| |
|
| |
| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
| |
| HOUSE BILL |
|
| |
| |
| INTRODUCED BY O'NEILL, CALTAGIRONE, CLYMER, DENLINGER, GEORGE, GRELL, HARHART, HARKINS, HESS, MURT, D. O'BRIEN, PICKETT, QUINN, RAPP, ROSS, SWANGER AND VULAKOVICH, FEBRUARY 3, 2011 |
| |
| |
| REFERRED TO COMMITTEE ON HEALTH, FEBRUARY 3, 2011 |
| |
| |
| |
| AN ACT |
| |
1 | Allowing nursing facilities to obtain medical assistance |
2 | certified beds under limited terms and conditions; and |
3 | providing for functions of the Department of Public Welfare. |
4 | The General Assembly of the Commonwealth of Pennsylvania |
5 | hereby enacts as follows: |
6 | Section 1. Short title. |
7 | This act shall be known and may be cited as the Medical |
8 | Assistance Bed Transfer Act. |
9 | Section 2. Definitions. |
10 | The following words and phrases when used in this act shall |
11 | have the meanings given to them in this section unless the |
12 | context clearly indicates otherwise: |
13 | "Certified bed." A facility bed which is certified by the |
14 | department to receive medical assistance reimbursements. |
15 | "Department." The Department of Public Welfare of the |
16 | Commonwealth. |
17 | "Facility." A nursing facility licensed by the Department of |
18 | Health. |
|
1 | "Medical assistance." The program under Article IV(f) of the |
2 | act of June 13, 1967 (P.L.31, No.21), known as the Public |
3 | Welfare Code. |
4 | "Program." The Medical Assistance Bed Transfer Program. |
5 | Section 3. Administration. |
6 | The department has the following powers and duties: |
7 | (1) To transfer certified beds from one facility to |
8 | another facility under section 4. |
9 | (2) To reduce the total number of certified beds. |
10 | (3) To promulgate regulations governing the program. |
11 | Section 4. Medical Assistance Bed Transfer Program. |
12 | (a) Request.--A facility may request that the department |
13 | transfer a certified bed to it. |
14 | (b) Price determination.--If the department receives a |
15 | request under subsection (a), the department shall determine a |
16 | fair and reasonable price, not in excess of $10,000, for the |
17 | transfer of each certified bed. |
18 | (c) Advertisement and responses.-- |
19 | (1) The department shall advertise to facilities in this |
20 | Commonwealth that the department is looking for unused or |
21 | unwanted certified beds for the requested transfer, |
22 | indicating the price that will be paid for returning those |
23 | certified beds to the department. |
24 | (2) The department shall catalog the responses to the |
25 | advertisement of the transfer request and shall make public |
26 | the number of certified beds which facilities are willing to |
27 | surrender to the department. |
28 | (d) Implementation.-- |
29 | (1) The department shall offer to the requesting |
30 | facility a number of certified beds not to exceed the number |
|
1 | requested by the facility under subsection (a) nor half of |
2 | the number of certified beds offered under subsection (c)(2). |
3 | If more certified beds are offered than needed, the |
4 | department shall decide which facilities will surrender |
5 | offered certified beds. |
6 | (2) The requesting facility shall pay the department for |
7 | two times the number of certified beds which are offered |
8 | under paragraph (1) at the price set under subsection (b). |
9 | (3) The department shall do all of the following: |
10 | (i) Pay the surrendering facility an amount equal to |
11 | the product of: |
12 | (A) the number of certified beds being |
13 | surrendered; and |
14 | (B) the price set in subsection (a). |
15 | (ii) Transfer to the requesting facility the number |
16 | of certified beds determined under paragraph (1). |
17 | (iii) Reduce the number of certified beds by an |
18 | amount equal to the amount transferred to the requesting |
19 | facility. |
20 | Section 5. Facility reimbursement. |
21 | (a) Medical assistance utilization.--There is no requirement |
22 | for a facility which receives a certified bed under the program |
23 | to place the certified bed in service for the exclusive use of |
24 | medical assistance-eligible residents. |
25 | (b) Medical assistance eligibility.-- |
26 | (1) A facility which receives a certified bed under the |
27 | program shall be eligible under medical assistance as a |
28 | participating provider effective on the date the resident |
29 | utilizing the certified bed meets medical assistance |
30 | eligibility requirements. |
|
1 | (2) If a certified bed is not being utilized by an |
2 | eligible resident under paragraph (1), the facility shall |
3 | notify the department to ensure no reimbursements are issued |
4 | for noneligibility residents. |
5 | (3) Certified beds transferred under the program shall |
6 | be reimbursed in the same manner as they were prior to the |
7 | transfer. |
8 | Section 20. Effective date. |
9 | This act shall take effect in 60 days. |
|