Senate File 251 SENATE FILE BY BOLKCOM Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to the reimbursement of home and community=based 2 waiver services. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2658SS 80 5 pf/sh/8 PAG LIN 1 1 Section 1. Section 249A.30, Code 2003, is amended to read 1 2 as follows: 1 3 249A.30 HOME AND COMMUNITY=BASED WAIVER SERVICES 1 4 REIMBURSEMENT. 1 5 1. The base reimbursement rate for a provider of services 1 6 under a medical assistance program home and community=based 1 7 waiverfor persons with mental retardationshall be 1 8 recalculatedat least every three years to adjust for the 1 9 changes in costs during the immediately preceding three=year 1 10 periodannually, at the beginning of the fiscal year. 1 11 2. The annual inflation factor used to adjust such a 1 12 provider's reimbursement rate for a fiscal year shallnot 1 13 exceed the percentage increase in the employment cost index 1 14 for private industry compensation issued by the federal 1 15 department of labor, bureau of labor statistics, for the most 1 16 recently completed calendar yearbe based on the HCFA/SNF 1 17 index. For the purposes of this subsection, "HCFA/SNF index" 1 18 means the health care financing administration total skilled 1 19 nursing facility market basket index published by data 1 20 resources, inc. 1 21 EXPLANATION 1 22 This bill provides that reimbursement for providers of 1 23 services under any medical assistance program home and 1 24 community=based waivers is to be recalculated, annually, at 1 25 the beginning of the fiscal year. The annual inflation factor 1 26 to be used, instead of the current percentage increase in the 1 27 employment cost index for private industry compensation issued 1 28 by the federal department of labor, bureau of labor 1 29 statistics, for the most recently completed calendar year is 1 30 to be the HCFA/SNF index. The "HCFA/SNF index" is defined as 1 31 the health care financing administration total skilled nursing 1 32 facility market basket index published by data resources, inc. 1 33 LSB 2658SS 80 1 34 pf/sh/8 1 35