1.1.................... moves to amend H.F. No. 316 as follows:
1.2Page 4, delete section 4, and insert:

1.3    "Sec. 4. Minnesota Statutes 2014, section 256B.441, is amended by adding a
1.4subdivision to read:
1.5    Subd. 11a. Employer health insurance costs. "Employer health insurance costs"
1.6means Employer Shared Responsibility payments under the federal Affordable Care
1.7Act, Public Law 111-148, premium expenses for group coverage and reinsurance, actual
1.8expenses incurred for self-insured plans, and employer contributions to employee health
1.9reimbursement and savings accounts. Premium and expense costs and contributions shall
1.10only be allowable if they are for employees who meet the definition of full time employees
1.11under the federal Affordable Care Act, Public Law 111-148."
1.12Page 4, line 16, after "Act" insert ", Public Law 111-148"
1.13Page 4, line 32, strike "health," and after "pension," insert "except for the Public
1.14Employee Retirement Association;"
1.15Page 5, line 1, strike the comma and insert a semicolon
1.16Page 5, line 2, delete the new language
1.17Page 5, line 4, before "Facilities" insert "(a)"
1.18Page 5, after line 16, insert:
1.19"(b) The commissioner shall regularly review the appropriations of the peer groups
1.20established in paragraph (a). The review shall use the most recent cost report data and look
1.21at relative wages for nursing department positions across counties. The commissioner shall
1.22provide a report to the chairs and ranking minority members of the legislative committees
1.23with jurisdiction over nursing facility payment rates on the review of the wage data every
1.24two years beginning on January 15, 2017. The report may include recommendations to
1.25change the assignment of counties between the two groups based on the review of the data."
1.26Page 6, line 33, delete "the difference between the maximum score" and insert "80;"
1.27Page 6, delete line 34
2.1Page 7, line 1, delete "the difference between the maximum" and insert "0.45;"
2.2Page 7, delete line 2
2.3Page 7, line 3, delete "ten" and strike the period and insert "0.95; and"
2.4Page 7, after line 3, insert "(v) multiplying the amount in item (iv) by the median for
2.5the facility's peer group."
2.6Page 7, line 31, delete "Rule 80" and delete "with the"
2.7Page 7, line 32, delete "Department of Human Services" and insert "issued under
2.8chapter 245A and Minnesota Rules, chapter 9570," and after "2015," insert "located"