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SENATE CONCURRENT RESOLUTION NO. 118

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SCR118...............................................by JUDICIARY AND RULES
HOME/COMMUNITY-BASED SERVICES WAIVER - Stating findings of the Legislature
and directing the Department of Health and Welfare to cease denying
services to persons who qualify under the Home and Community-based Waiver
for individuals with developmental disabilities.

02/15    Senate intro - 1st rdg - to printing
02/16    Rpt prt - to Health/Wel

Bill Text

SCR118


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fifth Legislature                 First Regular Session - 1999
                                                                        

                                      IN THE SENATE

                           SENATE CONCURRENT RESOLUTION NO. 118

                             BY JUDICIARY AND RULES COMMITTEE

 1                               A CONCURRENT RESOLUTION
 2    DIRECTING THE DEPARTMENT OF HEALTH AND WELFARE TO FULLY IMPLEMENT THE HOME AND
 3        COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS  WITH  DEVELOPMENTAL  DIS-
 4        ABILITIES  WHO  MEET THE STANDARD OF CARE PROVIDED IN AN INTERMEDIATE CARE
 5        FACILITY FOR PERSONS WITH MENTAL RETARDATION (ICF/MR).

 6    Be It Resolved by the Legislature of the State of Idaho:

 7        WHEREAS, the Department of Health and Welfare is empowered  and  directed,
 8    to  develop and coordinate services for Idahoans with a developmental disabil-
 9    ity, and to establish a system for diagnosis, care and treatment in  a  manner
10    consistent with legal rights and least restrictive settings; and
11        WHEREAS, the state has made progress in designing and establishing in-home
12    services  for  people  with  developmental  disabilities  as an alternative to
13    institutionalization; and
14        WHEREAS, the  state  should  further  expand  individualized  services  so
15    in-home  living  arrangements become the preferred policy of the state and are
16    offered as the first choice as a living arrangement for Idahoans with a devel-
17    opmental disability; and
18        WHEREAS, the state has received approval from the  Health  Care  Financing
19    Authority  (HCFA)  to  implement  a  Home  and Community-Based Services Waiver
20    (HCBS) for Idahoans with developmental disabilities; and
21        WHEREAS, growth in the Medicaid budget requires all opportunities for sav-
22    ings to be explored including strategies to become even  less  dependent  upon
23    expensive institutional services; and
24        WHEREAS,  services provided through the HCBS Waiver have been proven to be
25    more cost-effective than institutional care; and
26        WHEREAS, there are currently more than 300 individuals with  developmental
27    disabilities who are on a waiting list for these services; and
28        WHEREAS,  there are current residents of the Idaho State School and Hospi-
29    tal who desire HCBS Waiver services; and
30        WHEREAS, limitations on the waiver imposed by the  Legislature  have  been
31    removed and limitations from HCFA have been raised.
32        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
33    of  the Fifty-fifth Idaho Legislature, the Senate and the House of Representa-
34    tives concurring therein, that the Legislature direct the Department of Health
35    and Welfare to cease from denying services under the HCBS Waiver to  individu-
36    als who so qualify.
37        BE  IT  FURTHER  RESOLVED  that the Department of Health and Welfare fully
38    implement Home and  Community-Based  Services  Waivers  for  individuals  with
39    developmental disabilities in Idaho.

Statement of Purpose / Fiscal Impact

                       STATEMENT OF PURPOSE

                             RS08993C1

Directs the Department of Health and Welfare to cease denying Home
and Community-Based Waiver Services to individuals with
developmental disabilities who qualify and to fully implement the
HCBS/DD and ISSH waivers.









                            FISCAL NOTE

This will result in a cost savings to the State of Idaho. When
compared to private ICF/MR costs for the individuals currently on
the waiting list, the savings would be $11,205,500. Fifty-nine of
the people of the waiting list currently live in ICFs/MR. The cost
savings of moving these 59 individuals onto waivered services
would be approximately $2,153,500. Fifty-four of the individuals
on the waiting list are in facilities paid for with only state
funds (no Medicaid match). If these individuals received waivered
services, it would generate an additional $616,896 in federal
Medicaid funds.

                    Estimated Savings: $11,205,500 ($3,361,650 in state general funds
                    and $7,843,850 in federal Medicaid funds)
                    
          
          
          
          
          
          CONTACT: Marilyn Sword
                   334-2178
          
STATEMENT OF PURPOSE/ FISCAL NOTE    SCR118