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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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