SB1,529,1711 46.2803 (2) Notwithstanding s. 46.27 (7), a county in which a care management
12organization is operating pursuant to a contract under s. 46.284 (2) or a county in
13which a program described under s. 46.2805 (1) (a) or (b) is administered may use
14funds appropriated under 20.435 (7) (bd) and allocated to the county under s. 46.27
15(7) to provide community mental health or substance abuse services and supports for
16persons with mental illness or persons in need of services or supports for substance
17abuse and to provide services under the Family Support Program under s. 46.985.
SB1, s. 935 18Section 935. 46.2804 (title) of the statutes is amended to read:
SB1,529,20 1946.2804 (title) Managed care programs for Client management of
20managed care
long-term care services benefit.
SB1, s. 936 21Section 936. 46.2804 (1) of the statutes is repealed.
SB1, s. 937 22Section 937. 46.2804 (2) of the statutes is renumbered 46.2804.
SB1, s. 938 23Section 938. 46.2805 (5) of the statutes is renumbered 46.2805 (7r) and
24amended to read:
SB1,530,2
146.2805 (7r) "Family Long-term care district" means a special purpose district
2created under s. 46.2895 (1).
SB1, s. 939 3Section 939. 46.2805 (6) of the statutes is renumbered 46.2805 (7u) and
4amended to read:
SB1,530,65 46.2805 (7u) "Family Long-term care district board" means the governing
6board of a family long-term care district.
SB1, s. 940 7Section 940. 46.2805 (6m) of the statutes is created to read:
SB1,530,108 46.2805 (6m) "Family member" means a spouse or an individual related by
9blood, marriage, or adoption within the 3rd degree of kinship as computed under s.
10990.001 (16).
SB1, s. 941 11Section 941. 46.2805 (6r) of the statutes is created to read:
SB1,530,1412 46.2805 (6r) "Financial and cost-sharing screening" means a screening to
13determine financial eligibility under s. 46.286 (1) (b) and cost-sharing under s.
1446.286 (2) using a uniform tool prescribed by the department.
SB1, s. 942 15Section 942. 46.2805 (6v) of the statutes is created to read:
SB1,530,1916 46.2805 (6v) "Frail elder" means an individual who is 65 years of age or older
17and has a physical disability or irreversible dementia that restricts the individual's
18ability to perform normal daily tasks or that threatens the capacity of the individual
19to live independently.
SB1, s. 943 20Section 943. 46.2805 (7) of the statutes is amended to read:
SB1,530,2421 46.2805 (7) "Functional and financial screen screening" means a screen
22prescribed by the department that is used screening to determine functional
23eligibility under s. 46.286 (1) (a) and financial eligibility under s. 46.286 (1) (b) using
24a uniform tool prescribed by the department
.
SB1, s. 944 25Section 944. 46.2805 (7m) of the statutes is repealed.
SB1, s. 944r
1Section 944r. 46.281 (title) of the statutes is amended to read:
SB1,531,3 246.281 (title) Powers and duties of the department and the, secretary ,
3and counties
; long-term care.
SB1, s. 945 4Section 945. 46.281 (1) (intro.) of the statutes is renumbered 46.281 (1n)
5(intro.), and 46.281 (1n) (title), as renumbered, is amended to read:
SB1,531,66 46.281 (1n) (title) Duties Other duties of the department.
SB1, s. 946 7Section 946. 46.281 (1) (c) of the statutes is renumbered 46.281 (1d) and
8amended to read:
SB1,531,169 46.281 (1d) Waiver request. Request The department shall request from the
10secretary of the federal department of health and human services any waivers of
11federal medicaid laws necessary to permit the use of federal moneys to provide the
12family care benefit to recipients of medical assistance. The department shall
13implement any waiver that is approved and that is consistent with ss. 46.2805 to
1446.2895. Regardless of whether a waiver is approved, the department may
15implement operation of resource centers, care management organizations , and the
16family care benefit.
SB1, s. 947m 17Section 947m. 46.281 (1) (d) of the statutes is renumbered 46.281 (1g) (b) and
18amended to read:
SB1,533,219 46.281 (1g) (b) In geographic areas in which, in the aggregate, resides no more
20than 29 percent of the state population that is eligible for the family care benefit,
21contract with a county, a family care district, a tribe or band, the Great Lakes
22Inter-Tribal Council, Inc., or with 2 or more of these entities to manage all long-term
23care programs and administer the family care benefit as care management
24organizations.
