SB 86 Summary

• Repeals Missouri's Certificate of Need Law (sections 197.300-197.367) which previously required health care facilities to obtain state approval before making capital expenditures and expanding services.

• Replaces repealed sections with four new provisions addressing: identification badges for facility personnel, managed care organization reimbursement for services in long-term care facilities, an aging-in-place pilot program at up to four sites, and Medicaid reimbursement rates for nursing facilities.

• Requires hospitals and health care facilities to ensure all personnel wear identification badges prominently displaying licensure status.

• Establishes an aging-in-place pilot program through collaboration between the Division of Aging and qualified Missouri universities to provide comprehensive long-term care services in the least restrictive environment, with the Division required to apply for federal Medicaid waivers.

• Maintains existing Medicaid reimbursement rate restrictions for nursing facilities, including provisions preventing rate increases upon changes in ownership and establishing reimbursement formulas for newly built facilities entering the program.