Amendment AA1-AB1087

LRBa1255/1

SWB:cjs

2023 - 2024 LEGISLATURE

ASSEMBLY AMENDMENT 1, TO ASSEMBLY BILL 1087

February 15, 2024 - Offered by Representative Snyder.

AB1087-AA1,1,1 At the locations indicated, amend the bill as follows:

AB1087-AA1,1,3 1. Page 1, line 2: delete the material beginning with “an" and ending with “rate to" on line 3 and substitute “enhanced rates for”.

AB1087-AA1,1,4 2. Page 5, line 13: delete “rate" and substitute “rates".

AB1087-AA1,1,5 3. Page 5, line 14: after “$10,000,000" insert “general purpose revenue".

AB1087-AA1,1,8 4. Page 5, line 16: after “enhanced rate." insert “The enhanced rates developed under this subsection may not be applied once the $10,000,000 general purpose revenue and any related federal funds have been expended.".

AB1087-AA1,1,9 5. Page 5, line 17: delete “rate" and substitute “rates".

AB1087-AA1,1,11 6. Page 6, line 9: delete “shall only be applicable" and substitute “may be applicable only".

AB1087-AA1,2,2 7. Page 6, line 18: after “wounds," insert “the amount of time the enhanced rate is needed to address the extensive wound care needs, and".

AB1087-AA1,2,3 8. Page 6, line 19: delete “including".

AB1087-AA1,2,6 9. Page 6, line 21: delete the material beginning with “may only" and ending with “true:" on line 22 and substitute “may be applicable only if all of the following apply:”.

AB1087-AA1,2,7 10. Page 7, line 2: after that line insert:

AB1087-AA1,2,8 “ Section 3. Nonstatutory provisions.

AB1087-AA1,2,10 (1) Reporting requirements for enhanced nursing home rates and hospital supplemental payments.

AB1087-AA1,2,14 (a) By the end of the first month following the end of each quarter for which payments were made under s. 49.45 (3n) or (6r), the department of health services shall submit a report to the joint committee on finance that includes all of the information required under pars. (b) and (c).

AB1087-AA1,2,17 (b) For the enhanced nursing home rates under s. 49.45 (6r), the department of health services shall compile for the report required under par. (a) all of the following information:

AB1087-AA1,2,19 1. The number of residents, resident days, and distribution of funding by facility for each of the enhanced rates.

AB1087-AA1,2,21 2. The number and percentage of newly admitted residents that meet the criteria for each of the enhanced rates.

AB1087-AA1,2,24 3. For the first quarterly report required under par. (a) only, information on the amount of the enhanced rates, including a description of how each rate was determined by the department of health services.

AB1087-AA1,3,3 (c) For the supplemental hospital payments under s. 49.45 (3n), the department of health services shall compile for the report required under par. (a) all of the following information:

AB1087-AA1,3,5 1. The number of qualifying avoidable patient days for which a supplement was paid to the hospital.

AB1087-AA1,3,7 2. The number of high-acuity patients for which a supplement was paid to the hospital.

AB1087-AA1,3,8 3. The total amount of the supplement paid to the hospital.

AB1087-AA1,3,13 4. The most significant condition or reason, in the judgment of the hospital, preventing the discharge of the patient to another facility or setting, for each high-acuity patient with qualifying avoidable patient days. The department of health services may specify categories of conditions or reasons to facilitate the collection and analysis of this data.

AB1087-AA1,3,19 (d) The department of health services shall, with the third quarterly report required under par. (a) to be submitted by April 30, 2025, include a report on general feedback from providers who received the enhanced rates under s. 49.45 (6r) or one or more hospital supplemental payments under s. 49.45 (3n), including any recommendations for any changes needed to facilitate the prompt discharge of high-acuity patients.”.

AB1087-AA1,3,20 (End)