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HJM025....................................................by WAYS AND MEANS
SKILLED NURSING FACILITIES - Stating findings of the Legislature and urging
the Idaho delegation in the Congress of the United States to attempt to
secure a waiver or exemption from the Centers for Medicare and Medicaid
Services (CMS) to allow an approved national accrediting body, at the
request of the skilled nursing facility, to conduct survey and
certification reviews for Medicare and Medicaid participation.
03/09 House intro - 1st rdg - to printing
03/10 Rpt prt - to 2nd rdg
03/11 2nd rdg - to 3rd rdg
03/12 3rd rdg - ADOPTED - voice vote
Floor Sponsor - Sali
Title apvd - to Senate
03/15 Senate intro - 1st rdg - to Health/Wel
03/17 Rpt out - rec d/p - to 10th Ord
03/18 10th Ord - ADOPTED - voice vote
Floor Sponsor - Brandt
Title apvd - to House
03/18 To enrol - Rpt enrol - Sp signed
03/19 Pres signed - To Secretary of State
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE HOUSE OF REPRESENTATIVES
HOUSE JOINT MEMORIAL NO. 25
BY WAYS AND MEANS COMMITTEE
1 A JOINT MEMORIAL
2 TO THE CONGRESSIONAL DELEGATION REPRESENTING THE STATE OF IDAHO IN THE CON-
3 GRESS OF THE UNITED STATES.
4 We, your Memorialists, the House of Representatives and the Senate of the
5 State of Idaho assembled in the Second Regular Session of the Fifty-seventh
6 Idaho Legislature, do hereby respectfully represent that:
7 WHEREAS, many skilled nursing facilities in the state of Idaho have
8 elected to participate in an independent national accreditation program for
9 long-term care and additional inspections are costly and unnecessarily
10 duplicative; and
11 WHEREAS, an independent accreditation process is designed to assist
12 skilled nursing facilities integrate quality improvement principles in their
13 daily operations and improve resident health outcomes; and
14 WHEREAS, an independent survey process by recognized national accrediting
15 organizations is designed to be consultative and not punitive; and
16 WHEREAS, costs for the current nursing facility survey system are approxi-
17 mately twice the cost of an independent accreditation process and it is in the
18 best interests of the facilities, the Medicare program and the welfare of
19 individuals receiving care under the program, and the United States federal
20 government that unnecessary waste be eliminated whenever possible.
21 NOW, THEREFORE, BE IT RESOLVED by the members of the Second Regular Ses-
22 sion of the Fifty-seventh Idaho Legislature, the House of Representatives and
23 the Senate concurring therein, that we urge the Idaho delegation in the Con-
24 gress of the United States to attempt to secure a waiver or exemption from the
25 Centers for Medicare and Medicaid Services (CMS) to allow an approved national
26 accrediting body, at the request of the skilled nursing facility, to conduct
27 survey and certification reviews for Medicare and Medicaid participation. If
28 the nursing facility is unable to receive appropriate accreditation, the cur-
29 rent survey and certification process will be utilized. The nursing facility
30 requesting accreditation will be responsible for payment of all costs associ-
31 ated with the accreditation process and these costs prorated to the Medicare
32 program for purposes of cost reimbursement.
33 BE IT FURTHER RESOLVED that the Chief Clerk of the House of Representa-
34 tives be, and she is hereby authorized and directed to forward a copy of this
35 Memorial to the congressional delegation representing the State of Idaho in
36 the Congress of the United States.
STATEMENT OF PURPOSE
RS 14254
This Memorial requests the Idaho s Congressional delegation to
attempt to secure a waiver from CMS to allow Idaho s Skilled Nursing
Facilities to choose "deemed status" under the Medicare and Medicaid
programs. "Deemed status" allows a Skilled Nursing Facility to choose
to undergo independent accrediting. If a facility is accredited by an
independent organization, the Department of Health and Welfare would
not have to perform licensure inspections.
FISCAL IMPACT
Not more than 20% of the Skilled Nursing Facilities in Idaho are
expected to qualify for or request accreditation, but that 20% would
reduce the costs of survey and certification activities for Idaho s
skilled nursing facilities by 20%. That will positively impact the
department s Medicaid budget. Tens of thousands of dollars could be
saved if the department is not required to inspect these exceptional,
accredited Skilled Nursing Facilities.
Contact
Name: Keith Holloway, Western Health Care
Phone: 375-9958
STATEMENT OF PURPOSE/FISCAL NOTE HJM 025