Bill Text: MN SF1457 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Nursing facility external fixed costs modifications
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2013-03-18 - Referred to Finance [SF1457 Detail]
Download: Minnesota-2013-SF1457-Introduced.html
1.2relating to human services; modifying nursing facility external fixed costs;
1.3amending Minnesota Statutes 2012, section 256B.441, subdivisions 13, 53.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.441, subdivision 13, is amended to
1.6read:
1.7 Subd. 13. External fixed costs. "External fixed costs" means costs related to the
1.8nursing home surcharge under section256.9657, subdivision 1 ; licensure fees under
1.9section144.122 ; long-term care consultation fees under section
256B.0911, subdivision 6 ;
1.10family advisory council fee under section144A.33 ; scholarships under section
256B.431,
1.11subdivision 36 ; planned closure rate adjustments under section
256B.437 ; or single bed
1.12room incentives under section256B.431, subdivision 42 ; property taxes and property
1.13insurance;and PERA; and any costs resulting from the provision of employee health
1.14insurance and payment of tax penalties under the federal Patient Protection and Affordable
1.15Care Act (Public Law 111-148), as amended by the federal Health Care and Education
1.16Reconciliation Act of 2010 (Public Law 111-152), and any amendments to, or regulation
1.17or guidance issued under, those acts.
1.18 Sec. 2. Minnesota Statutes 2012, section 256B.441, subdivision 53, is amended to read:
1.19 Subd. 53. Calculation of payment rate for external fixed costs. The commissioner
1.20shall calculate a payment rate for external fixed costs.
1.21 (a) For a facility licensed as a nursing home, the portion related to section256.9657
1.22shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care
2.1home, the portion related to section256.9657 shall be equal to $8.86 multiplied by the
2.2result of its number of nursing home beds divided by its total number of licensed beds.
2.3 (b) The portion related to the licensure fee under section144.122 , paragraph (d),
2.4shall be the amount of the fee divided by actual resident days.
2.5 (c) The portion related to scholarships shall be determined under section256B.431 ,
2.6subdivision 36.
2.7 (d) The portion related to long-term care consultation shall be determined according
2.8to section256B.0911, subdivision 6 .
2.9 (e) The portion related to development and education of resident and family advisory
2.10councils under section144A.33 shall be $5 divided by 365.
2.11 (f) The portion related to planned closure rate adjustments shall be as determined
2.12under section256B.437, subdivision 6 , and Minnesota Statutes 2010, section
256B.436 .
2.13Planned closure rate adjustments that take effect before October 1, 2014, shall no longer
2.14be included in the payment rate for external fixed costs beginning October 1, 2016.
2.15Planned closure rate adjustments that take effect on or after October 1, 2014, shall no
2.16longer be included in the payment rate for external fixed costs beginning on October 1 of
2.17the first year not less than two years after their effective date.
2.18 (g) The portions related to property insurance, real estate taxes, special assessments,
2.19and payments made in lieu of real estate taxes directly identified or allocated to the nursing
2.20facility shall be the actual amounts divided by actual resident days.
2.21 (h) The portion related to the Public Employees Retirement Association shall be
2.22actual costs divided by resident days.
2.23 (i) The single bed room incentives shall be as determined under section256B.431 ,
2.24subdivision 42. Single bed room incentives that take effect before October 1, 2014, shall
2.25no longer be included in the payment rate for external fixed costs beginning October 1,
2.262016. Single bed room incentives that take effect on or after October 1, 2014, shall no
2.27longer be included in the payment rate for external fixed costs beginning on October 1 of
2.28the first year not less than two years after their effective date.
2.29(j) Any costs resulting from the provision of employee health insurance and payment
2.30of tax penalties under the federal Patient Protection and Affordable Care Act (Public
2.31Law 111-148), as amended by the federal Health Care and Education Reconciliation
2.32Act of 2010 (Public Law 111-152), and any amendments to, or regulation or guidance
2.33issued under, those acts.
2.34(j) (k) The payment rate for external fixed costs shall be the sum of the amounts in
2.35paragraphs (a) to(i) (j).
1.3amending Minnesota Statutes 2012, section 256B.441, subdivisions 13, 53.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.441, subdivision 13, is amended to
1.6read:
1.7 Subd. 13. External fixed costs. "External fixed costs" means costs related to the
1.8nursing home surcharge under section
1.9section
1.10family advisory council fee under section
1.11subdivision 36
1.12room incentives under section
1.13insurance;
1.14insurance and payment of tax penalties under the federal Patient Protection and Affordable
1.15Care Act (Public Law 111-148), as amended by the federal Health Care and Education
1.16Reconciliation Act of 2010 (Public Law 111-152), and any amendments to, or regulation
1.17or guidance issued under, those acts.
1.18 Sec. 2. Minnesota Statutes 2012, section 256B.441, subdivision 53, is amended to read:
1.19 Subd. 53. Calculation of payment rate for external fixed costs. The commissioner
1.20shall calculate a payment rate for external fixed costs.
1.21 (a) For a facility licensed as a nursing home, the portion related to section
2.1home, the portion related to section
2.2result of its number of nursing home beds divided by its total number of licensed beds.
2.3 (b) The portion related to the licensure fee under section
2.4shall be the amount of the fee divided by actual resident days.
2.5 (c) The portion related to scholarships shall be determined under section
2.6subdivision 36.
2.7 (d) The portion related to long-term care consultation shall be determined according
2.8to section
2.9 (e) The portion related to development and education of resident and family advisory
2.10councils under section
2.11 (f) The portion related to planned closure rate adjustments shall be as determined
2.12under section
2.13Planned closure rate adjustments that take effect before October 1, 2014, shall no longer
2.14be included in the payment rate for external fixed costs beginning October 1, 2016.
2.15Planned closure rate adjustments that take effect on or after October 1, 2014, shall no
2.16longer be included in the payment rate for external fixed costs beginning on October 1 of
2.17the first year not less than two years after their effective date.
2.18 (g) The portions related to property insurance, real estate taxes, special assessments,
2.19and payments made in lieu of real estate taxes directly identified or allocated to the nursing
2.20facility shall be the actual amounts divided by actual resident days.
2.21 (h) The portion related to the Public Employees Retirement Association shall be
2.22actual costs divided by resident days.
2.23 (i) The single bed room incentives shall be as determined under section
2.24subdivision 42. Single bed room incentives that take effect before October 1, 2014, shall
2.25no longer be included in the payment rate for external fixed costs beginning October 1,
2.262016. Single bed room incentives that take effect on or after October 1, 2014, shall no
2.27longer be included in the payment rate for external fixed costs beginning on October 1 of
2.28the first year not less than two years after their effective date.
2.29(j) Any costs resulting from the provision of employee health insurance and payment
2.30of tax penalties under the federal Patient Protection and Affordable Care Act (Public
2.31Law 111-148), as amended by the federal Health Care and Education Reconciliation
2.32Act of 2010 (Public Law 111-152), and any amendments to, or regulation or guidance
2.33issued under, those acts.
2.34
2.35paragraphs (a) to
