HF 455

as introduced - 80th Legislature (1997 - 1998) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to health; modifying the provisions for the 
  1.3             nursing home medical assistance certification 
  1.4             moratorium; appropriating money; amending Minnesota 
  1.5             Statutes 1996, sections 144A.071, subdivisions 1, 2, 
  1.6             and 4a; and 144A.073, subdivision 2. 
  1.7   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.8      Section 1.  Minnesota Statutes 1996, section 144A.071, 
  1.9   subdivision 1, is amended to read: 
  1.10     Subdivision 1.  [FINDINGS.] The legislature declares that a 
  1.11  moratorium on the licensure and medical assistance certification 
  1.12  of new nursing home beds and construction projects that 
  1.13  exceed the lesser of $500,000 or 25 percent of a facility's 
  1.14  appraised value $1,000,000 is necessary to control nursing home 
  1.15  expenditure growth and enable the state to meet the needs of its 
  1.16  elderly by providing high quality services in the most 
  1.17  appropriate manner along a continuum of care.  
  1.18     Sec. 2.  Minnesota Statutes 1996, section 144A.071, 
  1.19  subdivision 2, is amended to read: 
  1.20     Subd. 2.  [MORATORIUM.] The commissioner of health, in 
  1.21  coordination with the commissioner of human services, shall deny 
  1.22  each request for new licensed or certified nursing home or 
  1.23  certified boarding care beds except as provided in subdivision 3 
  1.24  or 4a, or section 144A.073.  "Certified bed" means a nursing 
  1.25  home bed or a boarding care bed certified by the commissioner of 
  1.26  health for the purposes of the medical assistance program, under 
  2.1   United States Code, title 42, sections 1396 et seq.  
  2.2      The commissioner of human services, in coordination with 
  2.3   the commissioner of health, shall deny any request to issue a 
  2.4   license under section 252.28 and chapter 245A to a nursing home 
  2.5   or boarding care home, if that license would result in an 
  2.6   increase in the medical assistance reimbursement amount.  
  2.7      In addition, the commissioner of health must not approve 
  2.8   any construction project whose cost exceeds $500,000, or 25 
  2.9   percent of the facility's appraised value, whichever is less, 
  2.10  $1,000,000 unless: 
  2.11     (a) any construction costs exceeding the lesser of $500,000 
  2.12  or 25 percent of the facility's appraised value $1,000,000 are 
  2.13  not added to the facility's appraised value and are not included 
  2.14  in the facility's payment rate for reimbursement under the 
  2.15  medical assistance program; or 
  2.16     (b) the project: 
  2.17     (1) has been approved through the process described in 
  2.18  section 144A.073; 
  2.19     (2) meets an exception in subdivision 3 or 4a; 
  2.20     (3) is necessary to correct violations of state or federal 
  2.21  law issued by the commissioner of health; 
  2.22     (4) is necessary to repair or replace a portion of the 
  2.23  facility that was damaged by fire, lightning, groundshifts, or 
  2.24  other such hazards, including environmental hazards, provided 
  2.25  that the provisions of subdivision 4a, clause (a), are met; 
  2.26     (5) as of May 1, 1992, the facility has submitted to the 
  2.27  commissioner of health written documentation evidencing that the 
  2.28  facility meets the "commenced construction" definition as 
  2.29  specified in subdivision 1a, clause (d), or that substantial 
  2.30  steps have been taken prior to April 1, 1992, relating to the 
  2.31  construction project.  "Substantial steps" require that the 
  2.32  facility has made arrangements with outside parties relating to 
  2.33  the construction project and include the hiring of an architect 
  2.34  or construction firm, submission of preliminary plans to the 
  2.35  department of health or documentation from a financial 
  2.36  institution that financing arrangements for the construction 
  3.1   project have been made; or 
  3.2      (6) is being proposed by a licensed nursing facility that 
  3.3   is not certified to participate in the medical assistance 
  3.4   program and will not result in new licensed or certified beds. 
  3.5      Prior to the final plan approval of any construction 
  3.6   project, the commissioner of health shall be provided with an 
  3.7   itemized cost estimate for the project construction costs.  If a 
  3.8   construction project is anticipated to be completed in phases, 
  3.9   the total estimated cost of all phases of the project shall be 
  3.10  submitted to the commissioner and shall be considered as one 
  3.11  construction project.  Once the construction project is 
  3.12  completed and prior to the final clearance by the commissioner, 
  3.13  the total project construction costs for the construction 
  3.14  project shall be submitted to the commissioner.  If the final 
  3.15  project construction cost exceeds the dollar threshold in this 
  3.16  subdivision, the commissioner of human services shall not 
  3.17  recognize any of the project construction costs or the related 
  3.18  financing costs in excess of this threshold in establishing the 
  3.19  facility's property-related payment rate. 
