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ME LD772

ME LD772
An Act to Assist Nursing Facilities in the Management of Facility Beds


summary

Introduced
02/25/2025
In Committee
02/25/2025
Crossed Over
Passed
Dead
04/08/2025

Introduced Session

132nd Legislature

Bill Summary

This bill modifies the provision of law governing procedures for reinstating beds that have been voluntarily removed from a nursing facility. The bill expands the criteria governing which removed beds qualify as reserved beds that may be reinstated under this provision by removing language that limits reinstatement to beds that were removed prior to July 1, 2007 for a reason other than to create private rooms. The bill modifies the expedited review process to obtain certificate of need approval to reopen reserved beds. Applications that seek to reopen reserved beds must be approved if the projected incremental costs of reopening and operating the reserved beds are consistent with the facility's costs of operating its other beds. Applicants are not required to demonstrate that any increases in MaineCare costs are offset by other MaineCare savings. The costs of ongoing operation of both the reopened beds and the complement of facility beds at the time the reserved beds are reopened must be recognized as allowable costs and incorporated into the facility's MaineCare payment rates. The bill requires the Department of Health and Human Services to include in its calculation of reimbursement for services provided by a nursing facility the cost incurred by the facility for a medical director. Current law only requires the department to include in its calculation an allowance for the cost of a medical director in a base year amount not to exceed $10,000 adjusted for cost of living.

AI Summary

This bill modifies several provisions related to nursing facilities in Maine, focusing on bed management and reimbursement. It removes previous time-based restrictions on reinstating voluntarily removed nursing facility beds, allowing facilities to convert beds back more flexibly without being limited to beds removed before July 1, 2007, or excluding beds removed to create private rooms. The bill streamlines the certificate of need (CON) process for reopening reserved beds by requiring approval if the projected incremental costs of reopening and operating these beds are consistent with the facility's existing bed costs. Additionally, the bill eliminates the requirement for facilities to offset potential MaineCare cost increases and mandates that the costs of reopened beds be incorporated into the facility's MaineCare payment rates. The legislation also changes how medical director costs are calculated for reimbursement, requiring the Department of Health and Human Services to include the actual cost incurred by a facility for a medical director, rather than limiting reimbursement to a base amount of $10,000 adjusted for cost of living. These changes aim to provide nursing facilities with more flexibility in bed management and more comprehensive cost reimbursement.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Ought Not to Pass Pursuant To Joint Rule 310, Apr 8, 2025 (on 04/08/2025)

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