The House and Senate Health Care Appropriations Subcommittees released their proposed budgets today. There are no reductions to Medicaid funding for nursing center care in either proposal. This is good news for members and a result of long term caregivers' efforts to educate legislators about the importance of appropriately funding the high-quality care delivered each day.
The Senate budget
includes language directing the Agency for Health Care Administration (AHCA) to
implement the Medicaid Prospective Payment System (PPS) with all of FHCA's
recommendations and the additional funding necessary for transition. At this
time, the House budget does not include language implementing the PPS. The
proposed House budget reduces the nursing center resident personal needs
allowance from $105 to $70 per month, but there is no reduction in the Senate
budget.
In addition, the
House and Senate budgets both provide for additional funding to serve Medicaid
recipients on the Home and Community-Based Services waiting list and additional
PACE slots. It should be noted that under both budget proposals, hospitals are
subject to large funding cuts - $621 million in the House and $258 million in
the Senate.
The budget is one of
several priorities the team at FHCA is actively working. Yesterday we saw
success on the managed care priority as Senate bill 682 passed out of the
Senate Health Policy Committee. The bill allows nursing center residents to be
exempted out of managed care after 60 days in a center, creates fines if a managed
care company does not timely pay a nursing center, and requires a 1 year any
willing provider for plans entering a new area of the state. Though heavily
lobbied against by the managed care organizations and AHCA, the bill passed
6-1.
We're nearing the
halfway point of the 2017 session, and there is still much work to be done.
FHCA wants to remind members that the budgeting process still has a long way to
go, as both chambers must agree on a final budget for the session to formally
adjourn.
As budget
negotiations between the House and Senate continue to unfold in the coming
weeks and our priorities of Certificate of Need, managed care and the PPS
progress, FHCA needs members' active involvement to be a strong voice at the
Capitol. We look forward to seeing more long term caregivers in Tallahassee
over the next few weeks for Lobby Wednesdays and appreciate members' support
when asked to take action from back home.
In the meantime, rest
assured the FHCA staff and lobby team will continue working tirelessly on
members' behalf so the focus can remain on residents and the quality care
Florida's long term care providers are delivering.
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