40000640 - MassHealth Nursing Home Supplemental Rates

Account Description FY2016
Spending
FY2017
GAA
4000-0640 MassHealth Nursing Home Supplemental Rates
For nursing facility Medicaid rates; provided, that in fiscal year 2017 the executive office of health and human services, in consultation with the center for health information and analysis, shall establish nursing facility Medicaid rates that cumulatively total $309,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that not less than $35,500,000 shall be expended to fund a rate-add on for wages, benefits, and related employee costs of direct care staff of nursing homes; provided further, that not less than $20,500,000 shall be expended to fund a rate-add on for wages, benefits, and related employee costs of direct care staff of nursing homes; provided further, MassHealth shall adopt all additional regulations and procedures to carry out this section; provided further, that no later than January 30, 2017, MassHealth shall report to the house and senate committees on ways and means an analysis of the impact on the wages for direct care workers at the nursing homes receiving said funds; provided further, that not less than $2,800,000 shall be expended as incentive payments to nursing facilities meeting the criteria determined under the MassHealth Nursing Facility Pay-for-Performance Program and that have established and participated in a cooperative effort in each qualifying nursing facility between representatives of employees and management that is focused on implementing that criteria and improving the quality of services available to MassHealth members and that shall decide jointly how to expend such incentive payments; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; and provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996

302,900,000 347,900,000

Veto Explanation:   I am striking language which earmarks funding for programs not recommended. The reduction in the item incorporates the amount of the stricken earmarked funds.