SF 1830

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/07/2023 09:35am

A bill for an act
relating to human services; increasing medical assistance reimbursement rates for
home care nursing.

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

Section 1. new text begin RATE INCREASE FOR HOME CARE NURSING.
new text end

new text begin Subdivision 1. new text end

new text begin Rate increase. new text end

new text begin Effective July 1, 2023, the commissioner shall increase
payment rates for home care nursing services under Minnesota Statutes, sections 256B.0625,
subdivision 7, and 256B.0654, by 55 percent from the rates in effect on June 30, 2023. The
commissioner must apply the annual rate increases under Minnesota Statutes, section
256B.0654, subdivision 5, to the rates resulting from the application of the rate increase
under this section.
new text end

new text begin Subd. 2. new text end

new text begin Spending requirements. new text end

new text begin (a) At least 80 percent of the marginal increase in
revenue for home care nursing resulting from implementation of the rate increase under this
section for services rendered on or after the day of implementation of the increase must be
used to increase compensation-related costs for employees directly employed by the provider
to provide the service.
new text end

new text begin (b) For the purposes of this subdivision, compensation-related costs include:
new text end

new text begin (1) wages and salaries;
new text end

new text begin (2) the employer's share of FICA taxes, Medicare taxes, state and federal unemployment
taxes, workers' compensation, and mileage reimbursement;
new text end

new text begin (3) the employer's paid share of health and dental insurance, life insurance, disability
insurance, long-term care insurance, uniform allowance, pensions, and contributions to
employee retirement accounts; and
new text end

new text begin (4) benefits that address direct support professional workforce needs above and beyond
what employees were offered prior to implementation of the rate increase.
new text end

new text begin (c) Compensation-related costs for persons employed in the central office of a corporation
or entity that has an ownership interest in the provider or exercises control over the provider,
or for persons paid by the provider under a management contract, do not count toward the
80 percent requirement under this subdivision.
new text end

new text begin (d) A provider agency or individual provider that receives additional revenue subject to
the requirements of this subdivision shall prepare, and upon request submit to the
commissioner, a distribution plan that specifies the amount of money the provider expects
to receive that is subject to the requirements of this subdivision, including how that money
was or will be distributed to increase compensation-related costs for employees. Within 60
days of final implementation of the new rate methodology or any rate adjustment subject
to the requirements of this subdivision, the provider must post the distribution plan and
leave it posted for a period of at least six months in an area of the provider's operation to
which all direct support professionals have access. The posted distribution plan must include
instructions regarding how to contact the commissioner, or the commissioner's representative,
if an employee has not received the compensation-related increase described in the plan.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2023.
new text end