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House File 2613

Partial Bill History

Bill Text

PAG LIN
  1  1                                            HOUSE FILE 2613     
  1  2 
  1  3                             AN ACT
  1  4 RELATING TO AND MAKING APPROPRIATIONS FROM THE SENIOR LIVING
  1  5    TRUST FUND TO THE DEPARTMENT OF ELDER AFFAIRS AND THE 
  1  6    DEPARTMENT OF HUMAN SERVICES AND MAKING APPROPRIATIONS FROM
  1  7    THE HOSPITAL TRUST FUND TO THE DEPARTMENT OF HUMAN SERVICES
  1  8    AND PROVIDING EFFECTIVE DATES AND PROVIDING FOR RETROACTIVE
  1  9    APPLICABILITY.  
  1 10 
  1 11 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  1 12 
  1 13    Section 1.  DEPARTMENT OF ELDER AFFAIRS APPROPRIATION –
  1 14 SENIOR LIVING TRUST FUND.  There is appropriated from the
  1 15 senior living trust fund created in section 249H.4 to the
  1 16 department of elder affairs for the fiscal year beginning July
  1 17 1, 2002, and ending June 30, 2003, the following amount, or so
  1 18 much thereof as is necessary, to be used for the purpose
  1 19 designated:
  1 20    For the development and implementation of a comprehensive
  1 21 senior living program, including program administration and
  1 22 costs associated with implementation, salaries, support,
  1 23 maintenance, and miscellaneous purposes and for not more than
  1 24 the following full-time equivalent positions:  
  1 25 .................................................. $  6,553,967
  1 26 ............................................... FTEs       8.00
  1 27    Sec. 2.  DEPARTMENT OF HUMAN SERVICES APPROPRIATION –
  1 28 SENIOR LIVING TRUST FUND.  There is appropriated from the
  1 29 senior living trust fund created in section 249H.4 to the
  1 30 department of human services for the fiscal year beginning
  1 31 July 1, 2002, and ending June 30, 2003, the following amounts,
  1 32 or so much thereof as is necessary, to be used for the
  1 33 purposes designated:
  1 34    1.  To supplement the medical assistance appropriation and
  1 35 to provide reimbursement for health care services and rent
  2  1 expenses to eligible persons through the home and community-
  2  2 based services waiver and the state supplementary assistance
  2  3 program, including program administration and data system
  2  4 costs associated with implementation, salaries, support,
  2  5 maintenance, and miscellaneous purposes and for not more than
  2  6 the following full-time equivalent positions:  
  2  7 .................................................. $ 21,733,406
  2  8 ............................................... FTEs       5.00
  2  9    2.  To implement nursing facility provider reimbursements
  2 10 as provided in this subsection:  
  2 11 .................................................. $ 29,950,000
  2 12    a.  Notwithstanding the provision in 2002 Iowa Acts, Senate
  2 13 File 2326, if enacted, relating to the reimbursement rate for
  2 14 nursing facilities under the medical assistance program, for
  2 15 the fiscal year beginning July 1, 2002, nursing facilities
  2 16 shall instead be reimbursed under the medical assistance
  2 17 program in accordance with this subsection.
  2 18    b.  Notwithstanding 2001 Iowa Acts, chapter 192, section 4,
  2 19 subsection 2, paragraph "b", nursing facilities shall be
  2 20 reimbursed at the rate in effect on June 30, 2002.
  2 21    c.  Of the moneys appropriated in this subsection,
  2 22 $3,000,000 shall be used to provide nursing facilities a
  2 23 supplemental payment, in addition to the reimbursement rate
  2 24 provided under paragraph "b".  The supplemental payment to
  2 25 nursing facilities shall be determined by the department of
  2 26 human services, in consultation with representatives of
  2 27 nursing facilities and the vendor under contract with the
  2 28 department to develop and implement the modified price-based
  2 29 case-mix reimbursement system.  The additional payment amount
  2 30 may be determined in accordance with 2001 Iowa Acts, chapter
  2 31 192, section 4, subsection 2, paragraph "b", or may be
  2 32 determined on an alternative basis.
  2 33    d.  In order to carry out the purposes of this subsection,
  2 34 the department shall transfer funds appropriated in this
  2 35 section to supplement other appropriations to the department
  3  1 of human services.
  3  2    3.  Notwithstanding sections 249H.4 and 249H.5, the
  3  3 department of human services may use moneys from the senior
  3  4 living trust fund for cash flow purposes to make payments
  3  5 under the nursing facility or hospital upper payment limit
  3  6 methodology.  The amount of any moneys so used shall be
  3  7 refunded to the senior living trust fund within the same
  3  8 fiscal year and in a prompt manner.
  3  9    4.  Notwithstanding section 8.33, moneys committed to
  3 10 grantees under contract to provide for conversion to assisted
