Calculation of border city nursing facility rate adjustments clarified.

This bill clarifies how nursing facilities in Breckenridge and Moorhead, Minnesota, calculate rate adjustments to match payments given to similar facilities in neighboring states. It requires these facilities to apply annually for a payment add-on that covers the difference between their current rates and the lowest rates offered to comparable facilities across state lines. The law also sets specific deadlines for submitting applications and allows the commissioner to waive them in extraordinary cases. Finally, the changes apply retroactively starting January 1, 2026, ensuring that eligible facilities receive the adjusted rates for that period and future years.