  3.20     The dollar thresholds for construction projects are as 
  3.21  follows:  for construction projects other than those authorized 
  3.22  in clauses (1) to (6), the dollar threshold is $500,000 or 25 
  3.23  percent of appraised value, whichever is less $1,000,000.  For 
  3.24  projects authorized after July 1, 1993, under clause (1), the 
  3.25  dollar threshold is the cost estimate submitted with a proposal 
  3.26  for an exception under section 144A.073, plus inflation as 
  3.27  calculated according to section 256B.431, subdivision 3f, 
  3.28  paragraph (a).  For projects authorized under clauses (2) to 
  3.29  (4), the dollar threshold is the itemized estimate project 
  3.30  construction costs submitted to the commissioner of health at 
  3.31  the time of final plan approval, plus inflation as calculated 
  3.32  according to section 256B.431, subdivision 3f, paragraph (a). 
  3.33     The commissioner of health shall adopt rules to implement 
  3.34  this section or to amend the emergency rules for granting 
  3.35  exceptions to the moratorium on nursing homes under section 
  3.36  144A.073.  
  4.1      Sec. 3.  Minnesota Statutes 1996, section 144A.071, 
  4.2   subdivision 4a, is amended to read: 
  4.3      Subd. 4a.  [EXCEPTIONS FOR REPLACEMENT BEDS.] It is in the 
  4.4   best interest of the state to ensure that nursing homes and 
  4.5   boarding care homes continue to meet the physical plant 
  4.6   licensing and certification requirements by permitting certain 
  4.7   construction projects.  Facilities should be maintained in 
  4.8   condition to satisfy the physical and emotional needs of 
  4.9   residents while allowing the state to maintain control over 
  4.10  nursing home expenditure growth. 
  4.11     The commissioner of health in coordination with the 
  4.12  commissioner of human services, may approve the renovation, 
  4.13  replacement, upgrading, or relocation of a nursing home or 
  4.14  boarding care home, under the following conditions: 
  4.15     (a) to license or certify beds in a new facility 
  4.16  constructed to replace a facility or to make repairs in an 
  4.17  existing facility that was destroyed or damaged after June 30, 
  4.18  1987, by fire, lightning, or other hazard provided:  
  4.19     (i) destruction was not caused by the intentional act of or 
  4.20  at the direction of a controlling person of the facility; 
  4.21     (ii) at the time the facility was destroyed or damaged the 
  4.22  controlling persons of the facility maintained insurance 
  4.23  coverage for the type of hazard that occurred in an amount that 
  4.24  a reasonable person would conclude was adequate; 
  4.25     (iii) the net proceeds from an insurance settlement for the 
  4.26  damages caused by the hazard are applied to the cost of the new 
  4.27  facility or repairs; 
  4.28     (iv) the new facility is constructed on the same site as 
  4.29  the destroyed facility or on another site subject to the 
  4.30  restrictions in section 144A.073, subdivision 5; 
  4.31     (v) the number of licensed and certified beds in the new 
  4.32  facility does not exceed the number of licensed and certified 
  4.33  beds in the destroyed facility; and 
  4.34     (vi) the commissioner determines that the replacement beds 
  4.35  are needed to prevent an inadequate supply of beds. 
  4.36  Project construction costs incurred for repairs authorized under 
  5.1   this clause shall not be considered in the dollar threshold 
  5.2   amount defined in subdivision 2; 
  5.3      (b) to license or certify beds that are moved from one 
  5.4   location to another within a nursing home facility, provided the 
  5.5   total costs of remodeling performed in conjunction with the 
  5.6   relocation of beds does not exceed 25 percent of the appraised 
  5.7   value of the facility or $500,000, whichever is less $1,000,000; 
  5.8      (c) to license or certify beds in a project recommended for 
  5.9   approval under section 144A.073; 
  5.10     (d) to license or certify beds that are moved from an 
  5.11  existing state nursing home to a different state facility, 
  5.12  provided there is no net increase in the number of state nursing 
  5.13  home beds; 
  5.14     (e) to certify and license as nursing home beds boarding 
  5.15  care beds in a certified boarding care facility if the beds meet 
  5.16  the standards for nursing home licensure, or in a facility that 
  5.17  was granted an exception to the moratorium under section 
  5.18  144A.073, and if the cost of any remodeling of the facility does 
  5.19  not exceed 25 percent of the appraised value of the facility or 
  5.20  $500,000, whichever is less $1,000,000.  If boarding care beds 
  5.21  are licensed as nursing home beds, the number of boarding care 
  5.22  beds in the facility must not increase beyond the number 
  5.23  remaining at the time of the upgrade in licensure.  The 
  5.24  provisions contained in section 144A.073 regarding the upgrading 
  5.25  of the facilities do not apply to facilities that satisfy these 
  5.26  requirements; 
  5.27     (f) to license and certify up to 40 beds transferred from 
  5.28  an existing facility owned and operated by the Amherst H. Wilder 
  5.29  Foundation in the city of St. Paul to a new unit at the same 
  5.30  location as the existing facility that will serve persons with 
  5.31  Alzheimer's disease and other related disorders.  The transfer 
  5.32  of beds may occur gradually or in stages, provided the total 
  5.33  number of beds transferred does not exceed 40.  At the time of 
  5.34  licensure and certification of a bed or beds in the new unit, 
  5.35  the commissioner of health shall delicense and decertify the 
  5.36  same number of beds in the existing facility.  As a condition of 
  6.1   receiving a license or certification under this clause, the 
  6.2   facility must make a written commitment to the commissioner of 
  6.3   human services that it will not seek to receive an increase in 
  6.4   its property-related payment rate as a result of the transfers 
  6.5   allowed under this paragraph; 
  6.6      (g) to license and certify nursing home beds to replace 
  6.7   currently licensed and certified boarding care beds which may be 
  6.8   located either in a remodeled or renovated boarding care or 
  6.9   nursing home facility or in a remodeled, renovated, newly 
  6.10  constructed, or replacement nursing home facility within the 
  6.11  identifiable complex of health care facilities in which the 
  6.12  currently licensed boarding care beds are presently located, 
  6.13  provided that the number of boarding care beds in the facility 
  6.14  or complex are decreased by the number to be licensed as nursing 
  6.15  home beds and further provided that, if the total costs of new 
  6.16  construction, replacement, remodeling, or renovation exceed ten 
  6.17  percent of the appraised value of the facility or $200,000, 
  6.18  whichever is less, the facility makes a written commitment to 
  6.19  the commissioner of human services that it will not seek to 
  6.20  receive an increase in its property-related payment rate by 
  6.21  reason of the new construction, replacement, remodeling, or 
  6.22  renovation.  The provisions contained in section 144A.073 
  6.23  regarding the upgrading of facilities do not apply to facilities 
  6.24  that satisfy these requirements; 
  6.25     (h) to license as a nursing home and certify as a nursing 
  6.26  facility a facility that is licensed as a boarding care facility 
  6.27  but not certified under the medical assistance program, but only 
  6.28  if the commissioner of human services certifies to the 
  6.29  commissioner of health that licensing the facility as a nursing 
  6.30  home and certifying the facility as a nursing facility will 
  6.31  result in a net annual savings to the state general fund of 
  6.32  $200,000 or more; 
  6.33     (i) to certify, after September 30, 1992, and prior to July 
  6.34  1, 1993, existing nursing home beds in a facility that was 
  6.35  licensed and in operation prior to January 1, 1992; 
  6.36     (j) to license and certify new nursing home beds to replace 
  7.1   beds in a facility condemned as part of an economic 
  7.2   redevelopment plan in a city of the first class, provided the 
  7.3   new facility is located within one mile of the site of the old 
  7.4   facility.  Operating and property costs for the new facility 
  7.5   must be determined and allowed under existing reimbursement 
  7.6   rules; 
  7.7      (k) to license and certify up to 20 new nursing home beds 
  7.8   in a community-operated hospital and attached convalescent and 
  7.9   nursing care facility with 40 beds on April 21, 1991, that 
