995055                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB0002A                                                 HHS              13


Senator(s): Hill and Margolis
moved the following amendment:

Section: 03              EXPLANATION:

On Page: 053             Appropriates $11,998,411 from the General Revenue Fund
                         and $17,209,016 from the Medical Care Trust Fund to
Spec App:  198           increase the certified nursing assistant staffing level
                         from 2.6 to 2.9 hours of direct care per resident per
                         day beginning January 1, 2004 to carry out the
                         provisions Chapter 2001-45.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -           29,207,427            11,998,411           17,209,016 
Non-Recurring -                    0                     0                    0 
_________________________________________________________________________________

                                                  Positions & Amount   Positions & Amount
                                                      DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Long Term Care  68501500

        In Section 03  On Page 053
198     Special Categories  102233
        Nursing Home Care  IOEE

   1000   From General Revenue Fund              878,491,811    890,490,222
       CA 11,998,411  FSI2 11,998,411  
   2474   From Medical Care Trust Fund         1,280,222,010  1,297,431,026
       CA 17,209,016  FSI3 17,209,016  

Insert the following proviso after existing proviso in Specific 
Appropriation 198:

From the funds in Specific Appropriation 198, $11,998,411 from the
General Revenue Fund and $17,209,016 from the Medical Care Trust Fund
are hereby appropriated to restore the certified nursing assistant staff
increase to 2.9 hours of direct care per resident per day effective
January 1, 2004. These additional funds are contingent upon legislation
becoming law in Special Session "A" of 2003 to offset the revenue losses
of state corporate income tax associated with the special depreciation
allowance provided for by the Job Creation and Worker Assistance Act of

     995055  Log:0010  EDP/LFB           05/15/03 06:16:26 PM  Senate  Page: 1
2002.

Line item amendments are accepted as part of the amendatory process.  However, due to the necessity of using computerized systems this may entail a different placement
within a budget entity or the renumbering of the specific appropriation items.
















































     995055  Log:0010  EDP/LFB           05/15/03 06:16:26 PM  Senate  Page: 2