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House Journal: Page 986: Tuesday, March 26, 1996

14   medical assistance reimbursement rate for the direct
15   health care cost category for nursing facilities shall
16   be the 90th percentile of facility costs as calculated
17   from the June 30, 1996, unaudited compilation of cost
18   and statistical data.  However, to the extent funds
19   are available within the amount projected for
20   reimbursement of nursing facilities within the
21   appropriation for medical assistance in this Act, and
22   within the appropriation for medical assistance as a
23   whole, the department shall adjust the maximum medical
24   assistance reimbursement rate for the direct health
25   care cost category for nursing facilities to the 90th
26   percentile, as calculated on December 31, 1996,
27   unaudited compilation of cost and statistical data and
28   the adjustment shall take effect January 1, 1997,
29   under this subparagraph.  Any increased reimbursement
30   rate for a facility shall not exceed an increase of
31   $8.00 per day over the rates in effect for the
32   facility on June 30, 1996.
33     (3)  Effective July 1, 1996, the nursing facility
34   incentive factor shall only be applicable to nursing
35   facilities which meet all of the following criteria:
36     (a)  Offer health insurance coverage to all
37   employees of the nursing facility.
38     (b)  Pay at least twenty-five percent of the
39   premium costs of the health insurance plan of a
40   participating employee."
Witt of Black Hawk offered the following amendment H-5619, to
amendment H-5561, filed by him from the floor and moved its
adoption:

H-5619

 1     Amend the amendment, H-5561, to Senate File 2442,
 2   as amended, passed, and reprinted by the Senate, as
 3   follows:
 4     1.  Page 1, by striking lines 3 through 5.
 5     2.  Page 1, by striking lines 8 through 10.
 6     3.  Page 1, by striking lines 13 through 18 and
 7   inserting the following:
 8     "(2)  Notwithstanding subparagraph (1), to the
 9   extent funds".
Amendment H-5619 was adopted.
On motion by Witt of Black Hawk, amendment H-5561, as amended,
was adopted.
Weigel of Chickasaw offered amendment H-5567 filed by him as
follows:

H-5567

 1     Amend Senate File 2442, as amended, passed, and
 2   reprinted by the Senate, as follows:

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