The bill amends Section 40-26B-21 of the Code of Alabama 1975 to extend the supplemental privilege assessment, the secondary supplemental privilege assessment, and the surcharge for nursing facilities through August 31, 2028. The privilege assessment, which is an additional tax on nursing facilities, will remain at an annual rate of $1,899.96 per bed, with an increase of $327.48 per bed starting September 1, 2020. The bill also stipulates that the Medicaid Nursing Facility program will be administered by the Alabama Medicaid Agency during the period the privilege assessment is collected.

Key changes include the extension of the supplemental privilege assessment period from August 31, 2025, to August 31, 2028, and the continuation of the secondary supplemental privilege assessment at a rate of $401.28 per bed, which is contingent upon minimum appropriations. The bill ensures that all privilege assessments are considered allowable costs under Medicaid reimbursement methodologies, and it mandates that the Medicaid Agency adjust per diem rates accordingly. The act is set to take effect on June 1, 2025.

Statutes affected:
Introduced: 40-26B-21
Enrolled: 40-26B-21