1.1 	A bill for an act
1.2 	relating to human services; increasing payment rates for a nursing facility in 
1.3 	Otter Tail County to the geographic group III median rate;amending Minnesota 
1.4 	Statutes 2006, section 256B.434, by adding a subdivision.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2006, section 256B.434, is amended by adding a 
1.7 	subdivision to read:
1.8 		Subd. 4i.Rate increase for facility in Otter Tail County. Effective October 1, 
1.9 	2008, the operating payment rate for a nursing facility in Otter Tail County licensed for 
1.10 	56 beds on January 1, 2008, reimbursed under this section or section 256B.441, shall be 
1.11 	increased to be equal, for a RUG's rate with a weight of 1.00, to the geographic group III 
1.12 	median rate for the same RUG's weight. The percentage of the operating payment rate 
1.13 	for the facility to be case-mix adjusted shall be equal to the percentage that is case-mix 
1.14 	adjusted in the facility's September 30, 2008, operating payment rate. This subdivision 
1.15 	shall apply only if it results in a rate increase. An increase provided by this subdivision 
1.16 	shall be applied after the October 1, 2008, phase-in of rebased operating cost payment 
1.17 	rates under section 256B.441, subdivision 55, but before any other nursing facility rate 
1.18 	increase that takes effect on that date.