HB 851-FN-A-LOCAL – AS INTRODUCED
2007 SESSION
10/01
HOUSE BILL 851-FN-A-LOCAL
AN ACT relative to the determination of county payments for nursing home services.
SPONSORS: Rep. Schmidt, Straf 4
COMMITTEE: Municipal and County Government
This bill distributes the county payments for nursing home services paid to the department of health and human services according to each county’s share of equalized property valuation.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
07-1140
10/01
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Seven
AN ACT relative to the determination of county payments for nursing home services.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Divisions of Property Appraisal; Department of Revenue Administration; Equalized Valuation. Amend RSA 21-J:9 by inserting after paragraph III the following new paragraph:
III-a. Annually calculating the percentage of total equalized valuation, determined under paragraph III, attributable to each county, and reporting the percentages to the commissioner of health and human services for use under RSA 167:18-b.
2 County Payments; Nursing Home Services. Amend RSA 167:18-b, I and II to read as follows:
167:18-b County Payments of Funds for Persons Eligible to Receive Nursing Home Services; Limitation on County Payments.
I.(a) All expenditures in carrying out the purposes of this chapter or RSA 161 relative to old age assistance or aid to the permanently and totally disabled recipients who are in nursing homes shall be made in the first instance from the public assistance fund hereby created, but each county shall make monthly payments to the [state for] department of health and human services according to the county’s share of liabilities as determined in subparagraph (b). The amounts due under this section shall be paid within 45 days from notice thereof [and].
(b) The department of health and human services shall determine each county’s share of liabilities under this section according to the percentage of total state equalized valuation, as calculated by the department of revenue administration, attributed to each county of the state. Such percentage shall apply for each month of the state fiscal year in which the percentage was calculated.
(c) The county payments received by the department shall reimburse said fund for all assistance granted to persons for which [such county is] the counties are liable, to the extent of 50 percent of the non-federal share, except that no charges shall be made for the non-federal share for recipients in state institutions and intermediate care facilities for the mentally retarded (ICF-MR) serving developmentally impaired persons approved by the department of health and human services.
II. Each county shall be liable in the same manner as provided for in paragraph I for the department’s expenditures for old age assistance and aid to the permanently and totally disabled recipients who are eligible for nursing home care, but who are in another setting as an alternative to placement in a nursing home and are supported under the medicaid home and community-based care waiver for the elderly and chronically ill, as such waiver may be amended from time to time, except that no charges shall be made for services under the waiver to the extent the average cost of all such services exceeds the average cost for care that would have been provided in nursing homes.
3 Local Medical Assistance Contribution. Amend RSA 167:18-f to read as follows:
167:18-f Local Medical Assistance Contribution. In addition to any other reimbursement required by law, each county shall, within 60 days from notice thereof, reimburse the public assistance fund at the rate of $27 per month for each recipient of old age assistance and $52 per month for each recipient of aid to the permanently and totally disabled for whom the county would be liable under the provisions of RSA 166, except that no reimbursement shall be required for any recipient for whom the liability is included in the county [has an] obligation under RSA 167:18-b.
4 Repeal. The following are repealed:
I. 1998, 388:16, I and II, relative to the repeal of RSA 167:18-b and 18-f.
II. 1998, 388:17, II, as amended by 2003, 223:8, 2004, 260:9, and 2005, 177:10 relative to the effective date of the repeal of RSA 167:18-b and 18-f.
5 Effective Date.
I. Section 4 of this act shall take effect June 30, 2007.
II. The remainder of this act shall take effect July 1, 2007.
LBAO
07-1140
01/25/07
HB 851-FN-A-LOCAL - FISCAL NOTE
AN ACT relative to the determination of county payments for nursing home services.
FISCAL IMPACT:
Due to time constraints, the Office of Legislative Budget Assistant is unable to provide a fiscal note for this bill at this time. When completed, the fiscal note will be forwarded to the House Clerk's Office.