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