2003 Legislation
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HOUSE CONCURRENT RESOLUTION NO. 13 – S Health/Wel<br />

HOUSE CONCURRENT RESOLUTION NO. 13

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View Statement of Purpose / Fiscal Impact



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HCR013aa..............................................by HEALTH AND WELFARE
DEVELOPMENTALLY DISABLED - Stating findings of the Legislature and
directing the Idaho Council on Developmental Disabilities, in collaboration
with the Department of Health and Welfare and other stakeholders, to
convene a task force to develop a waiver for a self-directed service
delivery system for Idahoans with developmental disabilities; and to
require a report.
                                                                        
02/05    House intro - 1st rdg - to printing
02/06    Rpt prt - to Health/Wel
03/03    Rpt out - to Gen Ord
03/05    Rpt out amen - to engros
03/06    Rpt engros - 1st rdg - to 2nd rdg as amen
03/07    2nd rdg - to 3rd rdg as amen
03/11    3rd rdg as amen - ADOPTED - voice vote
    Floor Sponsors - Sali & Garrett
    Title apvd - to Senate
03/12    Senate intro - 1st rdg - to Health/Wel
03/20    Rpt out - rec d/p - to 10th Ord
03/25    Ret'd to Health/Wel

Bill Text


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-seventh Legislature                 First Regular Session - 2003
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                             HOUSE CONCURRENT RESOLUTION NO. 13
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND DIRECTING THE IDAHO COUNCIL ON  DEVEL-
  3        OPMENTAL  DISABILITIES, IN COLLABORATION WITH THE DEPARTMENT OF HEALTH AND
  4        WELFARE AND OTHER STAKEHOLDERS, TO CONVENE  A  TASK  FORCE  TO  DEVELOP  A
  5        WAIVER  FOR  A  SELF-DIRECTED  SERVICE  DELIVERY  SYSTEM FOR IDAHOANS WITH
  6        DEVELOPMENTAL DISABILITIES AND REQUIRING A REPORT.
                                                                        
  7    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  8        WHEREAS, Medicaid costs for services to people with developmental disabil-
  9    ities are increasing; and
 10        WHEREAS, many Idahoans with developmental disabilities  rely  on  Medicaid
 11    for their long-term service needs; and
 12        WHEREAS, growth in the Medicaid budget requires all opportunities for sav-
 13    ings  to  be explored, including strategies for people with developmental dis-
 14    abilities to become less dependent on the current service delivery system; and
 15        WHEREAS, people with developmental disabilities should have authority over
 16    their life decisions and be responsible for their choices; and
 17        WHEREAS, people with developmental disabilities should control  a  limited
 18    amount of dollars that can be used flexibly to acquire necessary supports; and
 19        WHEREAS, although the state of Idaho has made some progress in designing a
 20    service  delivery  system for people with developmental disabilities that per-
 21    mits some choices, these choices are limited; and
 22        WHEREAS, other states have developed  and  implemented  self-determination
 23    models which have increased cost effectiveness and consumer control; and
 24        WHEREAS,  all  individuals belong in and bring value to their communities;
 25    and
 26        WHEREAS, all individuals with developmental disabilities are valued  part-
 27    ners in policymaking pertaining to their services and supports.
 28        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
 29    of  the  Fifty-seventh Idaho Legislature, the House of Representatives and the
 30    Senate concurring therein, that the Legislature directs the Idaho  Council  on
 31    Developmental Disabilities, in collaboration with the Department of Health and
 32    Welfare  and  other  stakeholders,  to convene a task force for the purpose of
 33    developing a Medicaid self-determination waiver.
 34        BE IT FURTHER RESOLVED that the development of this waiver  would  include
 35    participation  of  people  with  developmental  disabilities,  family members,
 36    appropriate public agencies, service providers and advocates.
 37        BE IT FURTHER RESOLVED that the Department of Health and Welfare will sub-
 38    mit such a waiver  to  the  federal  Centers  on  Medicaid  and  Medicare  for
 39    approval.
 40        BE  IT FURTHER RESOLVED that this waiver will be available to no more than
 41    two hundred qualified individuals with developmental disabilities,  will  cost
 42    no  more  on average than services currently available through the HCBS waiver
 43    for people with developmental disabilities, will include an individual  budget
 44    driven  by  a  person-centered plan, will allow people with developmental dis-
                                                                        
                                           2
                                                                        
  1    abilities to negotiate for services and supports from  non-Medicaid  providers
  2    with  the  assistance  of a broker and a fiscal agent, and will continue for a
  3    period of at least two years to permit adequate usage and collection.
  4        AND BE IT FURTHER RESOLVED that progress on this effort shall be  reported
  5    to the Legislature by January 15, 2004.

Amendment


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-seventh Legislature                 First Regular Session - 2003
                                                                        
                                                                        
                                                     Moved by    Garrett             
                                                                        
                                                     Seconded by Sali                
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                              HOUSE AMENDMENT TO H.C.R. NO. 13
                                                                        
  1                             AMENDMENTS TO THE RESOLUTION
  2        On page 1 of the printed resolution,  in  line  39,  following  "approval"
  3    insert:  ",  following  a  legislative  review";  on page 2, in line 1, delete
  4    "non-Medicaid" and insert: "traditional and nontraditional"; and  in  line  4,
  5    following "effort" insert: ", including cost analysis,".

