§346F-6  Nursing facility sustainability fee assessment.  (a)  Nursing facilities shall pay the nursing facility sustainability fee to the nursing facility sustainability program special fund in accordance with this chapter.

     (b)  The department shall determine, with agreement by the nursing facility trade associations located in Hawaii, the fee rate prospectively for the applicable fiscal year.

     (c)  The department shall impose the nursing facility sustainability fee on a monthly basis, which a nursing facility shall pay no later than the sixtieth day after the end of the calendar month that the department imposed the fee; provided that if required federal approvals have not been secured by the end of a calendar month, the fees for that month shall be paid within ten days after the notification to the nursing facilities that the required approvals have been received. [L 2012, c 156, pt of §2, §5; am L 2013, c 142, §3; am L 2014, c 124, §2; am L 2015, c 69, §2; am L 2016, c 59, §2; am L 2017, c 60, §5; am L 2019, c 163, §6; am L 2021, c 24, §§4, 7; am L 2023, c 109, §§8, 13]