2005 Legislation
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HOUSE CONCURRENT RESOLUTION NO. 12 – Community-based waiver program

HOUSE CONCURRENT RESOLUTION NO. 12

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Bill Status



HCR012................................................by HEALTH AND WELFARE
COMMUNITY-BASED DEVELOPMENTAL DISABILITIES WAIVER PROGRAM - Stating
findings of the Legislature concerning a modification to existing home and
community-based developmental disabilities waiver programs that include an
opportunity for a self-directed system of services and supports;
encouraging the Department of Health and Welfare to proceed with waivers
and other implementation procedures; and requesting a report to the
Legislature.
                                                                        
02/11    House intro - 1st rdg - to printing
02/14    Rpt prt - to Health/Wel
02/25    Rpt out - rec d/p - to 2nd rdg
02/28    2nd rdg - to 3rd rdg
03/04    3rd rdg - ADOPTED - 67-0-3
      AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
      Bedke, Bell, Bilbao, Black, Block, Boe, Bolz, Bradford, Cannon,
      Chadderdon, Clark, Collins, Crow, Deal, Denney, Edmunson, Ellsworth,
      Eskridge, Field(18), Field(23), Garrett, Hart, Harwood, Henbest,
      Henderson, Jaquet, Jones, Kemp, Lake, LeFavour, Martinez, Mathews,
      McGeachin, McKague, Miller, Moyle, Nielsen, Nonini, Pasley-Stuart,
      Pence, Raybould, Ring, Ringo, Roberts, Rusche, Rydalch, Sali, Sayler,
      Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen, Smith(30),
      Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills, Wood
      NAYS -- None
      Absent and excused -- Loertscher, Mitchell, Mr. Speaker
    Floor Sponsor - Garrett
    Title apvd - To Senate
03/07    Senate intro - 1st rdg - to Health/Wel
03/15    Rpt out - rec d/p - to 10th Ord
03/17    10th Ord - ADOPTED - 31-0-3, 1 vacancy
      AYES -- Andreason, Brandt, Broadsword, Bunderson, Burtenshaw,
      Cameron, Compton, Corder, Darrington, Gannon, Geddes, Goedde, Hill,
      Jorgenson, Kelly, Keough, Langhorst, Little, Lodge, Malepeai, Marley,
      McGee, McKenzie, Pearce, Richardson, Schroeder, Stegner, Stennett,
      Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- Burkett, Coiner, Davis, (District 21 seat
      vacant)
    Floor Sponsor - Werk
    Title apvd - to House
03/18    To enrol
03/21    Rpt enrol - Sp signed
03/22    Pres signed
03/23    To Secretary of State

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   First Regular Session - 2005
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                             HOUSE CONCURRENT RESOLUTION NO. 12
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE CONCERNING A MODIFICATION TO EXISTING HOME
  3        AND  COMMUNITY-BASED  DEVELOPMENTAL  DISABILITIES  WAIVER  PROGRAMS   THAT
  4        INCLUDES  AN OPPORTUNITY FOR INDIVIDUALS TO SELF-DIRECT THEIR OWN SERVICES
  5        AND SUPPORTS, ENCOURAGING THE DEPARTMENT OF HEALTH AND WELFARE TO  PROCEED
  6        WITH WAIVERS AND OTHER IMPLEMENTATION PROCEDURES AND TO REPORT TO THE LEG-
  7        ISLATURE.
                                                                        
