Text: S05421                            Text: S05423
Text: S05400 - S05499                   Text: S Index
Bills and Amendments: General Index     Bill History: General Index



Senate Amendment 5422

Amendment Text

PAG LIN
  1  1    Amend House File 2615, as amended, passed, and
  1  2 reprinted by the House, as follows:
  1  3    #1.  Page 3, line 9, by striking the figure
  1  4 "17,500,000" and inserting the following:
  1  5 "13,154,606".
  1  6    #2.  Page 3, line 20, by striking the figure
  1  7 "5,000,000" and inserting the following:  "9,345,394".
  1  8    #3.  Page 8, by inserting after line 20, the
  1  9 following:
  1 10    "Sec.    .  NEW SECTION.  249A.20B  NURSING
  1 11 FACILITY CROSSOVER PAYMENTS.
  1 12    Beginning July 1, 2002, reimbursement under the
  1 13 medical assistance program for nursing facility
  1 14 crossover payments shall be the lesser of the
  1 15 following:
  1 16    1.  The cost amount allowed under the medical
  1 17 assistance program minus the federal Medicare payment.
  1 18    2.  The federal Medicare coinsurance and deductible
  1 19 amounts.
  1 20    Sec. 100.  NEW SECTION.  249A.21  INTERMEDIATE CARE
  1 21 FACILITIES FOR PERSONS WITH MENTAL RETARDATION –
  1 22 ASSESSMENT.
  1 23    1.  The department may assess intermediate care
  1 24 facilities for persons with mental retardation, as
  1 25 defined in section 135C.1, that are not operated by
  1 26 the state, a fee in an amount not to exceed six
  1 27 percent of the total annual revenue of the facility
  1 28 for the preceding fiscal year.
  1 29    2.  The assessment shall be paid to the department
  1 30 in equal monthly amounts on or before the fifteenth
  1 31 day of each month.  The department may deduct the
  1 32 monthly amount from medical assistance payments to a
  1 33 facility described in subsection 1.  The amount
  1 34 deducted from payments shall not exceed the total
  1 35 amount of the assessments due.
  1 36    3.  Revenue from the assessments shall be credited
  1 37 to the state medical assistance appropriation.  This
  1 38 revenue may be used only for services for which
  1 39 federal financial participation under the medical
  1 40 assistance program is available to match state funds.
  1 41    4.  If federal financial participation to match the
  1 42 assessments made under subsection 1 becomes
  1 43 unavailable under federal law, the department shall
  1 44 terminate the imposing of the assessments beginning on
  1 45 the date that the federal statutory, regulatory, or
  1 46 interpretive change takes effect.
  1 47    5.  The department of human services may procure a
  1 48 sole source contract to implement the provisions of
  1 49 this section.
  1 50    Sec.    .  NURSING FACILITIES – BED-HOLD AND
  2  1 HOSPITAL CROSSOVER PAYMENTS.
  2  2    1.  For the fiscal year beginning July 1, 2002, the
  2  3 department of human services shall reduce
  2  4 reimbursements for nursing facility bed-hold based on
  2  5 an analysis of nursing facility cost, occupancy, and
  2  6 utilization.
  2  7    2.  For the fiscal year beginning July 1, 2002,
  2  8 reimbursement for hospital crossover payments shall be
  2  9 the lesser of the following:
  2 10    a.  The medical assistance program allowed cost
  2 11 amount minus the federal Medicare payment amount.
  2 12    b.  The federal Medicare coinsurance and deductible
  2 13 amounts."
  2 14    #4.  Page 10, by inserting after line 11, the
  2 15 following:
  2 16    "___.  Section 100 of this Act, relating to the
  2 17 assessment on intermediate care facilities for persons
  2 18 with mental retardation, being deemed of immediate
  2 19 importance, takes effect upon enactment."
  2 20    #5.  By renumbering as necessary.  
  2 21 
  2 22 
  2 23                               
  2 24 JOHNIE HAMMOND
  2 25 THOMAS FIEGEN
  2 26 HF 2615.301 79
  2 27 pf/cf
     

Text: S05421                            Text: S05423
Text: S05400 - S05499                   Text: S Index
Bills and Amendments: General Index     Bill History: General Index

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