2022 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Sickles
Cap Local Match for Publicly Owned Nursing Homes & Provide ARPA for Pandemic Expenses

Item 304 #8h

Item 304 #8h

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $3,222,519 FY2024 $1,851,245 GF
FY2023 $9,718,539 FY2024 $0 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,745,929,795".
Page 313, line 47, strike "$19,820,607,534" and insert "$19,822,458,779".

Page 324, after line 50, insert:

"c. Effective July 1, 2022, the Department of Medical Assistance Services shall cap certified public expenditures required for local government-owned nursing homes.

d.  Out of this appropriation, $9,718,539 from federal American Recovery Act Plan (ARPA) funds shall be provided to reimburse local government-owned nursing homes for unreimbursed expenses and lost revenue due the impact of COVID-19.  


(This amendment adds $3.2 million the first year and $1.9 million the second from the general fund each year from nongeneral funds language to cap local government-owned nursing home expenditures used to draw down Medicaid supplemental payments for services provided. Currently, the Medicaid program retains a portion of the supplemental payments for its administrative costs to administer the program, which would be eliminated by capping the certified public expenditures for these nursing homes. It also provides $9.7 million from federal ARPA funds to address unreimbursed costs for pandemic related expenses. Government-owned nursing homes were deemed ineligible to receive pandemic Paycheck Protection Program (PPP) loans available to many other private providers, which were forgiven if employment levels were maintained.)