HF 2494 (LSB 6215HV (2) 89)

HOUSE FILE 2494

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO HSB 699)

(As Amended and Passed by the House 2022-03-15)

A BILL FOR

An Act relating to nursing facility construction or expansion.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 249K.2, subsection 4, Code 2022, is amended to read as follows:
   4.  “Major renovations” means construction or facility improvements to a nursing facility in which the total amount expended exceeds one million five seven hundred fifty thousand dollars.
    Sec. 2.  Section 249K.5, subsection 2, Code 2022, is amended by adding the following new paragraph:
   NEW PARAGRAPH.  c.  The nursing facility for which relief or an exception is requested is proposing replacement or enhancement of an HVAC, as defined in section 105.2, system for improved infection control.
    Sec. 3.  ADMINISTRATIVE RULES —— ADOPTION AND AMENDMENT.  The department of human services shall adopt or amend rules pursuant to chapter 17A to administer this Act. Specifically, the department shall amend 441 IAC 81.6(16)(h)(3)(1) to provide that with regard to the additional requirements a nursing facility must meet, the facility has Medicaid utilization at or above forty percent for the two-month period before the request for additional reimbursement is submitted. Medicaid utilization for this purpose is calculated as total nursing facility Medicaid patient days divided by total in-house patient days as reported on the facility’s most current financial and statistical report.