Mr. Mariano of Quincy moves to amend the bill by inserting after section 42 the following section:

“SECTION ##. The $7,500,000 received by the commonwealth for disproportionate share hospitals pursuant to the American Recovery and Reinvestment Act of 2009 shall be appropriated to the Medical Security Trust Fund.  The executive office of health and human services shall distribute $15,000,000 consistent with the American Recovery and Reinvestment Act of 2009 to certain disproportionate share hospitals, as defined by 114.1 CMR 36.04 and section 1 of chapter 118G of the General Laws, that provide the largest volume of uncompensated care in the commonwealth, as determined by the division of health care finance and policy and have no corporate affiliation with any managed care organization under contract with MassHealth, in an amount equal to the difference between the costs incurred by such hospital for the provision of services to publicly insured or uninsured individuals including MassHealth, Medicare, Commonwealth Care, and the Health Safety Net Trust Fund, and the payments received for such services; and provided further, that hospitals that have in-patient psychiatric units which said psychiatric units had negative operating margins in fiscal year 2008, adjusted to exclude any grants awarded from the Essential Community Provider Trust Fund shall receive priority in the distribution of such supplemental payment amounts under this section; and provided further, that any remaining amounts not otherwise distributed in accordance with this section shall be distributed equally among the remaining facilities, in proportion to the relative amount of uncompensated public care costs incurred by each facility.”