Bill Status of SB 42   101st General Assembly

Short Description:  NURSING HOME MEDICAID REIMBURS

Senate Sponsors
Sen. Don Harmon-Mattie Hunter-Omar Aquino, Cristina Castro-Iris Y. Martinez, Scott M. Bennett, Rachelle Crowe, Thomas Cullerton, Antonio Muņoz, Martin A. Sandoval, Laura Fine, Emil Jones, III-Linda Holmes, Steve Stadelman, John G. Mulroe, Pat McGuire and Christopher Belt

Last Action  View All Actions

DateChamber Action
  1/13/2021SenateSession Sine Die

Statutes Amended In Order of Appearance
New Act

Synopsis As Introduced
Creates the Nursing Home Reform Act. Provides that the purposes of the Act include establishing a framework for the provision of care to residents of facilities licensed under the Nursing Home Care Act, ensuring the coordination of regulation and reimbursement, strengthening the provider and employee community, and supporting the highest possible quality of resident-centered services and care. Effective immediately.

Senate Committee Amendment No. 1
Replaces everything after the enacting clause. Creates the Nursing Home Medicaid Reimbursement Reform Act. Provides that it shall be a matter of State policy that all residents of facilities licensed under the Nursing Home Care Act who meet the financial requirements for medical assistance and have a determination of need score of 29 or greater shall be guaranteed the right to: (1) select the facility in which he or she receives care; (2) participate fully in the development of his or her individualized care plan; and (3) be informed in advance of any changes to his or her individualized care plan or to the status of his or her nursing home stay. Provides that all medical treatment and services deemed medically necessary by a physician licensed to practice medicine in all of its branches, including the provision of prescription drugs not covered under a qualified Medicare Part D Prescription Drug Plan, shall be presumed to be available for any resident who is eligible for medical assistance and shall qualify for reimbursement under the Medical Assistance Program. Provides that any medical services provided, as specified in the Act, to a resident of a facility licensed under the Nursing Home Care Act shall be reimbursed based on an aggregate rate composed of nursing, support, and capital components. Provides that the State shall also reimburse each facility paying property taxes an amount that equals the facility's actual property tax bill, if applicable. Provides that any additional funds contained in the State Fiscal Year 2020 budget in excess of those expended in the State Fiscal Year 2019 budget shall be distributed by statute. Provides that reimbursement payments for services covered under the Act are due and payable on the last day of each month for all claims submitted during the preceding calendar month. Effective immediately.

Actions 
DateChamber Action
  1/16/2019SenateFiled with Secretary by Sen. Don Harmon
  1/16/2019SenateFirst Reading
  1/16/2019SenateReferred to Assignments
  1/23/2019SenateAssigned to Public Health
  1/31/2019SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter
  2/5/2019SenateAdded as Co-Sponsor Sen. Omar Aquino
  2/5/2019SenateAdded as Chief Co-Sponsor Sen. Omar Aquino
  2/5/2019SenateAdded as Co-Sponsor Sen. Cristina Castro
  2/6/2019SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez
  2/6/2019SenateAdded as Co-Sponsor Sen. Scott M. Bennett
  2/6/2019SenateAdded as Co-Sponsor Sen. Rachelle Crowe
  2/6/2019SenateAdded as Co-Sponsor Sen. Thomas Cullerton
  2/6/2019SenateAdded as Co-Sponsor Sen. Antonio Muņoz
  2/7/2019SenateAdded as Co-Sponsor Sen. Martin A. Sandoval
  2/13/2019SenateAdded as Co-Sponsor Sen. Laura Fine
  2/19/2019SenateAdded as Co-Sponsor Sen. Emil Jones, III
  2/21/2019SenateAdded as Chief Co-Sponsor Sen. Linda Holmes
  3/7/2019SenateAdded as Co-Sponsor Sen. Steve Stadelman
  3/14/2019SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon
  3/14/2019SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/14/2019SenateAdded as Co-Sponsor Sen. John G. Mulroe
  3/19/2019SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health
  3/19/2019SenateAdded as Co-Sponsor Sen. Pat McGuire
  3/19/2019SenateAdded as Co-Sponsor Sen. Christopher Belt
  3/19/2019SenateSenate Committee Amendment No. 1 Adopted
  3/20/2019SenateDo Pass as Amended Public Health; 012-000-000
  3/20/2019SenatePlaced on Calendar Order of 2nd Reading March 21, 2019
  4/9/2019SenateSecond Reading
  4/9/2019SenatePlaced on Calendar Order of 3rd Reading April 10, 2019
  4/12/2019SenateRule 3-9(a) / Re-referred to Assignments
  1/13/2021SenateSession Sine Die

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