MN HF2848

Hospitals receive reimbursement of up to $1,400 per patient per qualifying avoidable day for high-acuity patients boarded in emergency departments or those eligible for discharge but lacking safe placement options after day seven.

High-acuity patients are defined as those with obesity, disability, wound care needs, mental illness, high behavior needs, substance use disorders, or requiring intravenous medication or dialysis.

Nursing facilities, assisted living facilities, and community-based settings receive $150 per resident per day for accepting high-acuity patients directly discharged from hospitals, with payments guaranteed for at least 365 days.

Supplemental payments to receiving settings must be used for wages or equipment required to provide direct care to high-acuity patients.

$60,000,000 is appropriated in fiscal year 2024 for hospital reimbursements, and $82,000,000 each in fiscal years 2024 and 2025 (one-time appropriation) for supplemental payments to receiving settings.