Chapter
186
2007 -- H 6278 SUBSTITUTE A AS AMENDED
Enacted 07/02/07
A N A C T
RELATING TO HUMAN
SERVICES - LONG-TERM CARE SERVICE AND FINANCE REFORM
Introduced By: Representatives Sullivan, Church, Silva, and O`Neill
Date Introduced: April 11,
2007
It
is enacted by the General Assembly as follows:
SECTION
1. Section 40-8.9-4 of the General Laws in Chapter 40-8.9 entitled
"Medical
Assistance
- Long-Term Care Service and Finance Reform" is hereby amended to read as
follows:
40-8.9-4.
Unified long-term care budget. -- Beginning on July 1, 2007, a unified
long-term care budget shall combine in a single line-item appropriation
within the department of human services budget, annual department of human
services Medicaid appropriations for nursing facility and community-based
long-term care services for elderly sixty-five (65) years and older and
younger persons at risk of nursing home admissions (including adult day
care, home health, and personal care in assisted living settings). Beginning on
July 1, 2007, the total system savings attributable to the value of the
reduction in nursing home days including hospice nursing home days paid
for by Medicaid shall be allocated in the budget enacted by the general
assembly for the ensuing fiscal year for the express purpose of promoting
and strengthening community-based alternatives. Beginning on January 1,
2008, the allocation shall include, but not be limited to, the establishment of
presumptive eligibility criteria for the purposes of accessing home and
community care. The home and community care service presumptive eligibility
criteria shall be developed through rule or regulation on or before September
30, 2007.
The caseload
estimating conference pursuant to section 35-17-1 shall determine the amount of
general revenues to be added to the current service estimate of community based
long-term care services for elderly sixty-five (65) and older and younger
persons at risk of nursing home admissions for the ensuing budget year by
multiplying the combined cost per day of nursing home and hospice nursing home
days estimated at the caseload conference for that year by the reduction in
nursing home and hospice nursing home days from those in the second fiscal year
prior to the current fiscal year to those in the first fiscal year prior to the
current fiscal year.
SECTION
2. This act shall take effect on upon passage.
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LC02698/SUB A
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