PRIOR PRINTER'S NOS. 1172, 1579               PRINTER'S NO. 1695

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 952 Session of 1983


        INTRODUCED BY SHUMAKER, REIBMAN, HOPPER, BELL, MELLOW,
           JUBELIRER, EARLY, KUSSE, PECORA, CORMAN, WILT, BRIGHTBILL,
           LINCOLN, KELLEY, SINGEL, WILLIAMS, LYNCH, BODACK, WENGER,
           KRATZER, HELFRICK, RHOADES, STREET, MOORE, HOLL, FISHER,
           LOEPER, SHAFFER, SNYDER, O'CONNELL, HESS, MUSTO, ANDREZESKI,
           ROCKS, ROSS, STAPLETON, FUMO, HANKINS AND LLOYD, JULY 20,
           1983

        SENATOR TILGHMAN, RE-REPORTED AS AMENDED, FEBRUARY 6, 1984

                                     AN ACT

     1  Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
     2     act to consolidate, editorially revise, and codify the public
     3     welfare laws of the Commonwealth," providing for an increase
     4     in individual ceilings for allowable net operating costs for
     5     intermediate care facilities; AND MAKING APPROPRIATIONS.       <--

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8     Section 1.  Section 443.1 of the act of June 13, 1967
     9  (P.L.31, No.21), known as the Public Welfare Code, is amended by
    10  adding a clause to read:
    11     Section 443.1.  Medical Assistance Payments for Institutional
    12  Care.--The following medical assistance payments shall be made
    13  in behalf of eligible persons whose institutional care is
    14  prescribed by physicians:
    15     * * *
    16     (5)  Individual ceilings for allowable net operating per diem
    17  costs established for the various intermediate care facilities

     1  for the fiscal year 1983-1984 shall be increased at a minimum by
     2  six percent. THE MEDICAL ASSISTANCE NET OPERATING REIMBURSEMENT   <--
     3  CEILINGS FOR THE STATE FISCAL YEAR 1983-1984 SHOULD BE COMPUTED
     4  FOLLOWING THE SAME METHODOLOGY USED FOR THE 1982-1983 CEILINGS.
     5  NECESSARY ADJUSTMENTS SHOULD BE MADE IN THE GEOGRAPHIC
     6  GROUPINGS. The nursing staff allowance recognized for medical
     7  assistance reimbursement shall be three and five-tenths nursing
     8  hours for skilled nursing facility services and three nursing
     9  hours for intermediate care. It is the intent of the General
    10  Assembly that the increase is necessary to maintain appropriate
    11  care for patients whose services have been redefined by the
    12  department's regulations of January 8, 1983 pertaining to levels
    13  of care. Individual ceilings for the intermediate care
    14  facilities for the fiscal year 1983-1984 shall be increased a
    15  minimum of six percent from the ceilings in effect for the
    16  fiscal year 1982-1983.
    17     Section 2.  Any funds in the State Lottery Fund not required   <--
    18  for programs for which the money in the fund is otherwise used
    19  are hereby appropriated to the Department of Welfare for payment
    20  of the increase in allowable net operating costs for
    21  intermediate care facilities as provided by this act.
    22     SECTION 2.  (A)  THE SUM OF $7,800,000, OR AS MUCH THEREOF AS  <--
    23  MAY BE NECESSARY, IS SPECIFICALLY APPROPRIATED TO THE DEPARTMENT
    24  OF PUBLIC WELFARE FOR FISCAL YEAR JULY 1, 1983 TO JUNE 30, 1984
    25  FOR MEDICAL ASSISTANCE LONG-TERM CARE FACILITIES.
    26     (B)  THE SUM OF $9,929,000 IS SPECIFICALLY APPROPRIATED TO
    27  THE DEPARTMENT OF PUBLIC WELFARE FROM THE FEDERAL AUGMENTATION
    28  FUNDS TO SUPPLEMENT THE SUM APPROPRIATED FROM COMMONWEALTH
    29  REVENUES FOR LONG-TERM CARE FACILITIES FOR PROVISION OF SERVICES
    30  TO PATIENTS IN LONG-TERM CARE FACILITIES.
    19830S0952B1695                  - 2 -

     1     (C)  THE APPROPRIATIONS IN SUBSECTIONS (A) AND (B) SHALL BE
     2  IN ADDITION TO ANY SUMS APPROPRIATED IN THE ACT OF JULY 11, 1983
     3  (NO.2A), KNOWN AS THE GENERAL APPROPRIATION ACT OF 1983, AND THE
     4  ACT OF JULY 21, 1983 (NO.7A), KNOWN AS THE SUPPLEMENTAL GENERAL
     5  APPROPRIATION ACT FOR FISCAL YEAR 1983-1984.
     6     Section 3.  This act shall take effect immediately.
















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