ND HB1170

Department must establish an expedited ratesetting process allowing nursing and basic care facilities to request rate increases for health insurance costs related to Affordable Care Act compliance.

Facilities must submit expedited rate adjustment requests by October 1, 2013, to be reflected in January 1, 2014 rates.

Allows bad debt expenses up to 180 days of resident care per year or 360 days aggregate per individual as allowable costs, contingent on Medicaid state plan approval.

Bad debt expenses must be included in the property cost category in the report year the debt is determined uncollectible with no likelihood of recovery.

Taxes paid by basic care or nursing facilities due to Affordable Care Act provisions are included as allowable costs in rate determination.