SENATE CONCURRENT RESOLUTION NO. 110

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SCR110................................................by HEALTH AND WELFARE
MENTALLY ILL - DEVELOPMENTALLY DISABLED - Stating findings of the
Legislature and requesting the Department of Health and Welfare to research
and adapt the aged and disabled waiver and/or state plan on personal care
services to provide services needed by mentally ill, developmentally
disabled or multiple diagnosed individuals.
                                                                        
02/12    Senate intro - 1st rdg - to printing
02/13    Rpt prt - to Health/Wel
02/22    Rpt out - rec d/p - to 10th Ord
02/27    10th Ord - ADOPTED - 30-3-2
      AYES -- Andreason, Boatright, Branch(Bartlett), Brandt, Bunderson,
      Burtenshaw, Cameron, Danielson, Darrington, Davis, Deide, Frasure,
      Geddes, Goedde, Hawkins, Ipsen, Keough, King-Barrutia, Lee, Lodge,
      Noh, Richardson, Risch, Sandy, Schroeder, Sorensen, Stegner, Thorne,
      Wheeler, Williams,
      NAYS -- Dunklin, Stennett, Whitworth
      Absent and excused -- Ingram, Sims
    Floor Sponsor -- Brandt
    Title apvd - to House
02/28    House intro - 1st rdg - to Health/Wel
03/07    Rpt out - rec d/p - to 2nd rdg
03/08    2nd rdg - to 3rd rdg
03/12    3rd rdg - ADOPTED - voice vote
    Title apvd - to Senate
03/13    To enrol
03/14    Rpt enrol - Pres signed
03/15    Sp signed
03/16    To Secretary of State

Bill Text


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-sixth Legislature                  First Regular Session - 2001
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                            SENATE CONCURRENT RESOLUTION NO. 110
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND REQUESTING THE  DEPARTMENT  OF  HEALTH
  3        AND  WELFARE  TO  RESEARCH  AND  ADAPT THE AGED AND DISABLED WAIVER AND/OR
  4        STATE PLAN PERSONAL CARE SERVICES TO PROVIDE SERVICES NEEDED  BY  MENTALLY
  5        ILL, DEVELOPMENTALLY DISABLED OR MULTIPLE DIAGNOSED INDIVIDUALS.
                                                                        
  6    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  7        WHEREAS,  there  are  numerous  individuals residing in the state of Idaho
  8    with mental illness, developmental disabilities or multiple diagnoses; and
  9        WHEREAS, many of these citizens reside in state institutions  and  are  at
 10    risk  of  imminent institutionalization or reside in programs funded solely by
 11    state General Funds; and
 12        WHEREAS, there are currently no Medicaid  programs  available  to  provide
 13    care for these individuals.
 14        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
 15    of  the Fifty-sixth Idaho Legislature, the Senate and the House of Representa-
 16    tives concurring therein, that the Director of the Department  of  Health  and
 17    Welfare  is requested to research and modify the circumstances under which the
 18    Aged and Disabled Waiver and the State Plan Personal Care Services may be uti-
 19    lized to address the needs of mentally ill, developmentally disabled, and mul-
 20    tiple diagnosed individuals who may, by use of these  services,  save  General
 21    Fund  dollars  now  being  used to maintain the individual in state hospitals,
 22    correctional facilities and other care settings funded solely by state General
 23    Funds.
 24        BE IT FURTHER RESOLVED that at such time as the Department of  Health  and
 25    Welfare  adopts other programs for these individuals more appropriate to their
 26    conditions, this modification of the Aged and  Disabled  Waiver  and/or  State
 27    Plan  Personal  Care  Services would no longer apply. The pursuit of modifica-
 28    tions to the Aged and Disabled Waiver and/or State Plan Personal Care Services
 29    shall ensure that it will not violate any conditions of participation  by  the
 30    state of Idaho in the Medicaid program.

Statement of Purpose / Fiscal Impact


         
                       STATEMENT OF PURPOSE
         
                             RS 11017
         
The Director of the Department of health and Welfare is requested
to research and modify the circumstances under which the Aged and
Disabled Waiver and the State Plan Personal Care Services may be
utilized to address the needs of mentally ill, developmentally
disabled, and multiple diagnosed individuals who may, by use of
these services, save General Fund dollars now being used to
maintain the individual in state hospitals, correctional
facilities and other care settings funded soley by state General
Funds. By requesting the Department of health and Welfare to
research and adopt the (A&D) waiver (Aged and Disabled) and/or
the companion State Plan Personal Care Services Program and
accommodate the individuals left out of the successful effort of
the last two years.
         
                       Fiscal Impact
         
         
Currently there are an estimated 2,200 individuals residing in
Residential and Assisted Living Facilities; Certified Family
Homes, or Wavered 725 Facilities that are receiving State
assistance. Of these, 475 are only eligible for funding from the
Adult Aged Blind and Disabled (AABD) Program which is 100% State
General Funds. This is due to the fact that they are primarily
mentally ill, developmentally disabled or have multiple diagnosis
that primarily is behaviorally related. The breakdown of Levels
of care is:          68at Level  1
                     288at Level  2
                     119at Level  3
         
         
The average client contributes $495 a month to their care and the
State adds:        $292per month for Level   1
                   $355per month for Level   2
                   $424per month for Level   3
                         
By modifying the two Medicaid Programs used to pay for all the
other recipients in these facilities, it is anticipated that almost
$1 million dollars ($925,038.00) can be saved from the State
General Fund and bring funding levels for care in line with what
the other populations in Residential and Assisted Living Facilities
and Certified Family Homes resource needs are. This savings
results from the Medicaid programs receiving approximately 70%
Federal match reducing the States share down to 30%. Should this
change result in additional individuals becoming eligible for
service, the savings would generate an additional $3,083,426.00
from Federal match which would more than cover any increase in
utilization and still leave a surplus.
         
         
         
Scott Burpee
Valley Vista Care Services
208/245-4576
         
Theo Murdock
Department of Health and Welfare
208/364-1805
         
Senator Skip Brandt
Idaho State Senate
208/332-1354
         




STATEMENT OF PURPOSE/FISCAL NOTE            SCR 110               






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