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House Journal: Page 1467: Tuesday, April 11, 1995

4   following:
 5     "Sec. 200.  The department of human services shall
 6   seek federal approval on or before July 1, 1995, for
 7   the implementation of a pilot program to allow medical
 8   assistance program reimbursement for payment of
 9   services provided by persons who provide a home and
10   services to persons who currently reside in or who
11   would otherwise be placed in nursing homes but for the
12   alternative offered under this subsection.  The
13   department, in cooperation with the department of
14   elder affairs, shall develop a program which will
15   result in a cost savings to the state or in cost
16   neutrality, and shall develop parameters for the
17   program which shall include but are not limited to all
18   of the following:
19     a.  A maximum income eligibility level which
20   applies to persons providing a home and services and
21   seeking reimbursement through the medical assistance
22   program.
23     b.  An evaluative component which enables the
24   department to measure the financial and quality of
25   life aspects of the pilot program in comparison with
26   placement of a person in a nursing home.
27     c.  A maximum reimbursement rate of $15,000,
28   annually, for housing and services provided by the
29   home provider under the pilot program.
30     d.  Any other criteria necessary to implement the
31   pilot program including but not limited to
32   implementation in a manner which targets current or
33   prospective nursing home residents in both rural and
34   urban areas of the state."
35     2.  Page 45, line 17, by inserting after the word
36   "authorization," the following:  "section 200 relating
37   to the nursing home waiver pilot program,".
38     3.  By renumbering as necessary.
Fallon of Polk offered the following amendment H-3871, to
amendment H-3822, filed by him from the floor and moved its
adoption:
H-3871
 1     Amend the amendment, H-3822, to Senate File 462, as
 2   amended, passed, and reprinted by the Senate, as
 3   follows:
 4     1.  Page 1, line 6, by striking the word "July"
 5   and inserting the following:  "August".
 6     2.  Page 1, by striking lines 10 through 12 and
 7   inserting the following:  "services to a total of
 8   seventy-five persons who currently reside in nursing
 9   homes.  The".
10     3.  Page 1, line 19, by inserting after the word
11   "level" the following:  ", established by the
12   department,".
13     4.  Page 1, line 32 and 33, by striking the words
14   "or prospective".

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