Bill > HB230

This bill amends Alabama law concerning nursing facilities by removing the sunset provision, meaning the privilege assessments and surcharges on nursing home beds will continue indefinitely. Specifically, it adjusts the existing privilege assessment, which is a fee levied on nursing facilities per bed, and modifies the supplemental privilege assessment and surcharge, which are additional fees also based on the number of beds. These assessments and surcharges are intended to support indigent healthcare and the Medicaid program, and the bill clarifies how these costs are factored into Medicaid reimbursement rates for nursing facilities. It also updates certain reimbursement methodologies for nursing facilities, including adjustments to cost ceilings and the inclusion of specialized medical equipment costs, and establishes a quality incentive program for nursing facilities. The bill will become effective on June 1, 2026.

Budget and Finance

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