5950-S.E AMH SHMK BUNC 299
ESSB 5950 - H AMD TO H AMD (H-3407.1/24) 1103
By Representative SchmickBy Representative Schmick
ADOPTED 02/24/2024
On page 226, line 32 of the striking amendment, increase the general fund-state appropriation for fiscal year 2025 by $361,000
On page 226, line 34 of the striking amendment, increase the general fund-federal appropriation by $387,000
On page 227, line 1 of the striking amendment, correct the total.
On page 241, after line 11 of the striking amendment, insert the following:
"(rr)(a) $361,000 of the general fund--state appropriation for fiscal year 2025 and $387,000 of the general fund--federal appropriation are provided for rates paid, effective January 1, 2025, to independent contractor nurses and agency-employed nurses providing private duty nursing, skilled nursing, and private duty nursing in adult family homes.
(b) The department must adopt a payment model that incorporates the following adjustments for independent contractor nurses:
(i) Private duty nursing services shall be $56.58 per hour by a registered nurse and $46.49 per hour by a licensed practical nurse.
(ii) Skilled nursing services shall be $62.93 per day by a registered nurse.
(c) The department must adopt a payment model that incorporates the following adjustments for agency-employed nurses:
(i) Private duty nursing services shall be $67.89 per hour by a registered nurse and $55.79 per hour by a licensed practical nurse.
(ii) Skilled nursing services shall be $75.52 per day by a registered nurse.
(d) Private duty nursing services in an adult family home shall be $898.95 per day."
On page 242, line 28 of the striking amendment, increase the general fund-state appropriation for fiscal year 2025 by $408,000
On page 242, line 30 of the striking amendment, increase the general fund-federal appropriation by $438,000
On page 243, line 3 of the striking amendment, correct the total.
On page 263, after line 24 of the striking amendment, insert the following:
"(54) (a) $408,000 of the general fund--state appropriation for fiscal year 2025 and $438,000 of the general fund--federal appropriation are provided for rates paid, effective January 1, 2025, to independent contractor nurses and agency-employed nurses providing private duty nursing, skilled nursing, and private duty nursing in adult family homes.
(b) The department must adopt a payment model that incorporates the following adjustments for independent contractor nurses:
(i) Private duty nursing services shall be $56.58 per hour by a registered nurse and $46.49 per hour by a licensed practical nurse.
(ii) Skilled nursing services shall be $62.93 per day by a registered nurse.
(c) The department must adopt a payment model that incorporates the following adjustments for agency-employed nurses:
(i) Private duty nursing services shall be $67.89 per hour by a registered nurse and $55.79 per hour by a licensed practical nurse.
(ii) Skilled nursing services shall be $75.52 per day by a registered nurse.
(d) Private duty nursing services in an adult family home shall be $898.95 per day."
On page 285, line 24 of the striking amendment, increase the general fund-state appropriation for fiscal year 2025 by $266,000
On page 285, line 26 of the striking amendment, increase the general fund-federal appropriation by $348,000
On page 286, line 16 of the striking amendment, correct the total.
On page 322, after line 39 of the striking amendment, insert the following:
"(100) (a) $266,000 of the general fund-state appropriation for fiscal year 2025 and $348,000 of the general fund-federal appropriation are provided solely for rate increases, effective January 1, 2025, for private duty nursing, home health, and the medically intensive children's group home program services.
(b) The authority must adopt a payment model that incorporates the following adjustments:
(i) A 7.5 percent rate increase for home health and the medically intensive children's group home program services; and
(ii) Private duty nursing services shall be $67.89 per hour by a registered nurse and $55.70 per hour by a licensed practical nurse."
| EFFECT: Increases reimbursement rates on an ongoing basis through the Health Care Authority and the Department of Social and Health Services for the Home Health and the Medically Intensive Children's Group Home Program; and for independent contractor nurses and agency-employed nurses providing private duty nursing, skilled nursing, in-home skilled nursing services, and private duty nursing in adult family homes.
FISCAL IMPACT: Increases General Fund - State by $1,035,000. Increases General Fund - Medicaid by $1,173,000.
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