HF 733 Summary

• Establishes a $52 per resident day payment rate increase for nursing facilities from July 1, 2023, through December 31, 2025, contingent on facilities attesting that funds will be used exclusively for employee compensation-related costs.

• Modifies nursing facility payment rate calculations by introducing "known cost change factor" (1.00 plus forecasted CPI-U percentage change) to be applied to direct care, other care-related, and other operating costs effective January 1, 2025.

• Separates labor costs from supply and equipment costs in definitions of dietary, housekeeping, laundry, and maintenance operations costs for nursing facilities effective January 1, 2025.

• Requires at least 80 percent of marginal revenue increases from the elderly waiver rate framework to be used for employee compensation-related costs for directly employed providers, with distribution plans posted for employee access.

• Establishes home-delivered meal rates for disability waivers equal to rates under the elderly waiver effective January 1, 2024, and repeals the previous elderly waiver phase-in rate methodology.