BEFORE THE Department of Public
health and human services of the
STATE OF MONTANA
TO: All Concerned Persons
1. On March 16, 2018, the Department of Public Health and Human Services published MAR Notice No. 37-836 pertaining to the public hearing on the proposed amendment of the above-stated rules at page 545 of the 2018 Montana Administrative Register, Issue Number 5. On April 27, 2018, the Department of Public Health and Human Services published MAR Notice No. 37-836 pertaining to the notice of extension of comment period of the above-stated rules at page 797 of the 2018 Montana Administrative Register, Issue Number 8.
2. The department has amended the above-stated rules as proposed.
3. The department has thoroughly considered the comments and testimony received. A summary of the comments received and the department's responses are as follows:
COMMENT #1: The department received a comment in support of a two-year suspension of the supplemental disproportionate share hospital (DSH) payment for state fiscal years (SFY) 2018 and 2019. In addition, the commenter requested the department re-evaluate the supplemental DSH policy after SFY 2019 to determine if funding may be restored.
RESPONSE #1: The department will re-evaluate and analyze the impact of reinstating funding for supplemental DSH at a later date.
4. The department intends to apply these rules retroactively to March 6, 2018. A retroactive application of the rules does not result in a negative impact to any affected party.
/s/ Brenda K. Elias /s/ Sheila Hogan
Brenda K. Elias Sheila Hogan, Director
Rule Reviewer Public Health and Human Services
Certified to the Secretary of State May 15, 2018.