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Amendment H?1444 was adopted. Heaton of Henry offered the following amendment H?1449 filed by Heaton, et al., and moved its adoption: H-1449 1 Amend House File 760 as follows: 2 1. Page 19, by inserting after line 23, the 3 following: 4 " . The department shall adopt rules to apply 5 the reimbursement system utilized for nursing 6 facilities to skilled nursing facilities beginning 7 July 1, 2000. Funds available for reimbursement for 8 both nursing facilities and skilled nursing facilities 9 shall be combined for distribution in the fiscal year 10 beginning July 1, 2000. 11 . The department shall expand the requirements 12 of the cost reports submitted by nursing facilities to 13 include all of the following information: 14 a. Information concerning staffing ratios and 15 staffing costs including the number of hours spent per 16 resident per day on all of the following: nursing 17 services provided by registered nurses, licensed 18 practical nurses, certified nurse aides, restorative 19 aides, and certified medical aides; other care 20 services; administrative functions; housekeeping and 21 maintenance; and dietary services. 22 b. The starting and average hourly wage for all 23 classes of employees. 24 The information submitted shall be compiled by the 25 department and submitted to the general assembly to be 26 used to develop a new reimbursement system which links 27 higher reimbursement rates to improved nursing 28 staffing ratios and which distributes funding in a 29 manner which prioritizes the provision of direct care 30 to residents." 31 2. Page 51, by striking lines 16 through 25, and 32 inserting the following: 33 "f. The basis for establishing the maximum medical 34 assistance reimbursement rate for nursing facilities 35 shall be the 70th percentile of facility costs as 36 calculated from the June 30, 1999, unaudited 37 compilation of cost and statistical data. However, to 38 the extent funds are available within the amount 39 projected for reimbursement of nursing facilities 40 within the appropriation for medical assistance in 41 this Act for the fiscal year beginning July 1, 1999, 42 and within the appropriation for medical assistance as 43 a whole for the fiscal year beginning July 1, 1999, 44 the department shall adjust the maximum medical
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