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HCR029....................................................by WAYS AND MEANS
DEVELOPMENTALLY DISABLED - SERVICE DELIVERY SYSTEM - Stating findings of
the Legislature and encouraging the Idaho Council on Developmental
Disabilities, in collaboration with the Department of Health and Welfare
and other stakeholders, in convening a task force to develop a waiver for a
self-directed service delivery system for Idahoans with developmental
disabilities and requesting a report.
03/26 House intro - 1st rdg - to printing
03/27 Rpt prt - to 2nd rdg
03/28 2nd rdg - to 3rd rdg
03/31 3rd rdg - ADOPTED - voice vote
Floor Sponsor - Garrett
Title apvd - to Senate
04/01 Senate intro - 1st rdg - to Health/Wel
04/03 Rpt out - rec d/p - to 10th Ord
04/04 10th ord - ADOPTED - voice vote
Floor Sponsor - Bailey
Title apvd - to House
04/07 To enrol
04/08 Rpt enrol - Sp signed
04/09 Pres signed
04/10 To Secretary of State
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-seventh Legislature First Regular Session - 2003
IN THE HOUSE OF REPRESENTATIVES
HOUSE CONCURRENT RESOLUTION NO. 29
BY WAYS AND MEANS COMMITTEE
1 A CONCURRENT RESOLUTION
2 STATING FINDINGS OF THE LEGISLATURE AND ENCOURAGING THE IDAHO COUNCIL ON
3 DEVELOPMENTAL DISABILITIES, IN COLLABORATION WITH THE DEPARTMENT OF HEALTH
4 AND WELFARE AND OTHER STAKEHOLDERS, IN CONVENING A TASK FORCE TO DEVELOP A
5 WAIVER FOR A SELF-DIRECTED SERVICE DELIVERY SYSTEM FOR IDAHOANS WITH
6 DEVELOPMENTAL DISABILITIES AND REQUESTING 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 encourages the Idaho Council
31 on Developmental Disabilities to collaborate with the Department of Health and
32 Welfare and other stakeholders, in convening a task force for the purpose of
33 developing a Medicaid self-determination waiver.
34 BE IT FURTHER RESOLVED that the Legislature supports including participa-
35 tion of people with developmental disabilities, family members, appropriate
36 public agencies, service providers and advocates in the development of this
37 waiver.
38 BE IT FURTHER RESOLVED that the Legislature encourages the Department of
39 Health and Welfare to submit such a waiver to the federal Centers on Medicaid
40 and Medicare for approval, following an opportunity for legislative review
41 during the 2004 legislative session.
42 BE IT FURTHER RESOLVED that the Legislature recommends that this waiver
43 would be available to no more than two hundred qualified individuals with
44 developmental disabilities, would cost no more on average than services cur-
2
1 rently available through the HCBS waiver for people with developmental dis-
2 abilities, would include an individual budget driven by a person-centered
3 plan, would allow people with developmental disabilities to negotiate for ser-
4 vices and supports from traditional and nontraditional providers with the
5 assistance of a broker and a fiscal agent, and would continue for a period of
6 at least two years to permit adequate usage and data collection.
7 AND BE IT FURTHER RESOLVED that the Legislature requests that the Idaho
8 Council on Developmental Disabilities report its progress on this effort,
9 including cost analysis, to the Legislature by January 15, 2004.
STATEMENT OF PURPOSE
RS 13237
This resolution encourages the Council on Developmental
Disabilities to convene a Task Force to develop a Medicaid model
waiver that would permit up to 200 adults with developmental
disabilities to choose a different way of receiving services.
The services would be based on need as determined by a consumer-
centered plan and would cost no more, on average, than the
present costs for these 200 people. Implementation of this model
will require the Department of Health and Welfare to submit a
waiver application to the federal Centers on Medicaid and
Medicare. FISCAL IMPACT
This waiver will be developed by a group of individuals convened
by the Council on Developmental Disabilities. The meeting and
technical assistance costs to support this group will be paid by
the Council with allocated federal funds. There will be no
fiscal impact to the state in FY 2004.
Contact
Name: Marilyn Sword, Idaho Council on Developmental Disabilities
Phone: (208) 334-2178 or 1-800-544-2433
STATEMENT OF PURPOSE/FISCAL NOTE HCR 29