CT SB00441

Imposes a 3% quarterly tax on the net revenue of ambulatory surgical centers in Connecticut, effective July 1, 2023, while exempting net revenue from Medicaid payments, Medicare payments, and hospital revenue already subject to the hospital tax under Section 12-263q

Creates a new tax credit for ambulatory surgical centers equal to the sum of their "Medicaid investment" and "state health plan investment," with excess credits refundable without interest upon filing a claim with the Commissioner of Revenue Services

Defines "Medicaid investment" as 50% of either the center's aggregate Medicaid payments or 50% of the difference between Medicaid payments received and what a hospital would have received for substantially similar services; defines "state health plan investment" as 25% of aggregate payments received for individuals covered under the state employee health plan (Section 5-259)

Requires quarterly electronic filing and electronic funds transfer payment by the last day of January, April, July, and October, with penalties of 10% of the unpaid amount or $50 (whichever is greater) and 1% monthly interest for late payments

Allows extensions of up to three months (with a possible additional three-month extension for extraordinary circumstances) for centers demonstrating undue hardship, such as substantial risk of defaulting on a bond or loan covenant