Section 241 Hospital Assessment 10

Notwithstanding any general or special law to the contrary, if the commonwealth does not receive all federal approvals pursuant to section 240 that the secretary of health and human services determines necessary to implement sections 49, 51, 121, 125, 128, 129, 168 and 239, including any required waivers under 42 CFR § 433.68, said sections 49, 51, 121, 125, 128, 129, 168 and 239 shall not become effective until the first full calendar month following the calendar month in which the secretary determines all such federal approvals have been received. The secretary, in consultation with representatives of the Massachusetts Health and Hospital Association, Inc. shall continue to seek all federal approvals necessary to implement said sections 49, 51, 121, 125, 128, 129, 168 and 239 until such federal approvals are received or until the United States Department of Health and Human Services or the Centers for Medicare and Medicaid Services renders a final determination to deny the request for federal approvals determined necessary pursuant to section 240.