MA H1354

Doubles the annual transfer to the Health Safety Net Trust Fund from $30,000,000 to $60,000,000 from existing funding sources

Creates a new "supplemental shortfall assessment" on non-Medicaid managed care organizations equal to 50% of any annual revenue shortfall in the Health Safety Net Trust Fund

Requires the executive office to estimate projected health services costs and funding shortfalls by April 1 each year, with managed care organizations paying their assessment monthly

Allocates the remaining 50% of any shortfall to hospitals through a graduated reimbursement system based on each hospital's proportional financial requirements

Directs the Secretary of Health and Human Services to promulgate regulations establishing assessment rates, reporting requirements, enforcement mechanisms, and procedures for mergers and overpayment refunds