Fed Regist. 1993 Aug 13;58(155):43156-83.
This final rule clarifies HCFA's policies concerning provider related donations and health care related taxes. In addition, this final rule revises regulations with regard to disproportionate share hospital spending limitations. This final rule amends an interim final rule that was published in the Federal Register on November 24, 1992. The interim final rule established in Medicaid regulations limitations on Federal financial participation (FFP) in State medical assistance expenditures when States receive funds from provider-related donations and revenues generated by certain health care-related taxes. The interim final rule also added provisions that establish limits on the aggregate amount of payments a State may make to disproportionate share hospitals for which FFP is available. The provisions of the interim final rule were required by the Medicaid Voluntary Contribution and Provider Specific Tax Amendments of 1991.
本最终规则阐明了医疗保健财务管理局（HCFA）关于与医疗服务提供者相关的捐赠以及与医疗保健相关税收的政策。此外，本最终规则修订了关于比例失调医院支出限制的规定。本最终规则修订了一项于1992年11月24日在《联邦公报》上公布的暂行最终规则。该暂行最终规则在医疗补助法规中规定了，当各州从与医疗服务提供者相关的捐赠以及某些与医疗保健相关税收产生的收入中获得资金时，联邦财政参与（FFP）在州医疗援助支出方面的限制。该暂行最终规则还增加了一些条款，对州可向有FFP可用的比例失调医院支付的总金额设定了限制。暂行最终规则的这些条款是1991年《医疗补助自愿捐款和特定医疗服务提供者税收修正案》所要求的。
