this paragraph (5) shall not exceed the principal amount of debt issued in anticipation of the receipt by the State of moneys to be deposited into the Fund.
        (6) For making transfers to any other fund in the
     State treasury, but transfers made under this paragraph (6) shall not exceed the amount transferred previously from that other fund into the Hospital Provider Fund.
        (6.5) For making transfers to the Healthcare Provider
     Relief Fund, except that transfers made under this paragraph (6.5) shall not exceed $60,000,000 in the aggregate.
        (7) For State fiscal years 2004 and 2005 for making
     transfers to the Health and Human Services Medicaid Trust Fund, including 20% of the moneys received from hospital providers under Section 5A‑4 and transferred into the Hospital Provider Fund under Section 5A‑6. For State fiscal year 2006 for making transfers to the Health and Human Services Medicaid Trust Fund of up to $130,000,000 per year of the moneys received from hospital providers under Section 5A‑4 and transferred into the Hospital Provider Fund under Section 5A‑6. Transfers under this paragraph shall be made within 7 days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A‑4.
        (7.5) For State fiscal year 2007 for making
     transfers of the moneys received from hospital providers under Section 5A‑4 and transferred into the Hospital Provider Fund under Section 5A‑6 to the designated funds not exceeding the following amounts in that State fiscal year:
        Health and Human Services
            Medicaid Trust Fund.................. $20,000,000
        Long‑Term Care Provider Fund............. $30,000,000
        General Revenue Fund.................... $80,000,000.
        Transfers under this paragraph shall be made within 7
     days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A‑4.
        (7.8) For State fiscal year 2008, for making
     transfers of the moneys received from hospital providers under Section 5A‑4 and transferred into the Hospital Provider Fund under Section 5A‑6 to the designated funds not exceeding the following amounts in that State fiscal year:
        Health and Human Services
            Medicaid Trust Fund...................$40,000,000
        Long‑Term Care Provider Fund...............$60,000,000
        General Revenue Fund....................$160,000,000.
        Transfers under this paragraph shall be made within 7
     days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A‑4.
        (7.9) For State fiscal years 2009 through 2013, for
     making transfers of the moneys received from hospital providers under Section 5A‑4 and transferred into the Hospital Provider Fund under Section 5A‑6 to the designated funds not exceeding the following amounts in that State fiscal year:
        Health and Human Services
            Medicaid Trust Fund....................$20,000,000
        Long Term Care Provider Fund...............$30,000,000
        General Revenue Fund......................$80,000,000.
        Except as provided under this paragraph, transfers
     under this paragraph shall be made within 7 business days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A‑4. For State fiscal year 2009, transfers to the General Revenue Fund under this paragraph shall be made on or before June 30, 2009, as sufficient funds become available in the Hospital Provider Fund to both make the transfers and continue hospital payments.
        (8) For making refunds to hospital providers pursuant
     to Section 5A‑10.
    Disbursements from the Fund, other than transfers aut