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HRS §346F-13

When the nursing facility fee stops

This section says when the state must stop collecting the nursing facility sustainability fee and what happens to money already collected. It covers four specific situations that would end the fee, and requires leftover fund money to be returned to nursing facilities within six months.

courtsnotaries

The statute, as written — Termination

(a) Collection of the nursing facility sustainability fee under section 346F-5 shall be discontinued if: (1) The waiver in section 346F-7 or the enhanced capitation rates in section 346F-10 have not been approved by the Centers for Medicare and Medicaid Services; (2) The department reduces reimbursement rates for private nursing facility services to medicaid patients with the intention of using the sustainability funds to supplant the planned or permanent reduction in rates; (3) The department or any other state agency uses the money in the special fund for any use other than the uses permitted pursuant to this chapter; or (4) Federal financial participation to match the nursing facility sustainability fee becomes unavailable under federal law, in which case, the department shall terminate the collection of the fee beginning on the effective date of the federal statutory, regulatory, or interpretive change. (b) If the nursing facility sustainability fee is discontinued, any money remaining in the nursing facility sustainability program special fund shall be distributed to the nursing facilities within six months of the date of discontinuation in the same proportions as received from the nursing facilities.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

Sections this one refers to

§346F-10 Enhanced rates to medicaid managed care health plans

§346F-5 Nursing facility sustainability fee

§346F-7 Federal approval

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.