West Virginia Code § 11-27-37

Contingent increase in rates of certain health care provider taxes
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(a) Increase in rates of certain provider taxes. -- Notwithstanding any provision of this code
to the contrary:
(1) The rate of the tax imposed by section four of this article on providers of ambulatory
surgical centers shall be two and thirty-six hundredths percent of the gross receipts received
or receivable by providers on and after the first day of the calendar month as provided in
subsection (b) of this section;
(2) The rate of the tax imposed by section nine of this article on puroviders of inpatient
hospital services shall be three and thirty-eight hundredths percent of the gross receipts
received or receivable by providers on and after the first day of the calendar month as
provided in subsection (b) of this section;
(3) The rate of tax imposed by section ten of this article on providers of intermediate care
facility services shall be five and ninety-five hundreldths percent of the gross receipts
received or receivable by providers on and aftser the first day of the calendar month as
provided in subsection (b) of this section; and
(4) The rate of the tax imposed by section fifteen of this article on providers of outpatient
hospital services shall be three and thirty-eight hundredths percent of the gross receipts
received or receivable by providers on and after the first day of the calendar month as
provided in subsection (b) of this section.
(b) Effective date. -- This section shall take effect as provided in article six, section thirty of
the Constitution of this state: Provided, That this section does not apply to any taxpayer
unless and until all o f the following have occurred: (1) The Governor makes a determination
that both estimVated General Revenue Fund collections and the funds available to fund this
state's Medicaid program as set forth in the annual budget bill enacted by the Legislature
will both be less in the next fiscal year than those funds are estimated to be in the current
fiscal year, with this decrease being a result of changes, or anticipated changes, in the
Medicaid program at the federal level or a result of federal administrative actions with
respect to this state's Medicaid program; (2) the Governor notifies the President of the
Senate and the Speaker of the House of Delegates of this determination; (3) the Governor
issues an executive order convening a panel to study and examine possible alternative
means of addressing and resolving the anticipated Medicaid program budget shortfall, which
panel shall include, but may not be limited to, one or more representatives of each group of
providers upon which the provider tax increases contemplated by this section may be
imposed; (4) this panel is afforded not less than seventy-five days in which to conduct its
study and provide a report and recommendations to the Governor, the President of the
Senate and the Speaker of the House of Delegates; and (5) the Legislature adopts a
resolution authorizing imposition of the rate increases described in this section. If, and only
if, no other solution than the tax increase set forth herein is implemented by either
administrative or legislative action in response to the report and recommendations of the
study panel to the anticipated Medicaid budget shortfall, and upon adoption of a resolution
of the Legislature, the provisions of this section shall become effective on the date specified
by the Legislature in the resolution.

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