1. (1) The state teaching hospital and a non-state government hospital shall make an intergovernmental transfer to the Medicaid ACA Fund created in Section 26B-1-315, in accordance with this section.

2. (2) The hospitals described in Subsection (1) shall pay the intergovernmental transfer beginning on the later of CMS approval of:

   1. (a) the health improvement program waiver under Section 26B-3-207; or
   2. (b) the assessment for private hospitals in this part.

3. (3) The intergovernmental transfer is apportioned as follows:

   1. (a) the state teaching hospital is responsible for:

      1. (i) 30% of the portion of the hospital share specified in Subsections 26B-3-506(1)(a) through (c); and
      2. (ii) 0% of the hospital share specified in Subsection 26B-3-506(1)(d); and

   2. (b) non-state government hospitals are responsible for:

      1. (i) 1% of the portion of the hospital share specified in Subsections 26B-3-506(1)(a) through (c); and
      2. (ii) 0% of the hospital share specified in Subsection 26B-3-506(1)(d).

4. (4) The department shall, by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, designate:

   1. (a) the method of calculating the amounts designated in Subsection (3); and
   2. (b) the schedule for the intergovernmental transfers.

Amended by Chapter 439, 2024 General Session