For the purpose of public consumption, Kelly Brough, president and CEO of the Denver Metro Chamber of Commerce, was the one who floated the "enterprise fund" concept.
The hospital provider fee is a gimmick but it's the best thing since sliced bread. Per the
DBJ.
Quote:
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That fee brings in roughly $600 million per year that is counted against the TABOR cap and uses it to secure a 2-to-1 match in federal funding that provides another $1.2 billion for the state that doesn’t count against the cap.
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In essence hospitals pay/invest $1 and get $3 back. Cumulatively there's $600 million in provider fees for which the state gets $1.2 billion from the Feds per year. The $1.8 billion then goes back to hospitals etc. for services rendered. It's wonderful support of the medical system for care that would be given anyway.
Understand that medicaid patients get nothing; the money goes for services rendered to providers.
States like Texas and Florida eschew this because they get $billions via an "uninsured fund" from the Feds. As their contracts expire, like Florida's, they are being 'threatened' with less uninsured dollars as encouragement to expand their Medicaid systems.
In theory at least, the out-of-control growth in medical costs can be better controlled if everyone is a part of the system for economies of scale and other efficiencies. Sending states a big blank check with no accountability has not been the best solution.