Minnesota 2023-2024 Regular Session

Minnesota House Bill HF2848

Introduced
3/13/23  

Caption

Temporary funding established for settings that receive high-acuity patients discharged from hospitals, grants established to reimburse hospitals for avoidable nonacute patient days, and money appropriated.

Impact

The bill provides for partial reimbursement payments to hospitals of up to $1,400 per qualifying avoidable patient day, which includes circumstances where a patient has been boarded in an emergency department without meeting admission criteria. In addition, supplemental payments of $150 per resident per day are allocated to nursing facilities, assisted living facilities, and other similar settings that accept high-acuity discharges from hospitals. This financial support intends to enhance the care and resources available to high-acuity patients in community settings, ensuring they receive the required support post-discharge.

Summary

HF2848 seeks to address the challenges faced by hospitals and community-based settings that receive high-acuity patients discharged from hospitals. The bill establishes a system of temporary funding to reimburse hospitals for avoidable nonacute patient days, where patients are in the hospital but do not meet admission criteria or cannot be transferred to another appropriate setting. It primarily aims to alleviate the financial burden on hospitals that experience an overflow of patients who cannot be discharged due to a lack of available care resources.

Contention

However, HF2848 has encountered varying responses. Proponents argue that it is crucial for improving access to care for high-acuity patients and relieving hospitals of financial strain from extended nonacute stays. They emphasize the need for a structured response to support healthcare providers facing capacity issues. Conversely, opponents raise concerns about the adequacy of funding and whether it will sufficiently cover the increased demand for services in community-based settings. Questions also arise regarding the sustainability of the appropriated funds and the long-term impact on healthcare access.

Budget_details

The bill includes significant appropriations, amounting to $60 million for fiscal year 2024 for hospital reimbursements and an additional $164 million allocated across fiscal years 2024 and 2025 for community settings. This financial commitment reflects an effort to ensure that facilities can adequately care for high-acuity patients while managing the complexities associated with patient discharges from hospitals.

Companion Bills

MN SF2885

Similar To Temporary funding establishment for settings that receive high-acuity patients discharged from hospitals

Previously Filed As

MN SF2885

Temporary funding establishment for settings that receive high-acuity patients discharged from hospitals

MN HF3342

Nursing facility workforce incentive program, nursing facility payments, and nursing facility temporary rate add-on provided; partial reimbursement to hospitals provided for qualifying avoidable patient days; and money appropriated.

MN SF2388

Right of hospitalized patients to receive treatment from their own doctors establishment

MN HF2735

Right of hospitalized patients to receive treatment from their own doctors established.

MN SCR64

Establishing The Non-acute Long-stay Patient Task Force To Study And Make Findings And Recommendations Regarding The Needs And Options Of Non-acute Hospital Patients In Need Of Transfer To A Lower Acuity Care Setting.

MN AB1087

Supplemental payments to hospitals with avoidable patient days and an enhanced rate to nursing homes for bariatric and extensive wound care under the Medical Assistance program. (FE)

MN SB1028

Supplemental payments to hospitals with avoidable patient days and an enhanced rate to nursing homes for bariatric and extensive wound care under the Medical Assistance program. (FE)

MN HB235

Hospitals; protocols for patients receiving rehabilitation services.

MN SB1152

Hospital patient discharge process: homeless patients.

MN SF2673

Requirements establishment for hospitals to screen patients for eligibility for health coverage or assistance

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