S.F. No. 2885 Summary

• Hospitals receive up to $1,400 per patient per qualifying avoidable day for high-acuity patients boarded in emergency departments or unable to be discharged after day seven, with payments beginning July 1, 2023.

• High-acuity patients are defined as those with obesity, disabilities, wound care needs, mental illness, high behavior needs, substance use disorders, or receiving 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 guaranteed payments 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 in both fiscal years 2024 and 2025 for supplemental payments to receiving settings.