Budget Amendment ID: FY2017-S4-414

EHS 414

Nursing Home Residents Protection

Messrs. Montigny, Brady, Tarr, Moore, Eldridge, McGee and Brownsberger, Ms. Gobi, Messrs. Rodrigues, Pacheco and Humason moved that the proposed new text be amended in section 2, in item 4000-0600, provided further, that MassHealth shall reimburse nursing home facilities for up to and including 20 medical leave of absence days and shall reimburse the facilities for up to and including 10 nonmedical leave of absence days; provided further, that medical leave of absence days shall include an observation stay in a hospital in excess of 24 hours; provided further, that not later than January 1, 2017, MassHealth shall report to the house and senate committees on ways and means the following for the fiscal year 2016: (i) the number of nursing facility clients on a leave of absence, delineated by the nursing facility, by medical leave of absence days and medical leave of absence days that exceeded 10 days per hospital stay, nonmedical leave of absence days and the total number of days on leave of absence unduplicated member count; (ii) licensed beds monthly capacity levels per nursing home and the monthly total number of empty beds per nursing facility, total number of all nursing home residents and total MassHealth nursing home residents; (iii) 6 separate MassHealth payment rates and the average payment amount rate per nursing facility client resident; (iv) actual number of nursing home residents for each of the 6 payment categories in clause (iii); (v) the aggregate payment amount per nursing facility by month; and (vi) all reports shall delineate by nursing home, including grand totals where appropriate; and provided further, that no nursing home may reassign a patient's bed during a leave of absence eligible for reimbursement under this item.