Minnesotans with disabilities and those caring for them demanded legislative action to address the ongoing workforce shortage.
The omnibus human services finance and policy bill is one of the Legislature’s answers.
The House passed the omnibus package 70-60 Tuesday and sent it back to the Senate, where Sen. John Hoffman (DFL-Champlin) is the sponsor.
A conference committee is expected to settle disputes with the bill passed 63-4 by the Senate April 18.
“The House DFL Human Services Budget makes historic investments in nursing homes, long-term care, and in Minnesota’s care workforce. Our budget invests more than $6 billion in nursing homes overall — $847 million more than the last two-year budget,” House Speaker Melissa Hortman (DFL-Brooklyn Park) said in a statement.
“The people doing some of the most important work in our state to care for seniors and people with disabilities are paid the least. A system that doesn’t support the workers who care for our most vulnerable is not sustainable. Our budget takes much-needed steps to invest in this workforce.”
Long-term care workers could get a raise under one of the bill’s provisions.
Noor noted that personal care assistants, for instance, would earn $19 per hour in 2024 and $20 per hour in 2025. Step increases could provide an hourly wage of up to $22.50.
Most of the budget, $12.01 billion, would maintain forecasted funding levels for medical assistance.
Other proposed spending includes:
Additional updates with specific deadlines include:
Other major provisions intend to:
[MORE: Bills in the omnibus]
Both sides of the aisle addressed nursing home spending in separate press conferences earlier Tuesday.
“Republicans are not voting ‘no’ on this bill today because of what’s in it. We’re voting ‘no’ on this bill today because of what’s not in it,” Neu Brindley said.
They want more funding for nursing homes, which House Minority Leader Lisa Demuth (R-Cold Spring) said currently accounts for only about 0.01% of the total budget.
“We’ve had 15 nursing homes close over the last couple of years. We had two close just in the last couple of months,” Neu Brindley said.
Noor stressed that the bill would invest more than $10 million into critical access nursing facilities that will serve an estimated 550 people in Greater Minnesota.
On top of that, the value-based reimbursement in nursing homes will have $853 million baked in over the next four years, he said.
“I’ll give you an example. For a CNA in a nursing home, they are earning, right now, $19 an hour. In 2025, they’re going to be receiving $25 an hour,” Noor said.
“By 2025, CNAs in a nursing home facility will not exist,” Neu Brindley said on the floor. “They’ll be paid nothing because those jobs won’t exist. The nursing homes are closing. I don’t know how to say it more plainly.”
She proposed an amendment that would appropriate $230.97 million during the next four years for nursing facility grants, but a Noor amendment to that amendment cut it to $20 million to avoid defunding HIV/AIDS support services and direct care and treatment services.
“Twenty million [dollars] is better than nothing,” Neu Brindley said. “It’s a really sad day, but it’s better than nothing and I’ll take it.”
A Neu Brindley amendment to provide a $26 per day rate increase for nursing homes, which, she said, would amount to $2 per hour for the workers, was not adopted.
Other amendments to the bill that were adopted would: