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S1390aa...............................................by HEALTH AND WELFARE
MEDICAID BENEFITS - CAREGIVERS - Adds to existing law relating to Medicaid
to state legislative findings; and to require the director of the
Department of Health and Welfare to establish a Medicaid benefit for
caregivers and a caregiver benefit scale.
02/13 Senate intro - 1st rdg - to printing
02/14 Rpt prt - to Health/Wel
02/17 Rpt out - to 14th Ord
02/28 Rpt out amen - to engros
03/01 Rpt engros - 1st rdg - to 2nd rdg as amen
03/02 2nd rdg - to 3rd rdg as amen
03/06 3rd rdg as amen - PASSED - 33-0-2
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
Langhorst, Little, Lodge, Marley, McGee, McKenzie, Pearce,
Richardson, Schroeder, Stegner, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- Malepeai, Stennett
Floor Sponsor - Werk
Title apvd - to House
03/07 House intro - 1st rdg - to Health/Wel
03/17 Rpt out - rec d/p - to 2nd rdg
Ret'd to Health/Wel
03/27 Rpt out - rec d/p - ret'd to 2nd rdg
03/28 2nd rdg - to 3rd rdg
03/29 3rd rdg - FAILED - 34-34-2
AYES -- Anderson, Bell, Bilbao, Black, Block, Boe, Bradford,
Chadderdon, Collins, Deal, Eskridge, Field(18), Field(23), Garrett,
Henbest, Jaquet, LeFavour, Martinez, Miller, Pasley-Stuart, Pence,
Ring, Ringo, Rusche, Sayler, Schaefer, Shepherd(2), Shirley, Skippen,
Smith(30), Smylie, Snodgrass, Trail, Wills
NAYS -- Andrus, Barraclough, Barrett, Bastian, Bayer, Bedke, Bolz,
Brackett, Cannon, Clark, Crow, Denney, Edmunson, Ellsworth, Hart,
Harwood, Henderson, Kemp, Lake, Loertscher, Mathews, McGeachin,
McKague, Moyle, Nielsen, Nonini, Raybould, Roberts, Rydalch, Sali,
Shepherd(8), Smith(24), Stevenson, Wood
Absent and excused -- Mitchell, Mr. Speaker
Floor Sponsor - Block
Ret'd to Senate
Filed in Office of the Secretary of Senate
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE SENATE
SENATE BILL NO. 1390
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO MEDICAID; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY THE ADDI-
3 TION OF A NEW SECTION 56-234, IDAHO CODE, TO STATE LEGISLATIVE FINDINGS
4 AND TO REQUIRE THE DIRECTOR OF THE DEPARTMENT OF HEALTH AND WELFARE TO
5 ESTABLISH A MEDICAID BENEFIT FOR CAREGIVERS AND A CAREGIVER BENEFIT SCALE.
6 Be It Enacted by the Legislature of the State of Idaho:
7 SECTION 1. That Chapter 2, Title 56, Idaho Code, be, and the same is
8 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
9 ignated as Section 56-234, Idaho Code, and to read as follows:
10 56-234. CAREGIVER SUPPORT. (1) The legislature finds that Idaho medicaid
11 could avoid costs of premature institutional care and ensure delivery of
12 patient-preferred noninstitutional care. Idaho medicaid should support family
13 caregivers who care for elders at risk for nursing home levels of care.
14 (2) The director of the department of health and welfare shall:
15 (a) Establish a medicaid benefit for caregivers of persons who do not
16 currently meet criteria for nursing facility levels of care but whose
17 informal caregivers have a demonstrated state of physical, emotional or
18 mental fatigue; and
19 (b) Use an established scale to measure caregiver capacity and vulner-
20 ability and to determine eligibility for respite benefits.
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
Moved by Werk
Seconded by McGee
IN THE SENATE
SENATE AMENDMENT TO S.B. NO. 1390
1 AMENDMENT TO SECTION 1
2 On page 1 of the printed bill, in line 13, delete "elders" and insert:
3 "persons".
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE SENATE
SENATE BILL NO. 1390, As Amended
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO MEDICAID; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY THE ADDI-
3 TION OF A NEW SECTION 56-234, IDAHO CODE, TO STATE LEGISLATIVE FINDINGS
4 AND TO REQUIRE THE DIRECTOR OF THE DEPARTMENT OF HEALTH AND WELFARE TO
5 ESTABLISH A MEDICAID BENEFIT FOR CAREGIVERS AND A CAREGIVER BENEFIT SCALE.
6 Be It Enacted by the Legislature of the State of Idaho:
7 SECTION 1. That Chapter 2, Title 56, Idaho Code, be, and the same is
8 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
9 ignated as Section 56-234, Idaho Code, and to read as follows:
10 56-234. CAREGIVER SUPPORT. (1) The legislature finds that Idaho medicaid
11 could avoid costs of premature institutional care and ensure delivery of
12 patient-preferred noninstitutional care. Idaho medicaid should support family
13 caregivers who care for persons at risk for nursing home levels of care.
14 (2) The director of the department of health and welfare shall:
15 (a) Establish a medicaid benefit for caregivers of persons who do not
16 currently meet criteria for nursing facility levels of care but whose
17 informal caregivers have a demonstrated state of physical, emotional or
18 mental fatigue; and
19 (b) Use an established scale to measure caregiver capacity and vulner-
20 ability and to determine eligibility for respite benefits.
STATEMENT OF PURPOSE
RS 16053
This legislation relating to Medical Assistance establishes a
Medicaid respite care benefit for family caregivers of persons at
risk of nursing home levels of care. It is the intent of this
Legislature that use of this benefit is limited to situations
wherein the expected overall cost of services for nursing
facilities and services for aged and disabled, as defined in
federal code, will be budget neutral.
FISCAL NOTE
This Medicaid caregiver support benefit will require use of
Medicaid Trustee & Benefit (T&B) funds to fund services for
targeted persons. These services will be designed to divert
nursing facility admissions and should therefore simultaneously
reduce Medicaid (T&B) expenditures in FY2007 and thereafter.
The precise fiscal impact of this legislation cannot be determined
at this time and will depend on the design of the caregiver
assessment instrument by the Department of Health and Welfare. At
a current cost of $4,000 person per month for nursing facility
care, one nursing home diversion would offset the cost for 20
persons receiving respite care at an estimated cost of $200 per
person per month.
Contact
Name: Senator Dick Compton
Phone: 208-332-1327
STATEMENT OF PURPOSE/FISCAL NOTE S 1390aa
REVISED REVISED REVISED REVISED REVISED REVISED