PRINTER'S NO. 1049
No. 896 Session of 2007
INTRODUCED BY GREENLEAF, ERICKSON, WASHINGTON, WAUGH, TARTAGLIONE AND FONTANA, MAY 22, 2007
REFERRED TO PUBLIC HEALTH AND WELFARE, MAY 22, 2007
AN ACT 1 Allowing nursing facilities to obtain medical assistance 2 certified beds under limited terms and conditions; and 3 providing for functions of the Department of Public Welfare. 4 The General Assembly of the Commonwealth of Pennsylvania 5 hereby enacts as follows: 6 Section 1. Short title. 7 This act shall be known and may be cited as the Medical 8 Assistance Bed Transfer Act. 9 Section 2. Definitions. 10 The following words and phrases when used in this act shall 11 have the meanings given to them in this section unless the 12 context clearly indicates otherwise: 13 "Certified bed." A facility bed which is certified by the 14 department to receive medical assistance reimbursements. 15 "Department." The Department of Public Welfare of the 16 Commonwealth. 17 "Facility." A nursing facility licensed by the Department of 18 Health.
1 "Medical assistance." The program under Article IV(f) of the 2 act of June 13, 1967 (P.L.31, No.21), known as the Public 3 Welfare Code. 4 "Program." The Medical Assistance Bed Transfer Program 5 established in section 4. 6 Section 3. Administration. 7 The department has the following powers and duties: 8 (1) To transfer certified beds from one facility to 9 another facility under section 4. 10 (2) To promulgate regulations governing the program. 11 Section 4. Medical Assistance Bed Transfer Program. 12 (a) Request.--A facility may request that the department 13 transfer a certified bed to it. 14 (b) Price determination.--If the department receives a 15 request under subsection (a), the department shall determine a 16 fair and reasonable price, not in excess of $10,000, for the 17 transfer of each certified bed. 18 (c) Advertisement and responses.-- 19 (1) The department shall advertise to facilities in this 20 Commonwealth that the department is looking for unused or 21 unwanted certified beds for the requested transfer, 22 indicating the price that will be paid for surrendering those 23 certified beds to the department. 24 (2) The department shall catalog the responses to the 25 advertisement of the transfer request and shall make public 26 the number of certified beds which facilities are willing to 27 surrender to the department. 28 (d) Implementation.-- 29 (1) The department shall offer to the requesting 30 facility a number of certified beds not to exceed the number 20070S0896B1049 - 2 -
1 requested by the facility under subsection (a) nor half of 2 the number of certified beds offered under subsection (c)(2). 3 If more certified beds are offered than needed, the 4 department shall decide which facilities will surrender 5 offered certified beds. 6 (2) The requesting facility shall pay the department for 7 the number of certified beds which are offered under 8 paragraph (1) at the price set under subsection (b). 9 (3) The department shall do all of the following: 10 (i) Pay the surrendering facility an amount equal to 11 the product of: 12 (A) the number of certified beds being 13 surrendered; and 14 (B) the price set in subsection (a). 15 (ii) Transfer to the requesting facility the number 16 of certified beds determined under paragraph (1). 17 Section 5. Facility reimbursement. 18 (a) Medical assistance utilization.--A facility which 19 receives a certified bed under the program may not be required 20 to place the certified bed in service for the exclusive use of 21 medical assistance-eligible residents. 22 (b) Medical assistance eligibility.-- 23 (1) A facility which receives a certified bed under the 24 program shall be eligible under medical assistance as a 25 participating provider effective on the date the resident 26 utilizing the certified bed meets medical assistance 27 eligibility requirements. 28 (2) If a certified bed is not being utilized by an 29 eligible resident under paragraph (1), the facility shall 30 notify the department to ensure no reimbursements are issued 20070S0896B1049 - 3 -
1 for noneligible residents. 2 (3) Certified beds transferred under the program shall 3 be reimbursed in the same manner as they were prior to the 4 transfer. 5 Section 6. Effective date. 6 This act shall take effect in 60 days. D27L67DMS/20070S0896B1049 - 4 -