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House Journal: Page 2031: Tuesday, April 30, 1996

f.  Analyze and make recommendations regarding the use of a
reimbursement allowance for those nursing facilities serving a
disproportionate share of medical assistance patients.
g.  Analyze and make recommendations regarding effective ways to
mediate disputes between a nursing facility and the department
of inspections and appeals concerning significant violations,
prior to a formal appeal.
h.  Submit a report of the definitions, analysis, and
recommendations to the general assembly on or before December
16, 1996.
13.  The department may adopt emergency rules to implement the
provisions of this section.
Sec. 26.  RESIDENTIAL SERVICES - PURCHASE OF SERVICES -
REIMBURSEMENT RATE INCREASE.  There is appropriated from the
general fund of the state to the department of human services
for the fiscal year beginning July 1, 1996, and ending June 30,
1997, the following amount, or so much thereof as is necessary,
to be used for the purpose designated:
For an increase in the purchase of service reimbursement rate
for adult residential services provided to persons residing in
any category of licensed residential care facility. Beginning
July 1, 1996, provider service rates for adult residential
services shall be increased up to the amount of actual and
allowable costs plus inflation, based upon the cost reports on
which rates have been established as of April 1, 1996.  However,
a provider service rate shall not be increased by more than
$4.36 per day.  If a provider service rate in effect prior to
July 1, 1996, is greater than the actual and allowable costs
plus inflation, based upon the cost report, or if the difference
between the provider service rate and the actual and allowable
costs is less than $.44 per day, the provider service rate shall
be increased by $.44 per day:  
	 $	  1,300,000
1.  Funding appropriated in this section shall be allocated to
counties in accordance with the distribution guidelines for
local purchase of services in accordance with the appropriation
in this Act for the mental health and developmental disabilities
community services fund.  Use of the funding is restricted to
reimbursement of a licensed residential care facility provider
of adult residential services which had a purchase of service
contract for those services in effect on June 30, 1996, and for
which the rate negotiated for fiscal year 1996-1997 is greater
than the rate paid in fiscal year 1995-1996.
2.  Of the moneys appropriated in this section, $130,000 shall
be transferred to the appropriation in this Act for MI/MR/DD
state cases and shall be used for payment of the increased
reimbursement rate to residential care facilities providing
services through local purchase of services for persons under
the state cases program, and in accordance with the guidelines
in this Act for local purchase of services.
Sec. 27.  APPROPRIATIONS REDUCTIONS.  The following
appropriations in this Act for the fiscal year beginning July 1,
1996, and ending June 30, 1997, are reduced by a total of
$1,560,000: child support recovery, juvenile institutions,
community-based programs, mental health institutes, state
hospital-schools, field operations, and general administration.
The department shall use the following guidelines in achieving
these reductions:
1.  As the highest priority, avoid disruptions of direct client
services.

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 2)

© 1996 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Wed May 1 22:20:02 CDT 1996
URL: /DOCS/GA/76GA/Session.2/HJournal/02000/02031.html
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