* § 2807-s. Professional education pool funding. 1. (a) Payments to\ngeneral hospitals by all specified third-party payors, as defined in\nparagraph (b) of subdivision one-a of this section, making payments on a\nrate, charge, negotiated payment, or other basis for inpatient hospital\nservices provided to persons who are not eligible for payments as\nbeneficiaries of title XVIII of the federal social security act\n(medicare) or eligible for medical assistance pursuant to title eleven\nof article five of the social services law (including enrollees in\nmedicaid managed care programs) or eligible for the family health plus\nprogram pursuant to title eleven-D of article five of the social\nservices law, and related payments of patient deductible and coinsurance\namounts and of secondary third-party payors, shall include a surcharge\nfor a regional allowance on inpatient hospital net patient service\nrevenues in the percentage amount and for the periods specified in\nsubdivision two of this section. Any such allowance shall be submitted\nby general hospitals to the commissioner or the commissioner's designee\nin accordance with subdivision five of this section.\n (b) The allowance established pursuant to this section shall not be\napplicable to specified third-party payors filing an election and making\npayments to the commissioner or the commissioner's designee in\naccordance with section twenty-eight hundred-seven-t of this article and\npursuant to paragraph (a) of subdivision five of section twenty-eight\nhundred seven-j of this article, nor to related payments of patient\ndeductible and coinsurance amounts and of secondary third-party payors.\n 1-a. Definitions. (a) "Third-party coverage", for purposes of this\nsection and section twenty-eight hundred seven-t of this article, shall\ninclude payments by a specified third-party payor making payments on\nbehalf of a patient; whether made directly to a general hospital or\nindirectly as indemnity or similar payments made to the patient (or\npatient's representative such as parent or family member) for inpatient\nhospital services provided by a general hospital, or through the use of\npayments made payable to both the general hospital and the patient or\npatient's representative, or similar devices.\n (b) "Specified third-party payors", for purposes of this section and\nsections twenty-eight hundred seven-j and twenty-eight hundred seven-t\nof this article, shall include corporations organized and operating in\naccordance with article forty-three of the insurance law, organizations\noperating in accordance with the provisions of article forty-four of\nthis chapter, self-insured funds and administrators acting on behalf of\nself-insured funds, and commercial insurers authorized to write accident\nand health insurance and whose policy provides coverage on an expense\nincurred basis. Specified third-party payors, for purposes of this\nsection, shall not include governmental agencies or providers of\ncoverage pursuant to the comprehensive motor vehicle insurance\nreparations act, the workers' compensation law, the volunteer\nfirefighters' benefit law, or the volunteer ambulance workers' benefit\nlaw.\n (c) "Regions", for purposes of this section and section twenty-eight\nhundred seven-t of this article shall mean the regions as defined in\nparagraph (b) of subdivision sixteen of section twenty-eight hundred\nseven-c of this article as in effect on June thirtieth, nineteen hundred\nninety-six.\n 2. (a) The regional percentage allowance for any period during the\nperiod January first, nineteen hundred ninety-seven through December\nthirty-first, nineteen hundred ninety-nine for all general hospitals in\nthe region applicable to a specified third-party payor, and applicable\nto related patient coinsurance and deductible amounts and to secondary\nthird-party payors under coordination of benefits principles, shall be\nthe following, and shall be applied to inpatient hospital net patien
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