  7.10  suspended operation of the hospital in April 1986.  The 
  7.11  commissioner of human services shall provide the facility with 
  7.12  the same per diem property-related payment rate for each 
  7.13  additional licensed and certified bed as it will receive for its 
  7.14  existing 40 beds; 
  7.15     (l) to license or certify beds in renovation, replacement, 
  7.16  or upgrading projects as defined in section 144A.073, 
  7.17  subdivision 1, so long as the cumulative total costs of the 
  7.18  facility's remodeling projects do not exceed 25 percent of the 
  7.19  appraised value of the facility or $500,000, whichever is 
  7.20  less $1,000,000; 
  7.21     (m) to license and certify beds that are moved from one 
  7.22  location to another for the purposes of converting up to five 
  7.23  four-bed wards to single or double occupancy rooms in a nursing 
  7.24  home that, as of January 1, 1993, was county-owned and had a 
  7.25  licensed capacity of 115 beds; 
  7.26     (n) to allow a facility that on April 16, 1993, was a 
  7.27  106-bed licensed and certified nursing facility located in 
  7.28  Minneapolis to layaway all of its licensed and certified nursing 
  7.29  home beds.  These beds may be relicensed and recertified in a 
  7.30  newly-constructed teaching nursing home facility affiliated with 
  7.31  a teaching hospital upon approval by the legislature.  The 
  7.32  proposal must be developed in consultation with the interagency 
  7.33  committee on long-term care planning.  The beds on layaway 
  7.34  status shall have the same status as voluntarily delicensed and 
  7.35  decertified beds, except that beds on layaway status remain 
  7.36  subject to the surcharge in section 256.9657.  This layaway 
  8.1   provision expires July 1, 1997; 
  8.2      (o) to allow a project which will be completed in 
  8.3   conjunction with an approved moratorium exception project for a 
  8.4   nursing home in southern Cass county and which is directly 
  8.5   related to that portion of the facility that must be repaired, 
  8.6   renovated, or replaced, to correct an emergency plumbing problem 
  8.7   for which a state correction order has been issued and which 
  8.8   must be corrected by August 31, 1993; 
  8.9      (p) to allow a facility that on April 16, 1993, was a 
  8.10  368-bed licensed and certified nursing facility located in 
  8.11  Minneapolis to layaway, upon 30 days prior written notice to the 
  8.12  commissioner, up to 30 of the facility's licensed and certified 
  8.13  beds by converting three-bed wards to single or double 
  8.14  occupancy.  Beds on layaway status shall have the same status as 
  8.15  voluntarily delicensed and decertified beds except that beds on 
  8.16  layaway status remain subject to the surcharge in section 
  8.17  256.9657, remain subject to the license application and renewal 
  8.18  fees under section 144A.07 and shall be subject to a $100 per 
  8.19  bed reactivation fee.  In addition, at any time within three 
  8.20  years of the effective date of the layaway, the beds on layaway 
  8.21  status may be: 
  8.22     (1) relicensed and recertified upon relocation and 
  8.23  reactivation of some or all of the beds to an existing licensed 
  8.24  and certified facility or facilities located in Pine River, 
  8.25  Brainerd, or International Falls; provided that the total 
  8.26  project construction costs related to the relocation of beds 
  8.27  from layaway status for any facility receiving relocated beds 
  8.28  may not exceed the dollar threshold provided in subdivision 2 
  8.29  unless the construction project has been approved through the 
  8.30  moratorium exception process under section 144A.073; 
  8.31     (2) relicensed and recertified, upon reactivation of some 
  8.32  or all of the beds within the facility which placed the beds in 
  8.33  layaway status, if the commissioner has determined a need for 
  8.34  the reactivation of the beds on layaway status. 
  8.35     The property-related payment rate of a facility placing 
  8.36  beds on layaway status must be adjusted by the incremental 
  9.1   change in its rental per diem after recalculating the rental per 
  9.2   diem as provided in section 256B.431, subdivision 3a, paragraph 
  9.3   (d).  The property-related payment rate for a facility 
  9.4   relicensing and recertifying beds from layaway status must be 
  9.5   adjusted by the incremental change in its rental per diem after 
  9.6   recalculating its rental per diem using the number of beds after 
  9.7   the relicensing to establish the facility's capacity day 
  9.8   divisor, which shall be effective the first day of the month 
  9.9   following the month in which the relicensing and recertification 
  9.10  became effective.  Any beds remaining on layaway status more 
  9.11  than three years after the date the layaway status became 
  9.12  effective must be removed from layaway status and immediately 
  9.13  delicensed and decertified; 
  9.14     (q) to license and certify beds in a renovation and 
  9.15  remodeling project to convert 13 three-bed wards into 13 two-bed 
  9.16  rooms and 13 single-bed rooms, expand space, and add 
  9.17  improvements in a nursing home that, as of January 1, 1994, met 
  9.18  the following conditions:  the nursing home was located in 
  9.19  Ramsey county; was not owned by a hospital corporation; had a 
