1.1 	A bill for an act
1.2 	relating to human services; increasing payment rates for a nursing facility in 
1.3 	Duluth to the Duluth median rate;amending Minnesota Statutes 2008, section 
1.4 	256B.434, by adding a subdivision.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2008, section 256B.434, is amended by adding a 
1.7 	subdivision to read:
1.8 		Subd. 4i.Rate increase for facility in Duluth. Effective October 1, 2009, operating 
1.9 	payment rates of a nursing facility in Duluth that is a low-cost provider of nursing facility 
1.10 	services under this chapter, and has 126 certified skilled nursing beds as of January 1, 
1.11 	2009, and that is reimbursed under this section, is increased to be equal, for a RUG's rate 
1.12 	with a weight of 1.00, to the median rate for all nursing facilities in the city of Duluth for 
1.13 	the same RUG's weight. The percentage of the operating payment rate for each facility to 
1.14 	be case-mix adjusted is equal to the percentage that is case-mix adjusted in that facility's 
1.15 	September 30, 2009 operating payment rate. Increases provided by this subdivision must 
1.16 	be added to the rate determined under any new reimbursement system established under 
1.17 	section 256B.441.