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HD 6101

A communication from the Executive Office of Health and Human Services (see item 4000-0601 of Section 2 of Chapter 140 of the Acts of 2024) submitting the Office of Medicaid (MassHealth) Senior Care legislative report for fiscal year 2024

194th Legislature (2025-2026)

Transmits the SFY2024 MassHealth Senior Care data report detailing nursing facility leave, census, and October 2024 rate schedules for legislative review.

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Bill Summary · HD 6101

Overview

  • Jurisdiction: Massachusetts
  • Session: 194th
  • Bill: HD 6101
  • Type: Communication from the Executive Office of Health and Human Services (EOHHS) submitting MassHealth (Office of Medicaid) Senior Care legislative report for fiscal year 2024 (SFY24), item 4000-0601 of Section 2 of Chapter 140 of the Acts of 2024.
  • Purpose of bill: To transmit the annual Senior Care legislative report for MassHealth for SFY2024, detailing data related to nursing facility operations, patient census, discharges, and rate settings. The material provided includes extensive facility-level data on leave of absence days, census, and MassHealth rate tables as of October 2024.

Note: The text largely consists of data tables rather than policy text. The summary below emphasizes the substantive content that appears to be covered by the report submission.

Main Purpose and Intent

  • To deliver the mandated MassHealth Senior Care legislative report for SFY2024 to the Legislature, as required by statute (Assembly’s reference to Chapter 140 of the Acts of 2024, item 4000-0601).
  • The report consolidates:
    • Leave-of-absence data for MassHealth nursing facilities (SFY 2024).
    • Nursing facility census information (licensed beds, resident beds, occupancy).
    • Facility-level MassHealth rate information (billing rates by facility, effective October 1, 2024, aligned to the 101 CMR 206.00 rate structure).

Key Provisions and Changes

  • Data Reporting: The bill transmits a comprehensive set of data, including:
    • Medical and non-medical leave of absence days by facility (SFY2024 data pulled 11/10/2024).
    • Facility-level unduplicated MassHealth member counts and location- and facility-specific leave data.
    • Nursing facility census data, including licensed beds, resident beds, and occupancy.
    • Detailed MassHealth rate tables for nursing facilities, showing Rate A through Rate Y (and related sub-rates) as of October 2024, across multiple facilities.
  • Data Granularity: The report lists tens to hundreds of facilities with:
    • Specific leave days (medical vs. non-medical) per facility.
    • Unduplicated MassHealth resident counts by facility (with explanatory note about transfers between facilities causing duplicates).
    • Occupancy data for nursing facilities (resident beds, empty beds, total NF residents).
    • Facility-specific rate cards under the 101 CMR 206.00 framework, showing a matrix of rates by payer level (A–Y, etc.) and facility-specific base rates.

Who/What is Affected

  • MassHealth (Office of Medicaid) enrolled residents in nursing facilities across Massachusetts.
  • Nursing facilities themselves (providers) are the primary data touchpoints, as the report compiles:
    • Leave of absence data (medical and non-medical).
    • Census and occupancy metrics.
    • Billing rates under the state’s rate-setting framework.
  • General public and policymakers receive the report as a basis for oversight, budgeting, and policy considerations related to Senior Care and MassHealth reimbursement.

Procedural and Timeline Aspects

  • Source: The data and report are submitted by the Executive Office of Health and Human Services (EOHHS) under the authority of the SFY2024 Senior Care legislative report mandate.
  • Data timing:
    • Leave-of-absence data reflect SFY2024 activity, with data pull date noted as 11/10/2024.
    • Nursing facility census depicted “As of July 1, 2024” for occupancy.
    • MassHealth rate tables reflect October 1, 2024 rates (as per 101 CMR 206.00).
  • Note on data: The “Grand Total” for unduplicated MassHealth members (29,329) is lower than the sum of unduplicated counts by facility (32,162) due to member transfers across facilities during SFY24.

Helpful Details for Readers

  • Leave of Absence: The table differentiates Medical vs. Non-Medical leave days and shows the unduplicated member count affected per facility.
  • Census: Licensed NF beds vs. resident beds, and occupancy figures indicate real-world utilization and capacity.
  • Rates: The rate table provides facility-by-facility cost structures under multiple rate levels (A–Y, V or others in the row) used for MassHealth reimbursement, with October 2024 effective values.

Bottom Line

HD 6101 is primarily a formal transmission of MassHealth Senior Care data for SFY2024, encapsulating leave-of-absence metrics, facility census data, and Oct 2024 rate schedules. While not proposing specific policy changes in text, the bill serves as a critical data-collection and reporting instrument to inform legislative review, budget decisions, and MassHealth reimbursement policy for nursing facilities.

Compiled from official sources — confirm details with the bill’s official record.

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