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House Journal: Page 1408: Tuesday, April 11, 2000

H-8794

1 Amend Senate File 2435, as amended, passed, and
2 reprinted by the Senate, as follows:
3 1. Page 50, by inserting before line 10 the
4 following:
5 "___. The general assembly is supportive of the
6 department's stated purposes in its efforts to review
7 the services administered by the department and the
8 reimbursement methodologies for those services. The
9 general assembly anticipates the department continuing
10 its review and consultation activities during the 2000
11 legislative interim in order to submit recommendations
12 and proposals for legislative consideration during the
13 2001 legislative session and the department shall not
14 implement changes in the reimbursement methodologies
15 without legislative approval."
16 2. By renumbering as necessary.

Amendment H-8794 was adopted.

Heaton of Henry offered the following amendment H-8840 filed by
him, Johnson of Osceola, Houser of Pottawattamie, Blodgett of Cerro
Gordo, and Martin of Scott from the floor, and moved its adoption:

H-8840

1 Amend Senate File 2435, as amended, passed, and
2 reprinted by the Senate, as follows:
3 1. Page 52, line 1, by inserting after the word
4 "system." the following: "In developing the case-mix
5 reimbursement methodology, the department shall work
6 with nursing facilities and patient advocates in
7 examining administrative costs."
8 2. Page 52, by striking lines 4 through 7, and
9 inserting the following: "additional documentation as
10 required by rule.
11 c. The cost report required to be submitted by
12 rule by nursing facilities reimbursed under the
13 medical assistance program shall also include a line
14 itemization of expenses attributable to the home or
15 principal office or headquarters of the nursing
16 facility, including but not limited to home-office
17 costs and management fees, within the administrative
18 cost line item.
19 d. All nursing facilities reimbursed under the
20 medical assistance program that are under common
21 ownership, management, or control shall utilize the
22 same fiscal accounting period. All cost reports
23 submitted by such facilities shall comply with all


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