HB383 Alabama 2011 Session

Updated Feb 27, 2026

Notable

Summary

Primary Sponsor: Jim Barton
Republican
Session: Regular Session 2011
Title: Nursing facilities, Medicaid reimbursement, supplement assessment extended, supplemental provider privilege assessment increased, inflation factor moved to zero, Medicaid Agency authorized to create reimbursement formula for ventilator care units, Secs. 40-26B-21, 40-26B-22, 40-26B-23, 40-26B-24, 40-26B-25, 40-26B-26 am'd.; Act 2010-520, 2010 Reg. Sess. am'd.
Summary: HB383 extends nursing facility assessments, raises the supplemental provider privilege tax, freezes inflation in Medicaid rates for a period, and allows a ventilator-unit reimbursement model for nursing facilities.
What This Bill Does
It extends the nursing facility supplemental assessment through August 31, 2013. It increases the supplemental provider privilege assessment from $1,063.08 to $1,603.08 per bed per year, effective September 1, 2011. It freezes the automatic inflation factor applied to overall Medicaid rates from October 1, 2011 through September 30, 2013 (except for calculating cost center ceilings). It authorizes the Medicaid Agency to create a special reimbursement formula for dedicated ventilator care units in nursing facilities, with specific plant, staffing, and physician oversight requirements. It also treats the supplemental tax payments as allowable Medicaid costs included in per diem rate calculations.

Who It Affects
Nursing facilities and their operators will face higher annual supplemental assessments and rate adjustments to reflect those costs.
Medicaid beneficiaries in nursing facilities may see changes in per diem funding and access to ventilator-unit care options due to the new reimbursement model and rate adjustments.

Key Provisions
Extend the nursing facility supplemental assessment through August 31, 2013.
Increase supplemental provider privilege assessment from $1,063.08 to $1,603.08 per bed per year, effective September 1, 2011.
From October 1, 2011 to September 30, 2013, set the automatic inflation factor for overall Medicaid rates to zero (except for calculating cost center ceilings).
Authorize the Medicaid Agency to create a special reimbursement model for dedicated ventilator care units in nursing facilities, with requirements such as dedicated emergency power, through-the-wall medical gases and suction, 24-hour staffing by trained respiratory therapists, and physician oversight.
Treat supplemental privilege tax payments as allowable Medicaid costs included in per diem rate calculations, with rate adjustments to reflect those costs.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects: Medicaid Agency