From: "Stephanie Thomas" <[log in to unmask]>
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Subject: new MiCASSA, part 4 of 4
Date: Mon, 1 Feb 1999 15:29:00 -0500
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HR 2020 IH
(5) TRAINING AND TECHNICAL ASSISTANCE.-The State may carry out directly, or
may provide support to a public or private entity to carry out training and
technical assistance activities that are provided for individuals with
disabilities, as appropriate their representatives, attendants and personnel
(including professionals, paraprofessionals, volunteers, and other members
of the community).
PUBLIC AWARENESS.-The State may support a public awareness
program design to provide information relating to the availability of
choices individuals with disabilities may select for receiving long term
services and support in the most integrated setting appropriate.
DOWNSIZING OF LARGE INSTITUTIONS.-The State may use
funds to support the per capita increased fixed costs in institutional
settings directly related to the movement of individuals with disabilities
out of a specific facility into community-based settings.
(8) TRANSITIONAL COSTS.-The State may use funds to provide transitional
costs described in section 1932 (a) (4) of the Social Security Act, as added
by this Act.
TASK FORCE.-The State may use these funds to support the
operation of the task force described in subsection (d).
(10) DEMONSTRATIONS OF NEW APPROACHES.-The State may use funds to conduct,
on a time-limited basis, the demonstration of new approaches to
accomplishing the purposes described in subsection (a).
(11) OTHER ACTIVITIES.-The State may utilize amounts made available through
grants made under subsection (b) for any systems change activities other
than the activities described in another paragraph of this subsection, that
are necessary for developing, implementing, or evaluating the comprehensive
statewide system of long term services and supports.
CONSUMER TASK FORCE.-
ESTABLISHMENT AND DUTIES.-To be eligible to receive
financial assistance under this section, each State shall establish a Task
Force to assist the State in the development, implementation, and evaluation
of real choice systems change initiative.
APPOINTMENT.-Members of the task force shall be appointed by
the Governor. The Governor shall select members after soliticing
recommendations from representatives of organizations representing a broad
range of individuals with disabilities and organizations interested in
individuals with disabilities.
COMPOSITION.-
The task force shall represent a broad range of individuals
with disabilities from diverse backgrounds and shall include representatives
from Developmental Disabilities Councils, State Independent Living Councils,
Commissions o Aging, organizations that provide services to individuals with
disabilities and consumers of long-term services and supports.
A majority of task force members shall be individuals with
disabilities or their representatives.
The task force shall not include employees of any State
agency providing services to individuals with disabilties other than
employees of agencies described in the Developmental Disabilities Assistance
and Bill of Rights Act.
(e) AVAILABILITY OF FUNDS.-
FUNDS ALLOCATED TO STATES.-Funds allocated to a State
under a grant made under this section for a fiscal year shall remain
available until expended.
FUNDS NOT ALLOCATED TO STATES.-Funds not allocated to
States in the fiscal year for which they are appropriated shall remain
available in succeeding fiscal years for allocation by the Secretary using
the allocation formula established by the Secretary under subsection (b)(2).
(f) ANNUAL REPORT.-A State that receives a grant under this section shall
submit an annual report to the Secretary on the use of funds provided under
the grant. Each report shall include the percentage increase in the number
of eligible individuals in the State who receive long term services and
supports in the most integrated setting appropriate, including through
community attendant services and supports and other community-based
settings.
(g) APPROPRIATION.-Out of any funds in the Treasury not otherwise
appropriated, there is authorized to be appropriated and there is
appropriated to make grants under this section-
(1) for fiscal year 2000, $ ;
(2) for fiscal year 2001, $ ;
(3) for fiscal year 2002, $ ;
(4) for fiscal year 2003, $ ;
(5) for fiscal year 2004, $ ;
(6) for fiscal year 2005. $ ;
(7) for fiscal year 2006, $ ;
(8) for fiscal year 2007, $ ;
(9) for fiscal year 2008, $ ; and
(10) for fiscal year 2009, $ .
SEC. 5. STATE OPTION FOR ELIGIBILITY FOR INDIVIDUALS.
(a) IN GENERAL- Section 1903(f) of the Social Security Act (42 U.S.C.
1396b(f)) is amended--
(1) in paragraph (4)(C), by inserting `subject to paragraph (5),' after
`does not exceed', and
(2) by adding at the end the following:
"(5)(A) A State may waive the income, resources, and deeming limitations
described in paragraph (4)(C) in such cases as the State finds the potential
for employment opportunities would be enhanced through the provision of such
services.
"(B) In the case of an individual who is made eligible for medical
assistance because of subparagraph (A), notwithstanding section 1916(b), the
State may impose a premium based on a sliding scale relating to income.'.
(b) EFFECTIVE DATE.-The amendments made by subsection (a) shall apply to
medical assistance provided for items and services furnished on or after
January 1, 1998.
SEC. 6. REVIEW OF, AND REPORT ON, REGULATIONS.The National Council on
Disability established under Title IV of the Rehabilitation Act of 1973
shall review existing regulations under title XIX of the Social Security Act
insofar as they regulate the provision of home health services, personal
care services, and other services in home and community-based settings. The
Secretary shall submit to Congress a report on how excessive utilization of
medical services can be reduced under such title by using community
attendant services and supports.
SEC. 7. TASK FORCE ON FINANCING OF LONG-TERM CARE SERVICES. The Secretary
shall establish a task force to examine appropriate methods for financing
long-term services and supports. Such task force shall include significant
representation of individuals (and representatives of individuals) who
receive such services and supports.
END
NATIONAL ADAPT MAILING LIST - Adapt MiCASA List of Adapt Organizers.