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House Journal: Page 1465: Tuesday, April 11, 1995

10   consultation with the personal assistance and family
11   support services council created in section 225C.48,
12   shall submit a request to the United States department
13   of health and human services to amend the mental
14   retardation and the ill and handicapped home and
15   community-based services waivers to include the
16   provision of consumer-directed attendant care as a
17   fundable service under the medical assistance home and
18   community-based services waiver.  If approved, the
19   consumer-directed attendant care services portion of
20   the waiver as provided in 1994 Iowa Acts, chapter
21   1041, section 5, shall be implemented immediately
22   following approval.
23     2.  The department of human services, in
24   consultation with the personal assistance and family
25   support services council created in section 225C.48,
26   shall submit a waiver request to the United States
27   department of health and human services for approval
28   of funding of services provided to persons with
29   physical disabilities through the medical assistance
30   home and community-based services waiver, including
31   consumer-directed attendant care services.  If
32   approved, the services, as provided in 1994 Iowa Acts,
33   chapter 1041, section 5, shall be implemented
34   immediately following approval.  The department shall
35   use existing state funds to draw down federal funds
36   for the consumer-directed attendant services.  The
37   department shall not propose or implement the medical
38   assistance home and community-based waiver for
39   services for persons with physical disabilities in a
40   manner which would require county funding to match
41   federal funding.  The nonfederal funding match shall
42   be provided only through expenditure of state funds
43   from existing human services programs, including but
44   not limited to the in-home-health-related program and
45   other programs which are funded solely through
46   expenditure of state funds.
47     Sec. 200.  PERSONAL ASSISTANCE SERVICES --
48   APPROPRIATION.  There is appropriated from the general
49   fund of the state to the department of human services
50   for the fiscal year beginning July 1, 1995, and ending

Page 2  

 1   June 30, 1996, the following amount, or so much
 2   thereof as is necessary, to be used for the purpose
 3   designated:
 4     For the personal assistance services program
 5   created in section 225C.46:
 6   		$  2,889,723""
 7     2.  Page 4, by inserting after line 30 the
 8   following:
 9     "   .  Page 45, line 19, by inserting after the
10   word "retarded," the following:  "sections 100 and 200

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