In establishing Title XIX payments for inpatient hospital services:

     (1) To the extent funds are appropriated specifically for this purpose, and subject to any conditions placed on appropriations made for this purpose, the department of social and health services shall provide a disproportionate share hospital adjustment considering the following components:

     (a) A low-income care component based on a hospital's medicaid utilization rate, its low-income utilization rate, its provision of obstetric services, and other factors authorized by federal law;

     (b) A medical indigency care component based on a hospital's services to persons who are medically indigent; and

     (c) A state-only component, to be paid from available state funds to hospitals that do not qualify for federal payments under (b) of this subsection, based on a hospital's services to persons who are medically indigent;

     (2) The payment methodology for disproportionate share hospitals shall be specified by the department in regulation.

[2009 c 538 § 1; 1991 sp.s. c 9 § 8; 1989 c 260 § 1; 1987 1st ex.s. c 5 § 20.]

NOTES:

     Effective dates -- 1991 sp.s. c 9: See note following RCW 74.09.700.

     Severability -- 1987 1st ex.s. c 5: See note following RCW 70.47.901.