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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
]]]] 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
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