If the department proposes to contract with these entities to
25administer care management organizations the family care benefit in geographic

1areas in which, in the aggregate, resides more than 29 percent but less than 50
2percent
of the state population that is eligible for the family care benefit, the
3department shall first notify the joint committee on finance in writing of the
4proposed contract. The notification shall include the contract proposal; and an
5estimate of the fiscal impact of the proposed addition that demonstrates that the
6addition will be cost neutral, including startup, transitional, and ongoing
7operational costs and any proposed county contribution. The notification shall also
8include, for each county affected by the proposal, documentation that the county
9consents to administration of the family care benefit in the county, the amount of the
10county's payment or reduction in community aids under s. 46.281 (4), and a proposal
11by the county for using any savings in county expenditures on long-term care that
12result from administration of the family care benefit in the county.
If the
13cochairpersons of the committee do not notify the department within 14 working
14days after the date of the department's notification that the committee has scheduled
15a meeting for the purpose of reviewing the proposed contract, the department may
16enter into the proposed contract. If within 14 working days after the date of the
17department's notification the cochairpersons of the committee notify the department
18that the committee has scheduled a meeting for the purpose of reviewing the
19proposed contract, the department may enter into the proposed contract only upon
20approval of
if the committee. The department may contract with these entities to
21administer care management organizations in geographic areas in which, in the
22aggregate, resides 50 percent or more of the state population that is eligible for the
23family care benefit only if specifically authorized by the legislature and if the
24legislature appropriates necessary funding
approves the proposed contract or if the

1committee fails to act on the proposed contract within 59 working days after the date
2of the department's notification
.
SB1, s. 948 3Section 948. 46.281 (1) (e) of the statutes is repealed.
SB1, s. 949 4Section 949. 46.281 (1) (f) of the statutes is renumbered 46.281 (1n) (a).
SB1, s. 950 5Section 950. 46.281 (1) (g) of the statutes is renumbered 46.281 (1n) (b).
SB1, s. 951 6Section 951. 46.281 (1) (h) of the statutes is renumbered 46.281 (1n) (c).
SB1, s. 952 7Section 952. 46.281 (1) (i) of the statutes is repealed.
SB1, s. 952m 8Section 952m. 46.281 (1g) (title) of the statutes is created to read:
SB1,533,109 46.281 (1g) (title) Contracting for resource centers and care management
10organizations.
SB1, s. 953 11Section 953. 46.281 (1g) (a) of the statutes is created to read:
SB1,533,1612 46.281 (1g) (a) Subject to par. (b), the department may contract with entities
13as provided under s. 46.283 (2) to provide the services under s. 46.283 (3) and (4) as
14resource centers in any geographic area in the state, and may contract with entities
15as provided under s. 46.284 (2) to administer the family care benefit as care
16management organizations in any geographic area in the state.
SB1, s. 954 17Section 954. 46.281 (1n) (d) of the statutes is created to read:
SB1,533,2018 46.281 (1n) (d) 1. Establish regions for long-term care advisory committees
19under s. 46.2825, periodically review the boundaries of the regions, and, as
20appropriate, revise the boundaries.
SB1,533,2521 2. Specify the number of members that each governing board of a resource
22center shall appoint to a regional long-term care advisory committee. The total
23number of committee members shall not exceed 25, and the department shall allot
24committee membership equally among the governing boards of resource centers
25operating within the boundaries of the regional long-term care advisory committee.
SB1,534,2
13. Provide information and staff assistance to assist regional long-term care
2advisory committees in performing the duties under s. 46.2825 (2).
SB1, s. 954m 3Section 954m. 46.281 (1n) (e) of the statutes is created to read:
SB1,534,144 46.281 (1n) (e) Contract with a person to provide the advocacy services
5described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family
6care benefit who are under age 60 or to their families or guardians. The department
7may not contract under this paragraph with a county or with a person who has a
8contract with the department to provide services under s. 46.283 (3) and (4) as a
9resource center or to administer the family care benefit as a care management
10organization. The contract under this paragraph shall include as a goal that the
11provider of advocacy services provide one advocate for every 2,500 individuals under
12age 60 who receive the family care benefit. The department shall allocate $190,000
13for the contract under this paragraph in fiscal year 2007-08 and $525,000 in each
14subsequent fiscal year.
