Amendment AA1-ASA2-SB653

LRBa2986/1

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2005 - 2006 LEGISLATURE

ASSEMBLY AMENDMENT 1, TO ASSEMBLY SUBSTITUTE AMENDMENT 2, TO 2005 SENATE BILL 653

April 25, 2006 - Offered by Representatives Vos, Pope-Roberts, Kerkman, Berceau and Gunderson.

SB653-ASA2-AA1,1,1 At the locations indicated, amend the substitute amendment as follows:

SB653-ASA2-AA1,1,2 1. Page 1, line 10: delete "and".

SB653-ASA2-AA1,1,5 2. Page 1, line 11: after "benefit" insert ", and requiring an annual report concerning relocations and diversions from nursing homes, intermediate care facilities for the mentally retarded, and centers for the developmentally disabled".

SB653-ASA2-AA1,1,6 3. Page 10, line 14: after that line insert:

SB653-ASA2-AA1,1,7 " Section 18m. 51.06 (8) of the statutes is created to read:

SB653-ASA2-AA1,1,8 51.06 (8) Relocations; report. (a) In this subsection:

SB653-ASA2-AA1,1,10 1. "Intermediate care facility for the mentally retarded" has the meaning given in 42 USC 1396d (d).

SB653-ASA2-AA1,1,11 2. "Medical Assistance" has the meaning given in s. 49.43 (8).

SB653-ASA2-AA1,1,12 3. "Nursing home" has the meaning given in s. 50.01 (3).

SB653-ASA2-AA1,2,7 (b) Annually by October 1, the department shall submit to the joint committee on finance and to the appropriate standing committees of the legislature under s. 13.172 (3) a report that includes information collected from the previous fiscal year on the relocation or diversion of individuals who are Medical Assistance eligibles or recipients from nursing homes, intermediate care facilities for the mentally retarded, and centers for the developmentally disabled. The report shall include all of the following information:

SB653-ASA2-AA1,2,9 1. The impact of the relocations and diversions on the health and safety of the individuals relocated or diverted.

SB653-ASA2-AA1,2,11 2. The extent of involvement of guardians or family members of the individuals in efforts to relocate or divert the individuals.

SB653-ASA2-AA1,2,14 3. The nature and duration of relocations or diversions that specifies the locations of relocated or diverted individuals every year after home or community placement occurs, so as to keep track of the individuals on an ongoing basis.

SB653-ASA2-AA1,2,19 4. An accounting of the costs and savings under the Medical Assistance program of relocations and diversions and the resulting reduction in capacity for services of nursing homes, intermediate care facilities for the mentally retarded, and centers for the developmentally disabled. The accounting shall include the per individual savings as well as the collective savings of relocations and diversions.

SB653-ASA2-AA1,2,22 5. The costs under the Medical Assistance program of administration, housing, and other services, including nursing, personal care, and physical therapy services, that are associated with the relocations and diversions.

SB653-ASA2-AA1,3,2 6. The extent of Medical Assistance provided to relocated or diverted individuals that is in addition to Medical Assistance provided to the individuals under s. 46.27 (11), 46.275, 46.277, or 46.278, as a family care benefit under ss. 46.2805 to 46.2895, or under any other home-based or community-based program for which the department has received a waiver under 42 USC 2396n (c).

SB653-ASA2-AA1,3,7 7. Staff turnover rates for nursing homes, intermediate care facilities for the mentally retarded, and centers for the developmentally disabled in communities in which an individual relocated or diverted from a nursing home, intermediate care facility for the mentally retarded, or center for the developmentally disabled currently resides.".

SB653-ASA2-AA1,3,8 (End)