CT SB01131

Redefines "ambulatory surgical center" to mean any distinct entity operating exclusively for surgical services not requiring hospitalization with expected duration under 24 hours, with Medicare agreement and participation, effective July 1, 2019.

Changes tax base from gross receipts to net revenue for calendar quarters beginning July 1, 2019 or later, maintaining a 6 percent tax rate on net revenue above the first $1 million annual threshold.

Excludes Medicaid and Medicare payments from taxation for calendar quarters on or after July 1, 2019, and provides a credit against tax liability equal to 50 percent of Medicaid payments received or 50 percent of the difference between actual and hospital-equivalent Medicaid payment rates.

Requires ambulatory surgical centers to file quarterly returns by January 31, April 30, July 31, and October 31 electronically with the Department of Revenue Services and pay taxes by electronic funds transfer.

Directs the Commissioner of Social Services to seek approval from the Centers for Medicare and Medicaid Services annually beginning in 2020 to exempt the first $1 million of net revenue and all Medicaid and Medicare payments from the tax.