SB1, s. 954mb 15Section 954mb. 46.281 (1n) (f) of the statutes is created to read:
SB1,534,1916 46.281 (1n) (f) From the appropriation under s. 20.435 (7) (b), provide $75,000
17annually to Grant County to provide, with respect to issues concerning family care
18benefits, liaison services between the county and a managed care organization and
19advocacy services on behalf of the county.
SB1, s. 955 20Section 955. 46.281 (2) (title) of the statutes is amended to read:
SB1,534,2121 46.281 (2) (title) Powers Other powers of the department.
SB1, s. 956 22Section 956. 46.281 (3) of the statutes is amended to read:
SB1,535,623 46.281 (3) Duty of the secretary. The secretary shall certify to each county,
24hospital, nursing home, community-based residential facility, adult family home
25and residential care apartment complex the date on which a resource center that

1serves the area of the county, hospital, nursing home, community-based residential
2facility, adult family home or residential care apartment complex is first available
3to provide a perform functional screenings and financial screen and cost-sharing
4screenings
. To facilitate phase-in of services of resource centers, the secretary may
5certify that the resource center is available for specified groups of eligible individuals
6or for specified facilities in the county.
SB1, s. 956g 7Section 956g. 46.281 (4) of the statutes is created to read:
SB1,535,128 46.281 (4) County contribution. (a) In this subsection, "base amount" means
9the amount that a county expended in calendar year 2006, as determined by the
10department, to provide long-term care services to individuals who would have been
11eligible for the family care benefit in calendar year 2006 if the family care benefit had
12been available to residents of the county.
SB1,535,1613 (b) Except as provided in par. (c), each county in which the department has a
14contract with an entity to administer the family care benefit shall in each year of the
15contract either pay the department the following amount or agree to reduce the
16community aids distribution to the county under s. 46.40 (2) by the following amount:
SB1,535,1917 1. If the base amount for the county is less than or equal to 22 percent of the
18calendar year 2006 community aids distribution to the county under s. 46.40 (2), the
19base amount.
SB1,535,2220 2. If the base amount for the county is greater than 22 percent of the calendar
21year 2006 community aids distribution to the county under s. 46.40 (2), the following
22amounts in the following years:
SB1,535,2423 a. For the first year that the department contracts for administration of the
24family care benefit in the county, the base amount for the county.
SB1,536,5
1b. For the 2nd, 3rd, and 4th years that the department contracts for
2administration of the family care benefit in the county, the amount from the previous
3year minus 25 percent of the difference between the base amount for the county and
422 percent of the calendar year 2006 community aids distribution to the county under
5s. 46.40 (2).
SB1,536,86 c. For the 5th year and each subsequent year that the department contracts for
7administration of the family care benefit in the county, 22 percent of the calendar
8year 2006 community aids distribution to the county under s. 46.40 (2).
SB1,536,159 (c) Each county in which the department has a contract with an entity to
10administer the family care benefit, and in which the department had such a contract
11before January 1, 2006, shall annually either pay the department or agree to reduce
12the community aids distribution to the county under s. 46.40 (2) by the amount that
13the county paid the department, or by which the county's community aids
14distribution was reduced, in calendar year 2006 to fund the program under ss.
1546.2805 to 46.2895.
SB1,536,1716 (d) The department shall deposit payments made by counties under this
17subsection in the appropriation account under s. 20.435 (7) (g).
SB1, s. 957 18Section 957. 46.282 (title) of the statutes is repealed.
SB1, s. 958 19Section 958. 46.282 (2) of the statutes is repealed.
SB1, s. 959 20Section 959. 46.282 (3) (title) of the statutes is repealed.
SB1, s. 960 21Section 960. 46.282 (3) (a) (intro.) of the statutes is repealed.
SB1, s. 961 22Section 961. 46.282 (3) (a) 1. of the statutes is repealed.
SB1, s. 962 23Section 962. 46.282 (3) (a) 2. of the statutes is repealed.
SB1, s. 963 24Section 963. 46.282 (3) (a) 3. of the statutes is repealed.
SB1, s. 964 25Section 964. 46.282 (3) (a) 4. of the statutes is repealed.
SB1, s. 965
1Section 965. 46.282 (3) (a) 5. of the statutes is repealed.
SB1, s. 966 2Section 966. 46.282 (3) (a) 6. of the statutes is repealed.