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


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-seventh Legislature                 First Regular Session - 2003
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                       HOUSE CONCURRENT RESOLUTION NO. 13, As Amended
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND DIRECTING THE IDAHO COUNCIL ON  DEVEL-
  3        OPMENTAL  DISABILITIES, IN COLLABORATION WITH THE DEPARTMENT OF HEALTH AND
  4        WELFARE AND OTHER STAKEHOLDERS, TO CONVENE  A  TASK  FORCE  TO  DEVELOP  A
  5        WAIVER  FOR  A  SELF-DIRECTED  SERVICE  DELIVERY  SYSTEM FOR IDAHOANS WITH
  6        DEVELOPMENTAL DISABILITIES AND REQUIRING A REPORT.
                                                                        
  7    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  8        WHEREAS, Medicaid costs for services to people with developmental disabil-
  9    ities are increasing; and
 10        WHEREAS, many Idahoans with developmental disabilities  rely  on  Medicaid
 11    for their long-term service needs; and
 12        WHEREAS, growth in the Medicaid budget requires all opportunities for sav-
 13    ings  to  be explored, including strategies for people with developmental dis-
 14    abilities to become less dependent on the current service delivery system; and
 15        WHEREAS, people with developmental disabilities should have authority over
 16    their life decisions and be responsible for their choices; and
 17        WHEREAS, people with developmental disabilities should control  a  limited
 18    amount of dollars that can be used flexibly to acquire necessary supports; and
 19        WHEREAS, although the state of Idaho has made some progress in designing a
 20    service  delivery  system for people with developmental disabilities that per-
 21    mits some choices, these choices are limited; and
 22        WHEREAS, other states have developed  and  implemented  self-determination
 23    models which have increased cost effectiveness and consumer control; and
 24        WHEREAS,  all  individuals belong in and bring value to their communities;
 25    and
 26        WHEREAS, all individuals with developmental disabilities are valued  part-
 27    ners in policymaking pertaining to their services and supports.
 28        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
 29    of  the  Fifty-seventh Idaho Legislature, the House of Representatives and the
 30    Senate concurring therein, that the Legislature directs the Idaho  Council  on
 31    Developmental Disabilities, in collaboration with the Department of Health and
 32    Welfare  and  other  stakeholders,  to convene a task force for the purpose of
 33    developing a Medicaid self-determination waiver.
 34        BE IT FURTHER RESOLVED that the development of this waiver  would  include
 35    participation  of  people  with  developmental  disabilities,  family members,
 36    appropriate public agencies, service providers and advocates.
 37        BE IT FURTHER RESOLVED that the Department of Health and Welfare will sub-
 38    mit such a waiver  to  the  federal  Centers  on  Medicaid  and  Medicare  for
 39    approval, following a legislative review.
 40        BE  IT FURTHER RESOLVED that this waiver will be available to no more than
 41    two hundred qualified individuals with developmental disabilities,  will  cost
 42    no  more  on average than services currently available through the HCBS waiver
 43    for people with developmental disabilities, will include an individual  budget
 44    driven  by  a  person-centered plan, will allow people with developmental dis-
                                                                        
                                           2
                                                                        
  1    abilities  to  negotiate  for  services  and  supports  from  traditional  and
  2    nontraditional providers with the assistance of a broker and a  fiscal  agent,
  3    and  will continue for a period of at least two years to permit adequate usage
  4    and collection.
  5        AND BE IT FURTHER RESOLVED that progress on this  effort,  including  cost
  6    analysis, shall be reported to the Legislature by January 15, 2004.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE
                             RS 12799
The purpose of this legislation is to convene a group of
individuals to develop a waiver to the Idaho's Medicaid program
that would permit up to 200 qualified individuals with
developmental disabilities, who choose to do so, the option of
receiving services using a self-directed model.  This model is in
use in other states and the concept is promoted by the Centers on
Medicaid and Medicare, the federal agency governing Medicaid
programs.  Once developed, the Department of Health and Welfare
would have responsibility for submitting the waiver to CMS for
approval. Once approved the waiver would be demonstrated for a
period of at least two years, allowing participants adequate
opportunity to determine its usefulness and allowing the state the
time needed to analyze its cost effectiveness.

                          FISCAL IMPACT
Costs for the task force to develop the model waiver would be borne
by individual members.   Administrative support (including costs to
assure the participation of consumers) would be provided by the
Council on Developmental Disabilities.  Technical assistance would
be provided by participants.
     
     Once approved, there will be some training costs associated with
implementation.  Services provided during the course of the
demonstration would cost no more than services for which the
individuals would traditionally be eligible, and may, in fact, be
less.  


Contact
Name: Marilyn Sword 
Phone: (208) 334-2178




STATEMENT OF PURPOSE/FISCAL NOTE                     HCR 13