HB 482-FN-A-LOCAL – AS INTRODUCED
2011 SESSION
10/01
HOUSE BILL 482-FN-A-LOCAL
AN ACT relative to county reimbursements for nursing home services.
This bill extends the limitation on county reimbursements to the state for nursing home services through June 30, 2014. The bill also extends the prospective repeal of RSA 167:18-a, the county reimbursement provision, until July 1, 2014.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
11-0585
10/01
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eleven
AN ACT relative to county reimbursements for nursing home services.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Nursing Home Care; County Reimbursement of Funds; Limitations on Payments. Amend RSA 167:18-a, II to read as follows:
II.(a) The total billings to all counties made pursuant to this section shall not exceed the amounts set forth below for state fiscal years 2009-[2012] 2014:
(1) State fiscal year 2009, $103,000,000.
(2) State fiscal year 2010, $105,000,000.
(3) State fiscal year 2011, $105,000,000.
(4) State fiscal year 2012, $105,000,000.
(5) State fiscal year 2013, $105,000,000.
(6) State fiscal year 2014, $105,000,000.
(b) The caps on total billings for fiscal years after fiscal year [2012] 2014 shall be established by the legislature at least on a biennial basis.
2 Prospective Repeal Extended; RSA 167:18-a; County Reimbursement of Funds. Amend 2007, 263:176, XV to read as follows:
XV. Section 26 of this act shall take effect July 1, [2013] 2014.
3 Effective Date. This act shall take effect 60 days after its passage.
LBAO
11-0585
Revised 02/04/11
HB 482 FISCAL NOTE
AN ACT relative to county reimbursements for nursing home services.
FISCAL IMPACT:
The Department of Health and Human Services and New Hampshire Association of Counties state this bill will have an indeterminable fiscal impact on state and county revenue and expenditures in FY 2013, FY 2014 and FY 2015. There will be no fiscal impact on local revenue or expenditures.
METHODOLOGY:
The Department of Health and Human Services states this bill extends the current FY 2012 cap on county billings of $105,000,000 through FY 2015, and extends the current FY 2012 county credit of $5,000,000 (which is applied against the cap) through FY 2015. The Department assumes incremental costs above the cap will be borne by the state. The Department states that acuity based reimbursement rates are set twice each year on July 1st and January 1st. The budget neutrality factor is determined after the rate setting process is completed. As a result, the Department is not able to project what the acuity level of residents will be in FY 2013, and cannot determine the exact fiscal impact at this time. There will be no fiscal impact in FY 2011 and FY 2012 since under current law the proposed cap and credit amounts already apply for these years.
The New Hampshire Association of Counties states this bill maintains the cap on the county obligation for long-term care at $105 million for FY 2013 and 2014 causing the county costs for the Medicaid program to remain stable for two more years. The Association stated further that if nursing home reimbursement rates and state budget appropriations decrease the county percentage share of the non-federal Medicaid costs will increase and the state percentage share of non-federal Medicaid costs will decrease.