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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
|||| 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.
|||| 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,".
|||| 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
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