HF 2148

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 02:00am

A bill for an act
relating to human services; modifying treatment of Medicare costs for purposes
of nursing facility rebasing; amending Minnesota Statutes 2008, section
256B.441, subdivision 48, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256B.441, is amended by adding a
subdivision to read:

new text begin Subd. 24a. new text end

new text begin Medicare costs. new text end

new text begin For purposes of computing rates under this section for
rate years beginning on or after October 1, 2009, "Medicare costs" means 70.4 percent of
Medicare Part A and Part B revenues received during the reporting year.
new text end

Sec. 2.

Minnesota Statutes 2008, section 256B.441, subdivision 48, is amended to read:

Subd. 48.

Calculation of operating per diems.

The direct care per diem for
each facility shall be the facility's direct care costs divided by its standardized days.
The other care-related per diem shall be the sum of the facility's activities costs, other
direct care costs, raw food costs, therapy costs, and social services costs, divided by the
facility's resident days. The other operating per diem shall be the sum of the facility's
administrative costs, dietary costs, housekeeping costs, laundry costs, and maintenance
and plant operations costs divided by the facility's resident days. new text begin For rate years beginning
on or after October 1, 2009, the calculations of the direct care per diem, other care-related
per diem, and other operating per diem shall:
new text end

new text begin (1) have allowable costs reduced by Medicare costs as defined in subdivision 24a.
The Medicare costs must be allocated between direct care, other care-related, and other
operating based on a ratio of allowable expenses from the cost report; and
new text end

new text begin (2) have resident days and standardized days computed without using days paid
by Medicare.
new text end