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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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