2017 Montana Legislature

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HOUSE BILL NO. 618

INTRODUCED BY N. BALLANCE

 

AN ACT INCREASING THE UTILIZATION FEE FOR NURSING FACILITIES TO INCREASE NURSING HOME REIMBURSEMENT RATES; PROVIDING A WAGE INCREASE FOR CERTAIN DIRECT CARE WORKERS; PROVIDING APPROPRIATIONS; AMENDING SECTIONS 15-60-102 AND 15-60-211, MCA; AND PROVIDING AN EFFECTIVE DATE.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MONTANA:

 

     Section 1.  Section 15-60-102, MCA, is amended to read:

     "15-60-102.  (Temporary) Utilization fee for bed days in nursing facilities. (1) A nursing facility in the state shall pay to the department a utilization fee for each bed day in the facility in the following amounts:

     (a)  in the amount of $2.80, which must be applied to maintain the price-based average payment rate to nursing facilities at the fiscal year 2003 2017 base amount;

     (b) in the amount of $5.50 to be used to maintain the price-based average payment rate to nursing facilities at the fiscal year 2017 base amount as provided in 15-60-211;

     (b)(c)  in fiscal year 2006 2018, an additional amount of $4.25 $3 to be used to increase the price-based average payment rate to nursing facilities above the fiscal year 2003 2017 base as provided in 15-60-211; and

     (c)(d)  beginning July 1, 2006 on and after July 1, 2018, an additional amount of $5.50 $7 to be used to increase the price-based average payment rate to nursing facilities above the fiscal year 2003 2017 base as provided in 15-60-211.

     (2)  The fees collected must be deposited as follows:

     (a)  the amounts collected as provided in subsection (1)(a), in the general fund; and

     (b)  the amounts collected as provided in subsections (1)(b) and (1)(c) through (1)(d), in the account in the state special revenue fund as provided in 15-60-211.

     (3)  A nursing facility may not place a fee created in this section on a patient's bill. (Void on occurrence of contingency--sec. 18, Ch. 746, L. 1991--see chapter compiler's comment.)"

 

     Section 2.  Section 15-60-211, MCA, is amended to read:

     "15-60-211.  State special revenue account. (1) There is a nursing facility utilization fee account in the state special revenue fund as provided in 17-2-102.

     (2) (a) All money collected under 15-60-102(1)(b) and (1)(c) through (1)(d) must be deposited in this account.

     (b) Money in the account collected under 15-60-102(1)(b) must be used by the department of public health and human services for the purpose of increasing maintaining the average price paid for medicaid nursing facility services above at the fiscal year 2003 2017 level under the price-based reimbursement system used to establish medicaid payment rates to nursing homes.

     (c) All money collected under 15-60-102(1)(c) and (1)(d) must be used by the department of public health and human services for the purpose of:

     (i) increasing the average price paid for medicaid nursing facility services above the fiscal year 2017 level under the price-based reimbursement system used to establish medicaid payment rates to nursing homes; and

     (ii) in each year of the biennium beginning July 1, 2017, providing a wage increase of 50 cents per hour to certified nursing assistants working in nursing facilities, provided in increments of 25 cents per hour every 6 months.

     (3)  Money remaining in this account at the end of a fiscal year may not be expended or transferred for any other purpose and is subject to appropriation by a subsequent legislature for purposes consistent with subsection (2)."

 

     Section 3.  Appropriation. (1) (a) There is appropriated from the special revenue account provided for in 15-60-211 to the department of public health and human services $4,427,982 in fiscal year 2018 and $10,331,958 in fiscal year 2019 to fund increases in medicaid payments to nursing facilities.

     (b) Of the amount appropriated in subsection (1)(a), $584,120 must be used in fiscal year 2018 and $1,365,085 in fiscal year 2019 for the wage increase for certified nursing assistants provided for in 15-60-211(2)(c)(ii).

     (2) (a) There is appropriated from the federal special revenue fund to the department of public health and human services $8,391,884 in fiscal year 2018 and $20,074,039 in fiscal year 2019 to fund increases in payments to nursing facilities.

     (b) Of the amount appropriated in subsection (2)(a), $1,103,112 must be used in fiscal year 2018 and $2,577,968 in fiscal year 2019 for the wage increase for certified nursing assistants provided for in 15-60-211(2)(c)(ii).

 

     Section 4.  Effective date. [This act] is effective July 1, 2017.

- END -

 


Latest Version of HB 618 (HB0618.ENR)
Processed for the Web on April 25, 2017 (2:05pm)

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