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                                                      PRINTER'S NO. 1049

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

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
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     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.
















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