SB412 (2022) Detail

Making an appropriation to the department of health and human services for nursing home reimbursement rates.


SB 412-FN-A - AS INTRODUCED

 

 

2022 SESSION

22-2859

05/11

 

SENATE BILL 412-FN-A

 

AN ACT making an appropriation to the department of health and human services for nursing home reimbursement rates.

 

SPONSORS: Sen. Rosenwald, Dist 13; Sen. D'Allesandro, Dist 20; Sen. Hennessey, Dist 1; Sen. Bradley, Dist 3; Sen. Kahn, Dist 10; Sen. Giuda, Dist 2; Sen. Reagan, Dist 17; Rep. Wallner, Merr. 10; Rep. Nordgren, Graf. 12; Rep. Rogers, Merr. 28

 

COMMITTEE: Finance

 

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ANALYSIS

 

This bill directs the department of health and human services to increase nursing home reimbursement rates and makes a contingent appropriation to the department in the event that existing budgeted appropriations are insufficient to fund the revised rates.

 

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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

22-2859

05/11

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty Two

 

AN ACT making an appropriation to the department of health and human services for nursing home reimbursement rates.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1  Department of Health and Human Services; Nursing Home Reimbursement Rates; Appropriation.  The department of health and human services is hereby directed to establish new rates for nursing homes paid out of account 05-95-48-482010-2152. The average daily rate across all facilities shall be equal to no less than 105 percent of the average daily rate in effect as of June 30, 2021, and shall be retroactive to July 1, 2021. Should budgeted appropriations be insufficient to fund the revised rates, the commissioner shall transmit a letter to the governor, senate president, and speaker of the house of representatives advising them of the need for additional funding. Contingent upon the transmittal of said letter, and for the biennium ending June 30, 2023, an amount not to exceed $5,000,000 shall be appropriated to the department for the purpose of funding the shortfall. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated. The department may accept and expend matching federal funds without prior approval of the fiscal committee.

2  Effective Date.  This act shall take effect upon its passage.

 

LBA

22-2859

Revised 12/30/21

 

SB 412-FN-A- FISCAL NOTE

AS INTRODUCED

 

AN ACT making an appropriation to the department of health and human services for nursing home reimbursement rates.

 

FISCAL IMPACT:      [ X ] State              [ X ] County               [    ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2022

FY 2023

FY 2024

FY 2025

   Appropriation

Up to $5 million, as needed

$0

$0

$0

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable Increase

Indeterminable Increase

$0

$0

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [    ] Other

 

 

 

 

 

COUNTY:

 

 

 

 

   Revenue

Indeterminable Increase

Indeterminable Increase

$0

$0

   Expenditures

$0

$0

$0

$0

 

 

 

 

 

METHODOLOGY:

This bill requires the Department of Health and Human Services to establish new nursing  home reimbursement rates, with such rates retroactive to July 1, 2021.  The bill stipulates that the average daily rate across all facilities shall be no less than 105 percent of the average daily rate in effect on June 30, 2021.

 

The final enacted FY22/23 budget contained a five percent funding increase for nursing homes above the level contained in the House-passed budget.  The Department has stated that the increase may be insufficient to provide a five percent across-the-board rate increase for nursing homes relative to the rates in effect on June 30, 2021.  In the event the Department determines that existing budgeted funds are insufficient, this bill requires the commissioner to communicate this finding in writing to the governor, Senate president, and speaker of the House informing them of the need for additional funding, in which case the bill allows for an appropriation of up to $5 million.

 

To the extent that counties operate nursing homes that will benefit from a rate increase, they will receive an indeterminable increase in revenue as a result of this bill.

 

AGENCIES CONTACTED:

Department of Health and Human Services

 

 

Links

SB412 at GenCourtMobile

Action Dates

Date Body Type
Jan. 25, 2022 Senate Hearing

Bill Text Revisions

SB412 Revision: 34495 Date: Dec. 30, 2021, 9:29 a.m.

Docket


Dec. 29, 2021: Hearing: 01/25/2022, Room 103, SH, 01:30 pm; SC 1


Dec. 23, 2021: To Be Introduced 01/05/2022 and Referred to Finance; SJ 1