HP0292
LD 401
Session - 128th Maine Legislature
C "A", Filing Number H-109, Sponsored by
LR 1008
Item 2
Bill Tracking, Additional Documents Chamber Status

Amend the bill by striking out all of section 1 and inserting the following:

Sec. 1. 22 MRSA §3174-ZZ  is enacted to read:

§ 3174-ZZ Reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals

Beginning January 1, 2018, the department shall provide reimbursement to hospitals other than critical access hospitals for each day after the 10th day that a MaineCare-eligible individual is in the care of a hospital while awaiting placement in a nursing facility. The department shall reimburse hospitals prospectively at the statewide average rate per MaineCare member day for nursing facility services. The department shall compute the statewide average rate per MaineCare member day based on the simple average of the nursing facility rate per MaineCare member day for the applicable state fiscal year or years prorated for the hospital's fiscal year. Reimbursement for days awaiting placement pursuant to this section is limited to a maximum of $500,000 of combined General Fund funds and federal funds for each year. For purposes of this section, "critical access hospital" has the same meaning as in section 7932, subsection 10.

This section is repealed December 31, 2023.

Amend the bill by adding after section 2 the following:

Sec. 3. Appropriations and allocations. The following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Provides funds to provide reimbursement to hospitals other than critical access hospitals for each day after the 10th day that a MaineCare-eligible individual is in the care of a hospital while awaiting placement in a nursing facility.

GENERAL FUND 2017-18 2018-19
All Other
$17,690 $35,390
inline graphic sline.gif inline graphic sline.gif
GENERAL FUND TOTAL $17,690 $35,390

FEDERAL EXPENDITURES FUND 2017-18 2018-19
All Other
$31,932 $63,854
inline graphic sline.gif inline graphic sline.gif
FEDERAL EXPENDITURES FUND TOTAL $31,932 $63,854

summary

This amendment, which is the majority report of the committee, adds a start date of January 1, 2018 for the department to reimburse a hospital for the days a MaineCare-eligible individual is in the care of the hospital while awaiting placement in a nursing facility and adds language repealing the provision 5 years later.

FISCAL NOTE REQUIRED
(See attached)


Top of Page