2007 -- H 6278 SUBSTITUTE A AS AMENDED
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
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
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.