  3 11 living programs or for development of long-term care
  3 12 alternatives that remain unexpended at the close of the fiscal
  3 13 year shall not revert to any fund but shall remain available
  3 14 for expenditure for purposes of the contract during the
  3 15 succeeding fiscal year.
  3 16    Sec. 3.  CONVERSION GRANT PROJECTS – RULES – INTENT.
  3 17    1.  The department of human services shall adopt rules that
  3 18 provide that beginning with applications for conversion grants
  3 19 received on or after July 1, 2002, the department shall give
  3 20 greater weight in the scoring methodology to nursing facility
  3 21 conversion projects that are primarily for the renovation and
  3 22 remodeling of the existing nursing facility structure and give
  3 23 less weight to conversion projects that are primarily for new
  3 24 construction.  The department of human services shall
  3 25 encourage cooperative efforts between the department of
  3 26 inspections and appeals, the state fire marshal, and the grant
  3 27 applicant to promote the acceptance of nursing facility
  3 28 conversion projects that are primarily renovation and
  3 29 remodeling of the existing nursing facility structure.
  3 30    2.  The department of elder affairs shall certify all
  3 31 assisted living programs established through nursing facility
  3 32 conversion grants.  The department of elder affairs shall
  3 33 consult with conversion grant applicants and recipients to
  3 34 establish and monitor occupancy agreements and assisted living
  3 35 program residents shall be allowed access to third-party
  4  1 payors.  The department of elder affairs shall allow grant
  4  2 recipients to revise and modify occupancy agreements to
  4  3 reflect rates that are affordable, as defined in section
  4  4 249H.3, during the ten-year period of operation following the
  4  5 awarding of the grant by the department of human services.
  4  6    Sec. 4.  NURSING FACILITY CONVERSION GRANTS – MORATORIUM.
  4  7 Nursing facility conversion grants as described in section
  4  8 249H.6 shall not be awarded during the period beginning April
  4  9 1, 2002, and ending June 30, 2003.  A nursing facility that
  4 10 has completed a feasibility study prior to April 1, 2002,
  4 11 shall be eligible for a nursing facility conversion grant
  4 12 beginning July 1, 2003.
  4 13    Sec. 5.  DEPARTMENT OF HUMAN SERVICES APPROPRIATION –
  4 14 HOSPITAL TRUST FUND.  There is appropriated from the hospital
  4 15 trust fund created in section 249I.4 to the department of
  4 16 human services for the fiscal year beginning July 1, 2002, and
  4 17 ending June 30, 2003, the following amount, or so much thereof
  4 18 as is necessary, to be used for the purpose designated:
  4 19    To supplement the medical assistance appropriation:  
  4 20 .................................................. $ 12,000,000
  4 21    Sec. 6.  2001 Iowa Acts, chapter 192, section 2, subsection
  4 22 1, is amended by adding the following new unnumbered
  4 23 paragraph:
  4 24    NEW UNNUMBERED PARAGRAPH.  Notwithstanding section 8.33,
  4 25 moneys committed to grantees under contract pursuant to this
  4 26 subsection that remain unexpended at the close of the fiscal
  4 27 year shall not revert to any fund but shall remain available
  4 28 for purposes of the contract during the succeeding fiscal
  4 29 year.
  4 30    Sec. 7.  EFFECTIVE DATE.  Section 6 of this Act amending
  4 31 2001 Iowa Acts, chapter 192, being deemed of immediate
  4 32 importance, takes effect upon enactment.
  4 33    Sec. 8.  EFFECTIVE DATE RETROACTIVE APPLICABILITY.  Section
  4 34 4 of this Act, relating to a nursing facility conversion
  4 35 grants moratorium, being deemed of immediate importance, takes
  5  1 effect upon enactment, and is retroactively applicable to
  5  2 April 1, 2002.  
  5  3 
  5  4 
  5  5                                                             
  5  6                               BRENT SIEGRIST
  5  7                               Speaker of the House
  5  8 
  5  9 
  5 10                                                             
  5 11                               MARY E. KRAMER
  5 12                               President of the Senate
  5 13 
  5 14    I hereby certify that this bill originated in the House and
  5 15 is known as House File 2613, Seventy-ninth General Assembly.
  5 16 
  5 17 
  5 18                                                             
  5 19                               MARGARET THOMSON
  5 20                               Chief Clerk of the House
  5 21 Approved                , 2002
  5 22 
  5 23 
  5 24                            
  5 25 THOMAS J. VILSACK
  5 26 Governor
     

Text: HF02612                           Text: HF02614
Text: HF02600 - HF02699                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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