NC H990

Adjusts postpartum coverage component from $12.5 million quarterly (2021-2022) to $11,004,424 quarterly (2022-2023), with future increases tied to Medicare Economic Index.

Modifies intergovernmental transfer adjustment component's historical subcomponent from $41,227,321 to $42,017,045 quarterly for 2022-2023, with postpartum subcomponent set at $2,606,384 quarterly for that fiscal year.

Sets special quarterly amounts effective October 1, 2022: postpartum coverage component at $3,349,731 and postpartum subcomponent at $789,559.

Directs Department of Health and Human Services to submit a directed payment program proposal (Healthcare Access Stabilization Program) to Centers for Medicare and Medicaid Services within 60 days, requesting maximum hospital reimbursement increases permitted under federal regulations.

Establishes intent to create new hospital assessment on private acute care hospitals to fund nonfederal share of directed payments, with assessment calculated as percentage of hospital costs and proceeds fully refunded to hospitals within 12 months if federal approval is not obtained.