  9.20  licensed capacity of 64 beds; and had been ranked among the top 
  9.21  15 applicants by the 1993 moratorium exceptions advisory review 
  9.22  panel.  The total project construction cost estimate for this 
  9.23  project must not exceed the cost estimate submitted in 
  9.24  connection with the 1993 moratorium exception process; 
  9.25     (r) to license and certify beds in a renovation and 
  9.26  remodeling project to convert 12 four-bed wards into 24 two-bed 
  9.27  rooms, expand space, and add improvements in a nursing home 
  9.28  that, as of January 1, 1994, met the following conditions:  the 
  9.29  nursing home was located in Ramsey county; had a licensed 
  9.30  capacity of 154 beds; and had been ranked among the top 15 
  9.31  applicants by the 1993 moratorium exceptions advisory review 
  9.32  panel.  The total project construction cost estimate for this 
  9.33  project must not exceed the cost estimate submitted in 
  9.34  connection with the 1993 moratorium exception process; 
  9.35     (s) to license and certify up to 117 beds that are 
  9.36  relocated from a licensed and certified 138-bed nursing facility 
 10.1   located in St. Paul to a hospital with 130 licensed hospital 
 10.2   beds located in South St. Paul, provided that the nursing 
 10.3   facility and hospital are owned by the same or a related 
 10.4   organization and that prior to the date the relocation is 
 10.5   completed the hospital ceases operation of its inpatient 
 10.6   hospital services at that hospital.  After relocation, the 
 10.7   nursing facility's status under section 256B.431, subdivision 
 10.8   2j, shall be the same as it was prior to relocation.  The 
 10.9   nursing facility's property-related payment rate resulting from 
 10.10  the project authorized in this paragraph shall become effective 
 10.11  no earlier than April 1, 1996.  For purposes of calculating the 
 10.12  incremental change in the facility's rental per diem resulting 
 10.13  from this project, the allowable appraised value of the nursing 
 10.14  facility portion of the existing health care facility physical 
 10.15  plant prior to the renovation and relocation may not exceed 
 10.16  $2,490,000; 
 10.17     (t) to license and certify two beds in a facility to 
 10.18  replace beds that were voluntarily delicensed and decertified on 
 10.19  June 28, 1991; 
 10.20     (u) to allow 16 licensed and certified beds located on July 
 10.21  1, 1994, in a 142-bed nursing home and 21-bed boarding care home 
 10.22  facility in Minneapolis, notwithstanding the licensure and 
 10.23  certification after July 1, 1995, of the Minneapolis facility as 
 10.24  a 147-bed nursing home facility after completion of a 
 10.25  construction project approved in 1993 under section 144A.073, to 
 10.26  be laid away upon 30 days' prior written notice to the 
 10.27  commissioner.  Beds on layaway status shall have the same status 
 10.28  as voluntarily delicensed or decertified beds except that they 
 10.29  shall remain subject to the surcharge in section 256.9657.  The 
 10.30  16 beds on layaway status may be relicensed as nursing home beds 
 10.31  and recertified at any time within five years of the effective 
 10.32  date of the layaway upon relocation of some or all of the beds 
 10.33  to a licensed and certified facility located in Watertown, 
 10.34  provided that the total project construction costs related to 
 10.35  the relocation of beds from layaway status for the Watertown 
 10.36  facility may not exceed the dollar threshold provided in 
 11.1   subdivision 2 unless the construction project has been approved 
 11.2   through the moratorium exception process under section 144A.073. 
 11.3      The property-related payment rate of the facility placing 
 11.4   beds on layaway status must be adjusted by the incremental 
 11.5   change in its rental per diem after recalculating the rental per 
 11.6   diem as provided in section 256B.431, subdivision 3a, paragraph 
 11.7   (d).  The property-related payment rate for the facility 
 11.8   relicensing and recertifying beds from layaway status must be 
 11.9   adjusted by the incremental change in its rental per diem after 
 11.10  recalculating its rental per diem using the number of beds after 
 11.11  the relicensing to establish the facility's capacity day 
 11.12  divisor, which shall be effective the first day of the month 
 11.13  following the month in which the relicensing and recertification 
 11.14  became effective.  Any beds remaining on layaway status more 
 11.15  than five years after the date the layaway status became 
 11.16  effective must be removed from layaway status and immediately 
 11.17  delicensed and decertified; 
 11.18     (v) to license and certify beds that are moved within an 
 11.19  existing area of a facility or to a newly-constructed addition 
 11.20  which is built for the purpose of eliminating three- and 
 11.21  four-bed rooms and adding space for dining, lounge areas, 
 11.22  bathing rooms, and ancillary service areas in a nursing home 
 11.23  that, as of January 1, 1995, was located in Fridley and had a 
 11.24  licensed capacity of 129 beds; or 
 11.25     (w) to relocate 36 beds in Crow Wing county and four beds 
 11.26  from Hennepin county to a 160-bed facility in Crow Wing county, 
 11.27  provided all the affected beds are under common ownership.  
