House Journal: Page 964: Wednesday, April 2, 2003
3 1. Page 6, by inserting after line 31, the
4 following:
5 "1A. The department of human services shall submit
6 a medical assistance state plan amendment to the
7 centers for Medicare and Medicaid services of the
8 United States department of health and human services
9 to effectuate the nursing facility quality assurance
10 assessment.
11 1B. The department of human services shall submit
12 an application to the secretary of the United States
13 department of health and human services to request a
14 waiver of the uniform tax requirement pursuant to 42
15 U.S.C. § 1396b(w)(3)(E) and 42 C.F.R. § 433.68(e)(2)."
16 2. Page 12, by inserting after line 14, the
17 following:
18 "Sec. . CONTINGENT EFFECTIVE DATE.
19 1. Section 249A.20B, as enacted in this Act, shall
20 not take effect unless the department of human
21 services receives approval of both the medical
22 assistance state plan amendment from the centers for
23 Medicare and Medicaid services of the United States
24 department of health and human services to effectuate
25 the nursing facility quality assurance assessment and
26 of the application to the secretary of the United
27 States department of health and human services for a
28 waiver of the uniform tax requirement pursuant to 42
29 U.S.C. § 1396b(w)(3)(E) and 42 C.F.R. § 433.68(e)(2).
30 If both approvals are received, section 249A.20B shall
31 take effect upon the date that both approvals have
32 been received by the department and the department
33 shall notify the Code editor of the date of receipt of
34 the approvals.
35 2. If both approvals described in subsection 1 are
36 not received by June 30, 2004, the section of this Act
37 enacting section 249A.20B shall not take effect."
38 3. Page 12, by striking lines 18 through 20.
39 4. Page 12, by inserting after line 27, the
40 following:
41 "4A. The portions of the section of this Act
42 enacting section 249A.20B relating to directing the
43 department of human services to submit a medical
44 assistance state plan amendment to the centers for
45 Medicare and Medicaid services of the United States
46 department of health and human services to effectuate
47 the nursing facility quality assurance assessment and
48 directing the department of human services to submit
49 an application to the secretary of the United States
50 department of health and human services for a waiver
Page 2
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