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F I S C A L I M P A C T R E P O R T





SPONSOR: Marquardt DATE TYPED: 03/14/01 HB 742/aHJC
SHORT TITLE: Amend Health Care Facility Receivership Act SB
ANALYST: Wilson


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY01 FY02 FY01 FY02
NFI



(Parenthesis ( ) Indicate Expenditure Decreases)



SOURCES OF INFORMATION



Health Policy Commission (HPC)



No Response

Department of Health (DOH)



SUMMARY



Synopsis of HJC Amendment



HB 742/aHJC makes the following changes:



Synopsis of Original Bill



HB 742 extends the DOH's receivership authority to include community based residential facilities funded in whole or in part by DOH through the home and community- based Medicaid waiver program or by developmental disabilities, traumatic brain injury of other medical

disabilities programs. HB 742 says that the court may restrict the authority of a deputy receiver and allows the Secretary of DOH to promulgate the rules necessary to implement the Health Facility Receivership Act.



Significant Issues



The HPC provided the following:



Health care facilities have been under increasing financial pressure and public pressure to provide higher quality services to their residents. There have been several closures of residential programs, as well as nursing homes and other community programs in the last few years. Receivership is an option in order to protect patients and maintain system capacity.



DOH currently has the authority to seek court appointment as a receiver if the facility has no valid license; will be closed within 60 days without adequate arrangements for its residents; has been abandoned or is in imminent danger of abandonment; or presents a situation, physical condition, practice, or method of operation that presents imminent danger or harm to its residents. HB 742 expands this authority additional types of facilities, extending government intervention into private facilities which have any funding from the DOH.



If community based residential facilities and institutions continue to face pressures, HB 742 may significantly increase the role of the state in operating and "bailing out" such private facilities. This may have long term significance in terms of fiscal impact, administrative burden, and litigation.



ADMINISTRATIVE IMPLICATIONS



The DOH will require staff and support services to promulgate the rules of the Health Facility Receivership Act, but since the DOH did not respond the resources needed cannot be estimated. The case load may also increase slightly because of the expanded eligibility.



DW/ar