***Adopted***

AMENDMENT No. 2 PROPOSED TO

                             Senate Bill NO. 2189

                             By Senator(s) Burton, Huggins

     AMEND by inserting the following paragraph after line 200:

               (g)  In addition to reimbursement methodology for nursing facility services, the division may establish a Medicare upper payment limits program for nursing facility services in accordance with applicable federal law and regulations.  The division may assess each nursing facility for the sole purpose of financing the state portion of the Medicare upper payment limits program for nursing facility services based on appropriate methodology consistent with federal law and regulations.  This assessment will remain in effect as long as the state participates in a Medicare upper payment limits program for nursing facility services.

     FURTHER, AMEND the title by inserting the following after the comma on line 7:

TO AUTHORIZE THE DIVISION OF MEDICAID TO ESTABLISH A MEDICARE UPPER PAYMENT LIMITS PROGRAM FOR NURSING FACILITY SERVICES,