  8    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  9        WHEREAS,  the  state of Idaho has home and community-based services avail-
 10    able to eligible adults to avoid institutionalization; and
 11        WHEREAS, the Department of Health and Welfare, in  accordance  with  House
 12    Concurrent Resolution No. 29 of the First Regular Session of the Fifty-seventh
 13    Idaho  Legislature,  has been collaborating with the Idaho Council on Develop-
 14    mental Disabilities, service providers, consumers and advocates to  develop  a
 15    self-directed  model  of  services  and  supports  that provides an additional
 16    option to home and community-based waiver recipients; and
 17        WHEREAS, the Department of Health and Welfare collaborated with the  Idaho
 18    Council  on Developmental Disabilities to obtain a grant to develop the neces-
 19    sary infrastructure to provide a new option for receiving  services  and  sup-
 20    ports under existing waiver programs.
 21        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
 22    of  the  Fifty-eighth  Idaho Legislature, the House of Representatives and the
 23    Senate concurring therein, that the Department is encouraged to  proceed  with
 24    an  application to amend its existing waivers for individuals with developmen-
 25    tal disabilities to include a self-directed system option for all  individuals
 26    with  developmental  disabilities  who  are eligible for waiver services. This
 27    option presents waiver recipients who are living in their own homes and commu-
 28    nities with the opportunity to control and direct Medicaid funds.
 29        BE IT FURTHER RESOLVED that the Legislature encourages the  Department  to
 30    continue  its  collaboration with the Idaho Council on Developmental Disabili-
 31    ties, as well as other stakeholders that represent other home  and  community-
 32    based waiver participants.
 33        BE  IT FURTHER RESOLVED that the Legislature encourages the  Department to
 34    pursue a test program that provides for evaluation of the  system  design  and
 35    respond  with necessary changes to meet the objectives of this new option. The
 36    test should be of a size that provides sufficient  information  for  statewide
 37    implementation. Due to the initiative and time investment of the Idaho Council
 38    on Developmental Disabilities, the service option would be offered to eligible
 39    individuals  under  the  Developmental  Disabilities  Home and Community-based
 40    Waiver Program. The  Legislature  acknowledges  that  the  test  program  will
 41    require  approval  of  the  federal Centers for Medicare and Medicaid Services
 42    (CMS) prior to implementation.
 43        BE IT FURTHER RESOLVED that the infrastructure costs associated  with  the
 44    test  program, evaluation and start-up of statewide implementation are covered
                                                                        
                                           2
                                                                        
  1    by the Independence Plus Grant awarded to the Department of Health and Welfare
  2    by the Centers for Medicare and Medicaid Services. However,  after  the  third
  3    year  of  the  grant,  ending September 30, 2006, there may be some additional
  4    administrative costs associated with the implementation and ongoing monitoring
  5    of this program.
  6        BE IT FURTHER RESOLVED that the Department of Health  and  Welfare  report
  7    the  results  of  the  test  program  to  the  Second  Regular  Session of the
  8    Fifty-eighth  Idaho Legislature along with  recommendations  for  any  further
  9    legislative  action,  including  additional personnel needed by the Department
 10    based on the findings of the test program.

Statement of Purpose / Fiscal Impact


                      STATEMENT OF PURPOSE
                                
                           RS 14459C2
                                
This House Concurrent Resolution requests that the Legislature
encourage the Department to amend its Medicaid home and
community-based (HCBS) waiver programs to include a self-directed
or self-determination model of services and supports option. This
model would give eligible adults greater control and choice over
their Medicaid services. This resolution incorporates a test
program that will apply initially to the developmental
disabilities program. It is contingent upon the Centers for
Medicare and Medicaid approval. The model also would provide an
evaluation component to determine the model s effectiveness and
potential. Preliminary work on the proposed model began last year
through a federal grant. The Department will report the results
of the test program to the Legislature along with recommendations
for further legislative action.


                          FISCAL NOTE
                                
The development cost of this new service delivery model is
covered under a $500,000 Independence Plus Grant awarded by the
Centers for Medicare and Medicaid. The three-year grant began
last year and runs through September 30, 2006. The Developmental
Disabilities Council provides matching funds of $65,000 over the
life of the grant. The grant pays for infrastructure development
and implementation of the test program. Costs are estimated at
$150,000 in this second year of the grant. After the test program
has been completed and evaluated, the Department will provide the
findings and projected costs of future implementation to the
Legislature for further legislative action.



CONTACT
Name:    Leslie Clement
Agency:  Health and Welfare
Phone:   364-1804
  
                
Statement of Purpose/Fiscal Note                        HCR 12