2006 Legislation
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SENATE BILL NO. 1390 – Medicaid benefit, caregiver support

SENATE BILL NO. 1390

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Bill Status



S1390aa...............................................by HEALTH AND WELFARE
MEDICAID BENEFITS - CAREGIVERS - Adds to existing law relating to Medicaid
to state legislative findings; and to require the director of the
Department of Health and Welfare to establish a Medicaid benefit for
caregivers and a caregiver benefit scale.
                                                                        
02/13    Senate intro - 1st rdg - to printing
02/14    Rpt prt - to Health/Wel
02/17    Rpt out - to 14th Ord
02/28    Rpt out amen - to engros
03/01    Rpt engros - 1st rdg - to 2nd rdg as amen
03/02    2nd rdg - to 3rd rdg as amen
03/06    3rd rdg as amen - PASSED - 33-0-2
      AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
      Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
      Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
      Langhorst, Little, Lodge, Marley, McGee, McKenzie, Pearce,
      Richardson, Schroeder, Stegner, Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- Malepeai, Stennett
    Floor Sponsor - Werk
    Title apvd - to House
03/07    House intro - 1st rdg - to Health/Wel
03/17    Rpt out - rec d/p - to 2nd rdg
    Ret'd to Health/Wel
03/27    Rpt out - rec d/p - ret'd to 2nd rdg
03/28    2nd rdg - to 3rd rdg
03/29    3rd rdg - FAILED - 34-34-2
      AYES -- Anderson, Bell, Bilbao, Black, Block, Boe, Bradford,
      Chadderdon, Collins, Deal, Eskridge, Field(18), Field(23), Garrett,
      Henbest, Jaquet, LeFavour, Martinez, Miller, Pasley-Stuart, Pence,
      Ring, Ringo, Rusche, Sayler, Schaefer, Shepherd(2), Shirley, Skippen,
      Smith(30), Smylie, Snodgrass, Trail, Wills
      NAYS -- Andrus, Barraclough, Barrett, Bastian, Bayer, Bedke, Bolz,
      Brackett, Cannon, Clark, Crow, Denney, Edmunson, Ellsworth, Hart,
      Harwood, Henderson, Kemp, Lake, Loertscher, Mathews, McGeachin,
      McKague, Moyle, Nielsen, Nonini, Raybould, Roberts, Rydalch, Sali,
      Shepherd(8), Smith(24), Stevenson, Wood
      Absent and excused -- Mitchell, Mr. Speaker
    Floor Sponsor - Block
    Ret'd to Senate
    Filed in Office of the Secretary of Senate

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1390
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO MEDICAID; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY  THE  ADDI-
  3        TION  OF  A  NEW SECTION 56-234, IDAHO CODE, TO STATE LEGISLATIVE FINDINGS
  4        AND TO REQUIRE THE DIRECTOR OF THE DEPARTMENT OF  HEALTH  AND  WELFARE  TO
  5        ESTABLISH A MEDICAID BENEFIT FOR CAREGIVERS AND A CAREGIVER BENEFIT SCALE.
                                                                        
  6    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
  7        SECTION  1.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
  8    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
  9    ignated as Section 56-234, Idaho Code, and to read as follows:
                                                                        
 10        56-234.  CAREGIVER  SUPPORT. (1) The legislature finds that Idaho medicaid
 11    could avoid costs of premature  institutional  care  and  ensure  delivery  of
 12    patient-preferred  noninstitutional care. Idaho medicaid should support family
 13    caregivers who care for elders at risk for nursing home levels of care.
 14        (2)  The director of the department of health and welfare shall:
 15        (a)  Establish a medicaid benefit for caregivers of  persons  who  do  not
 16        currently  meet  criteria  for  nursing  facility levels of care but whose
 17        informal caregivers have a demonstrated state of  physical,  emotional  or
 18        mental fatigue; and
 19        (b)  Use  an  established  scale to measure caregiver capacity and vulner-
 20        ability and to determine eligibility for respite benefits.

Amendment


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                                     Moved by    Werk                
                                                                        
                                                     Seconded by McGee               
                                                                        
                                                                        
                                       IN THE SENATE
                             SENATE AMENDMENT TO S.B. NO. 1390
                                                                        
  1                                AMENDMENT TO SECTION 1
  2        On page 1 of the printed bill, in line 13,  delete  "elders"  and  insert:
  3    "persons".

Engrossed Bill (Original Bill with Amendment(s) Incorporated)


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                              SENATE BILL NO. 1390, As Amended
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO MEDICAID; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY  THE  ADDI-
  3        TION  OF  A  NEW SECTION 56-234, IDAHO CODE, TO STATE LEGISLATIVE FINDINGS
  4        AND TO REQUIRE THE DIRECTOR OF THE DEPARTMENT OF  HEALTH  AND  WELFARE  TO
  5        ESTABLISH A MEDICAID BENEFIT FOR CAREGIVERS AND A CAREGIVER BENEFIT SCALE.
                                                                        
  6    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
  7        SECTION  1.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
  8    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
  9    ignated as Section 56-234, Idaho Code, and to read as follows:
                                                                        
 10        56-234.  CAREGIVER  SUPPORT. (1) The legislature finds that Idaho medicaid
 11    could avoid costs of premature  institutional  care  and  ensure  delivery  of
 12    patient-preferred  noninstitutional care. Idaho medicaid should support family
 13    caregivers who care for persons at risk for nursing home levels of care.
 14        (2)  The director of the department of health and welfare shall:
 15        (a)  Establish a medicaid benefit for caregivers of  persons  who  do  not
 16        currently  meet  criteria  for  nursing  facility levels of care but whose
 17        informal caregivers have a demonstrated state of  physical,  emotional  or
 18        mental fatigue; and
 19        (b)  Use  an  established  scale to measure caregiver capacity and vulner-
 20        ability and to determine eligibility for respite benefits.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE

                             RS 16053

This legislation relating to Medical Assistance establishes a
Medicaid respite care benefit for family caregivers of persons at
risk of nursing home levels of care.  It is the intent of this
Legislature that use of this benefit is limited to situations
wherein the expected overall cost of services for nursing
facilities and services for aged and disabled, as defined in
federal code, will be budget neutral.


                           FISCAL NOTE

This Medicaid caregiver support benefit will require use of
Medicaid Trustee & Benefit (T&B) funds to fund services for
targeted persons.  These services will be designed to divert
nursing facility admissions and should therefore simultaneously
reduce Medicaid (T&B) expenditures in FY2007 and thereafter.

The precise fiscal impact of this legislation cannot be determined
at this time and will depend on the design of the caregiver
assessment instrument by the Department of Health and Welfare.  At
a current cost of $4,000 person per month for nursing facility
care, one nursing home diversion would offset the cost for 20
persons receiving respite care at an estimated cost of $200 per
person per month.




Contact
Name: Senator Dick Compton 
Phone: 208-332-1327


STATEMENT OF PURPOSE/FISCAL NOTE                      S 1390aa   

REVISED     REVISED     REVISED      REVISED      REVISED      REVISED