MARVIN MANDEL, Governor                            561

WELFARE UNDER TITLE XIX OF PUBLIC LAW 89-97 (MEDI-
CAID), SUCH NURSING HOMES AND EXTENDED CARE FACIL-
ITIES SHALL BE REIMBURSED ON THE FOLLOWING BASIS:
(A) VERIFIED AUDITED "COST" AS THAT TERM IS DETER-
MINED BY THE SECRETARY OF HEALTH, EDUCATION AND
WELFARE IN THE ADMINISTRATION OF TITLE XVIII OF THE
SOCIAL SECURITY ACT AMENDMENTS OF 1965; PLUS (B) AN
ADDITIONAL SUM TO BE DETERMINED BY THE BOARD OF
PUBLIC WORKS, TO PROVIDE A RETURN GREATER THAN
THAT CUSTOMARILY EARNED BY PUBLIC SERVICE AND PUB-
LIC UTILITY COMPANIES, INCLUDING A PROFIT OF NOT
LESS THAN 10% OF TOTAL COSTS (INCLUDING THOSE COSTS
DETERMINED BY THE BOARD OF PUBLIC WORKS). IN DE-
TERMINING SUCH ADDITIONAL SUM THE BOARD OF PUBLIC
WORKS SHALL TAKE INTO ACCOUNT SUCH COSTS AS: AM-
ORTIZATION, REPLACEMENT AND/OR MODERNIZATION OF
PLANTS, BUILDINGS AND EQUIPMENT, REASONABLE AD-
MINISTRATIVE COSTS, REASONABLE RENTALS, REASONABLE
INTEREST PAYMENTS FOR LOANS BY PROVIDERS, AND
OTHER LAWFUL BUSINESS EXPENSES NOT SPECIFICALLY
ALLOWED BY THE SECRETARY OF HEALTH, EDUCATION
AND WELFARE. HOMES NOT SUBMITTING AUDITED COSTS
AND HOMES NOT QUALIFIED TO PARTICIPATE UNDER
TITLE XIX OF PUBLIC LAW 89-97 SHALL BE REIMBURSED
AT A RATE NOT TO EXCEED $7.00 PER DAY PER PATIENT.

STATE DEPARTMENT OF HEALTH
28.                 WESTERN MARYLAND STATE HOSPITAL

10.01.08.07 Extended Care Facility

In addition to appropriation shown
on page 46 of the printed bill, to
provide personnel, operating ex-
penses and equipment for the
operation of an extended care
facility in one wing at the hos-
pital.
Personnel Detail :

Item 1—Nurse II........................ 4 28,680

Item 2—Hospital Aide................ 12 48,552

Item 3—Service Worker............ 2 6,688

Item 4—Food Service Worker .... 2 7,356

Item 5—Accountant III.............. 1 8,676

Item 6—Principal Account

Clerk I ...................................... 1 4,896

104,848
Less: Turnover Expectancy         10,879

Total Salaries and Wages ......          93,969

Object .05—Food ........................          13,500

Object .09—Supplies and Mate-
rials ..........................................         24,033

Object .11—Equipment—Addi-
tional ........................................          15,808

General Fund Appropriation........................ 147,310