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Amendment No. AM_134_2177 — H. B. No. 461 As Introduced

Summary

Amendment No. AM_134_2177 to H. B. No. 461 as introduced, with a Legislative Service Commission synopsis, on nursing facility payments. The amendment changes the title to refer to a one-time payment instead of coronavirus relief funding and replaces the word Relief with Payments. The synopsis states that it modifies the calculation of nursing facility one-time payments to be based on a method using a percentage of the total per Medicaid day payment rate paid to all nursing facilities, the per Medicaid day payment rate for each nursing facility as of July 1, 2021, and the total annual Medicaid days for each facility based on 2020 cost report data.

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“Amendment No. AM_134_2177 — H. B. No. 461 As Introduced.” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2021-11-17-econ-workforce-dev-submission-am-134-2177-8a4c44dafe/, SHA-256 8634ed38b06ef0240115ee3e754ce1e6a203a4a13fb4e51097a3bd1fde0cebb3.

Full text

Amendment No. AM_134_2177

                                                 H. B. No. 461
                                                 As Introduced




__________________________ moved to amend as follows:




        In line 1 of the title, delete "some federal"                        1

        In line 2 of the title, delete "coronavirus relief funding" and      2
insert "a one-time payment"                                                  3

        In the table on line 13, in row C, column 3, delete "Relief" and     4
insert "Payments"                                                            5

        In line 14, delete "RELIEF" and insert "PAYMENTS"                    6

        In line 19, delete "Relief" and insert "Payments"                    7

        In line 20, delete "as"                                              8

        In line 21, delete "follows" and insert "with a method that uses all 9
of the following data"                                                       10

        In line 22, delete "Determine the" and insert "A"; after             11
"percentage" insert "of the total per Medicaid day payment rate paid to      12
all nursing facilities"; after "distribute" insert "all of"                  13

        In line 24, delete "Multiply that percentage by the" and insert      14
"The"                                                                        15



Legislative Service Commission          - 1-
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       In line 26, delete ". The per Medicaid"                              16

       In line 27, delete "day payment rate shall include" and insert ";    17


        (3) The total annual"; delete "beds occupied"                       18
       In line 28, delete "by care management system enrollees and shall    19
be" and insert "each nursing facility,"                                     20

       In line 31, delete "(B)(2)" and insert "(B)(3)"                      21

       In line 34, delete "the"                                             22

       In line 35, delete the first "facility's" and insert "an estimated   23
annual"                                                                     24




The motion was __________ agreed to.




                                       SYNOPSIS                             25

        Nursing facility payments                                           26

        Section 2                                                           27

        As described below, modifies the calculation of nursing             28
facility one-time payments under the bill to be based on a                  29
method that uses specified data, instead of by enumerated steps.            30

        Replaces provisions specifying the steps to calculate a             31
nursing facility's payment with a requirement that the payment              32
be calculated by a method using the following data:                         33

        -A percentage of the total per Medicaid day payment rate            34
paid to all nursing facilities, sufficient to distribute all the            35
appropriated funds to all Ohio nursing facilities;                          36


Legislative Service Commission          - 2-
        -The per Medicaid day payment rate for each nursing       37
facility as of July 1, 2021.                                      38

         -The total annual Medicaid days for each nursing         39
facility, based on 2020 cost report data.                         40

        Regarding the third point above, specifies that if a      41
facility did not submit a full year of cost report data for       42
2020, the Department of Medicaid must use an estimated annual     43
number of licensed beds, instead of using the facility's number   44
of licensed beds.                                                 45

        Modifies the bill's appropriation line item to refer to   46
"nursing facility payments" instead of "nursing facility          47
relief."                                                          48




Legislative Service Commission    - 3-


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