South Carolina General Assembly
109th Session, 1991-1992

Bill 4425


Indicates Matter Stricken
Indicates New Matter


                    Current Status

Introducing Body:               House
Bill Number:                    4425
Primary Sponsor:                Altman
Type of Legislation:            JR
Subject:                        Nursing home medicaid permits
Residing Body:                  House
Companion Bill Number:          1302
Date Tabled:                    Mar 25, 1992
Computer Document Number:       BR1/2129.AC
Introduced Date:                Feb 18, 1992
Last History Body:              House
Last History Date:              Mar 25, 1992
Last History Type:              Tabled
Scope of Legislation:           Statewide
All Sponsors:                   Altman
                                P. Harris
                                Houck
                                Manly
                                Rama
                                Tucker
                                White
Type of Legislation:            Joint Resolution



History


 Bill  Body    Date          Action Description              CMN
 ----  ------  ------------  ------------------------------  ---
 4425  House   Mar 25, 1992  Tabled
 4425  House   Mar 24, 1992  Debate Adjourned until
                             Wednesday, March 25, 1992
 4425  House   Mar 05, 1992  Committee Report: Favorable     30
                             with amendment
 4425  House   Feb 18, 1992  Introduced, read first time,    30
                             referred to Committee

View additional legislative information at the LPITS web site.


(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

COMMITTEE REPORT

March 5, 1992

H. 4425

Introduced by REPS. Altman, P. Harris, Houck, Manly, Rama, Tucker and White

S. Printed 3/5/92--H.

Read the first time February 18, 1992.

THE COMMITTEE ON WAYS AND MEANS

To whom was referred a Joint Resolution (H. 4425), to authorize the South Carolina Department of Health and Environmental Control to increase the fiscal year 1992 nursing home Medicaid permits, etc., respectfully

REPORT:

That they have duly and carefully considered the same, and recommend that the same do pass with amendment:

Amend the bill, as and if amended, by adding an appropriately numbered section to read:

/SECTION __. A facility must not be assessed a penalty under the provisions of Section 44-7-90(2) of the 1976 Code, if the violation is a result of additional Medicaid days allocated pursuant to this joint resolution./

Renumber sections to conform.

Amend title to conform.

WILLIAM D. BOAN, for Committee.

STATEMENT OF ESTIMATED FISCAL IMPACT

1. Estimated Cost to State-First Year $3,000,000

2. Estimated Cost to State-Annually

Thereafter $3,000,000

A Joint Resolution to authorize DHEC to increase the FY 92 Nursing Home Medicaid Permits of certain nursing homes and to provide alternate methods for calculating the increase.

Based upon current estimates, this resolution will authorize DHEC to permit approximately 176,000 additional nursing home bed days for the current fiscal year, which at $61 per day will cost $10,736,000 in total Medicaid funds (approx. $3,000,000 State). This cost will remain essentially the same annually thereafter.

It should be noted that the HHSFC has appropriated funds in the current year to address these costs. The funds are available due to construction and opening delays. Additionally, it should be noted that through the House Ways and Means stage of the budget for FY 93, funds for 3.9 million nursing home bed days are being recommended and are consistent with this resolution plus the forecast of new beds coming on line.

Prepared By: Approved By:

Edward P. Brophy George N. Dorn, Jr.

State Budget Analyst State Budget Division

A JOINT RESOLUTION

TO AUTHORIZE THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL TO INCREASE THE FISCAL YEAR 1992 NURSING HOME MEDICAID PERMITS OF CERTAIN NURSING HOMES AND TO PROVIDE ALTERNATE METHODS FOR CALCULATING THE INCREASE.

Whereas, many nursing homes have been unable to increase the number of Medicaid days of care they are authorized to provide while changes in federal law have increased demand for Medicaid nursing home care. Now, therefore,

Be it enacted by the General Assembly of the State of South Carolina:

SECTION 1. (A) Notwithstanding Paragraph 39.28, Section 39, Part I of Act 171 of 1991, the General Appropriations Act for 1991-92, the South Carolina Department of Health and Environmental Control is authorized to increase the number of Medicaid patient days stated in permits issued pursuant to Article 2, Chapter 7, Title 44 of the 1976 Code.

(B) If requested by a nursing home within thirty days after the effective date of this joint resolution, the department is authorized to increase the number of Medicaid patient days stated in that facility's permit up to either:

(1) the total of the facility's fiscal year 1991 permit amount plus ninety-one percent of the additional Medicaid patient days the facility requested for fiscal year 1992; or

(2) ninety-one percent of fiscal year 1992 utilization as projected based on the first four months of the fiscal year.

(C) This joint resolution does not apply to additional Medicaid patient days requested in connection with a Certificate of Need which has been revoked by the department.

SECTION 2. This joint resolution takes effect upon approval by the Governor.

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