1.1 	A bill for an act
1.2 	relating to human services; modifying the operating payment rate for certain 
1.3 	nonprofit nursing facilities in border cities;amending Minnesota Statutes 2016, 
1.4 	section 256R.53, subdivision 2.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2016, section 256R.53, subdivision 2, is amended to read:
1.7 		Subd. 2.Nursing facility facilities in Breckenridge border cities. The operating 
1.8 	payment rate of a nonprofit nursing facility that exists on January 1, 2015, is located within 
1.9 	the boundaries of the city of Breckenridge or Moorhead, and is reimbursed under this chapter, 
1.10 	is equal to the greater of:
1.11 	(1) the operating payment rate determined under section 256R.21, subdivision 3; or
1.12 	(2) the median case mix adjusted rates, including comparable rate components as 
1.13 	determined by the median case mix adjusted rates, including comparable rate components 
1.14 	as determined by the commissioner, for the equivalent case mix indices of the nonprofit 
1.15 	nursing facility or facilities located in an adjacent city in another state and in cities contiguous 
1.16 	to the adjacent city. The Minnesota facility's operating payment rate with a case mix index 
1.17 	of 1.0 is computed by dividing the adjacent city's nursing facility or facilities' median 
1.18 	operating payment rate with an index of 1.02 by 1.02 The commissioner shall make the 
1.19 	comparison required in this subdivision on November 1 of each year and shall apply it to 
1.20 	the rates to be effective on the following January 1. If the adjustments under this subdivision 
1.21 	result in a rate that exceeds the total care-related payment limits in section 256R.23, 
1.22 	subdivision 5, and whose costs exceed the other operating payment rate in section 256R.24, 
1.23 	subdivision 3, in a given rate year, the facility's rate shall not be subject to the limits in 
2.1 	section 256R.23, subdivision 5, and shall not be limited to the rate established in section 
2.2 	256R.24, subdivision 3, for that rate year.

2.3 	EFFECTIVE DATE. The rate increases for a facility located in Moorhead are effective 
2.4 	for the rate year beginning January 1, 2020, and annually thereafter.