Text: H01448 Text: H01450 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 760 as follows: 1 2 #1. Page 19, by inserting after line 23, the 1 3 following: 1 4 " . The department shall adopt rules to apply 1 5 the reimbursement system utilized for nursing 1 6 facilities to skilled nursing facilities beginning 1 7 July 1, 2000. Funds available for reimbursement for 1 8 both nursing facilities and skilled nursing facilities 1 9 shall be combined for distribution in the fiscal year 1 10 beginning July 1, 2000. 1 11 . The department shall expand the requirements 1 12 of the cost reports submitted by nursing facilities to 1 13 include all of the following information: 1 14 a. Information concerning staffing ratios and 1 15 staffing costs including the number of hours spent per 1 16 resident per day on all of the following: nursing 1 17 services provided by registered nurses, licensed 1 18 practical nurses, certified nurse aides, restorative 1 19 aides, and certified medical aides; other care 1 20 services; administrative functions; housekeeping and 1 21 maintenance; and dietary services. 1 22 b. The starting and average hourly wage for all 1 23 classes of employees. 1 24 The information submitted shall be compiled by the 1 25 department and submitted to the general assembly to be 1 26 used to develop a new reimbursement system which links 1 27 higher reimbursement rates to improved nursing 1 28 staffing ratios and which distributes funding in a 1 29 manner which prioritizes the provision of direct care 1 30 to residents." 1 31 #2. Page 51, by striking lines 16 through 25, and 1 32 inserting the following: 1 33 "f. The basis for establishing the maximum medical 1 34 assistance reimbursement rate for nursing facilities 1 35 shall be the 70th percentile of facility costs as 1 36 calculated from the June 30, 1999, unaudited 1 37 compilation of cost and statistical data. However, to 1 38 the extent funds are available within the amount 1 39 projected for reimbursement of nursing facilities 1 40 within the appropriation for medical assistance in 1 41 this Act for the fiscal year beginning July 1, 1999, 1 42 and within the appropriation for medical assistance as 1 43 a whole for the fiscal year beginning July 1, 1999, 1 44 the department shall adjust the maximum medical 1 45 assistance reimbursement for nursing facilities to the 1 46 70th percentile, as calculated on December 31, 1999, 1 47 unaudited compilation of cost and statistical data and 1 48 the adjustment shall take effect January 1, 2000." 1 49 #3. By renumbering as necessary. 1 50 2 1 2 2 2 3 HEATON of Henry 2 4 2 5 2 6 2 7 HOUSER of Pottawattamie 2 8 2 9 2 10 2 11 ARNOLD of Lucas 2 12 2 13 2 14 2 15 BLODGETT of Cerro Gordo 2 16 2 17 2 18 2 19 JOHNSON of Osceola 2 20 HF 760.310 78 2 21 pf/cf
Text: H01448 Text: H01450 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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