06 LC 33
1255
House
Bill 1308
By:
Representative Brown of the
69th
A
BILL TO BE ENTITLED
AN ACT
AN ACT
To
amend Chapter 8 of Title 31 of the Official Code of Georgia, relating to the
care and protection of indigent and elderly patients, so as to change certain
provisions relating to the maximum amount of aggregate nursing home provider
fees which must be paid; to change certain provisions relating to the
assessment, calculation, and payment of quality assessment fees on care
management organizations; to provide for related matters; to provide for an
effective date; to repeal conflicting laws; and for other purposes.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION
1.
Chapter
8 of Title 31 of the Official Code of Georgia Annotated, relating to the care
and protection of indigent and elderly patients, is amended in Code Section
31-8-164, relating to the nursing home provider fee based on patient day, by
striking subsection (a) and inserting in lieu thereof the
following:
"(a)
Each nursing home shall be assessed a provider fee with respect to each patient
day for the preceding quarter, excluding medicare program patient days. The
provider fee shall be assessed uniformly upon all nursing homes, except as
provided in Code Section 31-8-168. The aggregate provider fees imposed under
this article shall not exceed the maximum amount that may be assessed pursuant
to the 6
percent indirect guarantee threshold set forth
in 42 C.F.R. Section
433.68(f)(3)(i)."
SECTION
2.
Said
chapter is further amended by striking Code Section 31-8-173, relating to the
assessment, calculation, and payment of quality assessment fees on care
management organizations, and inserting in lieu thereof the
following:
"31-8-173.
(a)
Each care management organization shall be assessed a quality assessment fee, in
an amount to be determined by the department based on anticipated revenue
estimates included in the state budget report, with respect to its gross direct
premiums
for the
preceding quarter. The quality assessment
fee shall be assessed uniformly upon all care management organizations. The
aggregate quality assessment fees imposed under this article shall not exceed
the maximum amount that may be assessed pursuant to
the 6
percent indirect guarantee threshold set forth
in 42 C.F.R. Section
433.68(f)(3)(i).
(b)
The quality assessment fee shall be paid
quarterly
monthly
by each care management organization to the department. A care management
organization shall calculate and report its gross direct premiums upon a form
prepared by the department and submit therewith payment of the quality
assessment fee no later than the
thirtieth
tenth
day
following
the end of each calendar
quarter.
month, or in
the discretion of the department and upon agreement of the care management
organization, said amount may be calculated and withheld by the department from
the current
month́s
premium payment. Unless the department withholds the fee from the premium
payment, the
The
initial quality assessment fee report shall be filed and the initial payment of
the quality assessment fee shall be submitted no later than
April 30,
2006.
the tenth day
of the first month in which premiums are paid to the care management
organizations for medical assistance to recipients. Unless the department
withholds the fee from the premium payment,
a
A
care management organization shall calculate and report the initial quality
assessment fee using information about its gross direct premiums for the
quarter
ending March 31, 2006
first month in
which premiums are paid to the care management organizations for medical
assistance to
recipients."
SECTION
3.
This
Act shall become effective on April 1, 2006 or upon its approval by the
Governor, whichever last occurs, or upon its becoming law without such
approval.
SECTION
4.
All
laws and parts of laws in conflict with this Act are repealed.