 11.28     Sec. 4.  Minnesota Statutes 1996, section 144A.073, 
 11.29  subdivision 2, is amended to read: 
 11.30     Subd. 2.  [REQUEST FOR PROPOSALS.] At the authorization by 
 11.31  the legislature of additional medical assistance expenditures 
 11.32  for exceptions to the moratorium on nursing homes, the 
 11.33  interagency committee shall publish in the State Register a 
 11.34  request for proposals for nursing home projects to be licensed 
 11.35  or certified under section 144A.071, subdivision 4a, clause 
 11.36  (c).  The public notice of this funding and the request for 
 12.1   proposals must specify how the approval criteria will be 
 12.2   prioritized by the advisory review panel, the interagency 
 12.3   long-term care planning committee, and the commissioner.  The 
 12.4   notice must describe the information that must accompany a 
 12.5   request and state that proposals must be submitted to the 
 12.6   interagency committee within 90 days of the date of 
 12.7   publication.  The notice must include the amount of the 
 12.8   legislative appropriation available for the additional costs to 
 12.9   the medical assistance program of projects approved under this 
 12.10  section.  If no money is appropriated for a year, the 
 12.11  interagency committee shall publish a notice to that effect, and 
 12.12  no proposals shall be requested.  If money is appropriated, the 
 12.13  interagency committee shall initiate the application and review 
 12.14  process described in this section at least twice each biennium 
 12.15  and up to four times each biennium, according to dates 
 12.16  established by rule.  Authorized funds shall be allocated 
 12.17  proportionally to the number of processes.  Funds not encumbered 
 12.18  by an earlier process within a biennium shall carry forward to 
 12.19  subsequent iterations of the process.  Authorization for 
 12.20  expenditures does not carry forward into the following 
 12.21  biennium.  To be considered for approval, a proposal must 
 12.22  include the following information: 
 12.23     (1) whether the request is for renovation, replacement, 
 12.24  upgrading, conversion, or relocation; 
 12.25     (2) a description of the problem the project is designed to 
 12.26  address; 
 12.27     (3) a description of the proposed project; 
 12.28     (4) an analysis of projected costs of the nursing facility 
 12.29  proposal, which are not required to exceed the cost threshold 
 12.30  referred to in section 144A.071, subdivision 1, to be considered 
 12.31  under this section, including initial construction and 
 12.32  remodeling costs; site preparation costs; financing costs, 
 12.33  including the current estimated long-term financing costs of the 
 12.34  proposal, which consists of estimates of the amount and sources 
 12.35  of money, reserves if required under the proposed funding 
 12.36  mechanism, annual payments schedule, interest rates, length of 
 13.1   term, closing costs and fees, insurance costs, and any completed 
 13.2   marketing study or underwriting review; and estimated operating 
 13.3   costs during the first two years after completion of the 
 13.4   project; 
 13.5      (5) for proposals involving replacement of all or part of a 
 13.6   facility, the proposed location of the replacement facility and 
 13.7   an estimate of the cost of addressing the problem through 
 13.8   renovation; 
 13.9      (6) for proposals involving renovation, an estimate of the 
 13.10  cost of addressing the problem through replacement; 
 13.11     (7) the proposed timetable for commencing construction and 
 13.12  completing the project; 
 13.13     (8) a statement of any licensure or certification issues, 
 13.14  such as certification survey deficiencies; 
 13.15     (9) the proposed relocation plan for current residents if 
 13.16  beds are to be closed so that the department of human services 
 13.17  can estimate the total costs of a proposal; and 
 13.18     (10) other information required by permanent rule of the 
 13.19  commissioner of health in accordance with subdivisions 4 and 8. 
 13.20     Sec. 5.  [APPROPRIATION.] 
 13.21     $1,000,000 is appropriated from the general fund to the 
 13.22  commissioner of human services to provide funding for the 
 13.23  construction and remodeling projects approved through the 
 13.24  1997-1998 nursing home moratorium exceptions process authorized 
 13.25  under Minnesota Statutes, section 144A.071, to be available 
 13.26  until June 30, 1999.