SB1, s. 967 3Section 967. 46.282 (3) (a) 7. of the statutes is repealed.
SB1, s. 968 4Section 968. 46.282 (3) (a) 8. of the statutes is renumbered 46.2825 (2) (e) and
5amended to read:
SB1,537,76 46.2825 (2) (e) Monitor the pattern of enrollments and disenrollments in local
7care management organizations that provide services in the committee's region.
SB1, s. 969 8Section 969. 46.282 (3) (a) 9. of the statutes is renumbered 46.283 (6) (b) 3. and
9amended to read:
SB1,537,1410 46.283 (6) (b) 3. Identify any gaps in services, living arrangements, and
11community resources and develop strategies to build local capacity to serve older
12persons and persons with physical or developmental disabilities
needed by
13individuals belonging to the client groups served by the resource center
, especially
14those with long-term care needs.
SB1, s. 970 15Section 970. 46.282 (3) (a) 10. of the statutes is renumbered 46.2825 (2) (g) and
16amended to read:
SB1,537,1917 46.2825 (2) (g) Perform long-range planning on long-term care policy for older
18persons and persons with physical or developmental disabilities
individuals
19belonging to the client groups served by the resource center
.
SB1, s. 971 20Section 971. 46.282 (3) (a) 11. of the statutes is renumbered 46.283 (6) (b) 8.
21and amended to read:
SB1,538,322 46.283 (6) (b) 8. Annually review interagency agreements between a the
23resource center and care management organization or organizations that provide
24services in the area served by the resource center
and make recommendations, as
25appropriate, on the interaction between the resource center and the care

1management organization or organizations to assure coordination between or
2among them and to assure access to and timeliness in provision of services by the
3resource center and the care management organizations
.
SB1, s. 972 4Section 972. 46.282 (3) (a) 12. of the statutes is renumbered 46.283 (6) (b) 9.
5and amended to read:
SB1,538,106 46.283 (6) (b) 9. Annually review Review the number and types of complaints
7and
grievances about and appeals concerning the long-term care system by persons
8who receive or may receive care under the system
in the area served by the resource
9center
, to determine if a need exists for system changes, and recommend system or
10other changes if appropriate.
SB1, s. 973 11Section 973. 46.282 (3) (a) 13. of the statutes is renumbered 46.283 (6) (b) 6.
12and amended to read:
SB1,538,1613 46.283 (6) (b) 6. Identify potential new sources of community resources and
14funding for needed services for older persons and persons with physical or
15developmental disabilities
individuals belonging to the client groups served by the
16resource center
.
SB1, s. 974 17Section 974. 46.282 (3) (a) 14. of the statutes is repealed.
SB1, s. 975 18Section 975. 46.282 (3) (a) 15. of the statutes is repealed.
SB1, s. 976 19Section 976. 46.282 (3) (b) of the statutes is renumbered 46.283 (6) (b) 10. and
20amended to read:
SB1,538,2421 46.283 (6) (b) 10. A local long-term care council may, within the local
22long-term care council's area
If directed to do so by the county board, assume the
23duties of the county long-term community support planning committee as specified
24under s. 46.27 (4) for a county served by the resource center.
SB1, s. 977 25Section 977. 46.2825 of the statutes is created to read:
SB1,539,8
146.2825 Regional long-term care advisory committees. (1) Creation.
2The governing board of each resource center operating in a region established by the
3department under s. 46.281 (1n) (d) 1. shall appoint the number of its members that
4is specified by the department under s. 46.281 (1n) (d) 2. to a regional long-term care
5advisory committee. At least 50 percent of the persons a resource center board
6appoints to a regional long-term care advisory committee shall be older persons or
7persons with a physical or developmental disability or their family members,
8guardians, or other advocates.
SB1,539,10 9(2) Duties. A regional long-term care advisory committee shall do all of the
10following:
SB1,539,1611 (a) Evaluate the performance of care management organizations and entities
12that operate a program described under s. 46.2805 (1) (a) or (b) in the committee's
13region with respect to responsiveness to recipients of their services, fostering choices
14for recipients, and other issues affecting recipients; and make recommendations
15based on the evaluation to the department and to the care management
16organizations and entities, as appropriate.
SB1,539,1917 (b) Evaluate the performance of resource centers operating in the committee's
18region and, as appropriate, make recommendations, concerning their performance
19to the department and the resource centers.
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