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House Journal: Page 960: Tuesday, March 26, 1996

11   assistance program reimbursement for payment of
12   services provided by persons who provide a home and
13   services to a total of seventy-five persons who
14   currently reside in nursing homes.  The department, in
15   cooperation with the department of elder affairs,
16   shall develop a program which will result in a cost
17   savings to the state or in cost neutrality, and shall
18   develop parameters for the program which shall include
19   but are not limited to all of the following:
20     a.  A maximum income eligibility level, established
21   by the department, which applies to persons providing
22   a home and services and seeking reimbursement through
23   the medical assistance program.
24     b.  An evaluative component which enables the
25   department to measure the financial and quality of
26   life aspects of the pilot program in comparison with
27   placement of a person in a nursing home.
28     c.  A maximum reimbursement rate of $15,000,
29   annually, for housing and services provided by the
30   home provider under the pilot program.
31     d.  Any other criteria necessary to implement the
32   pilot program including but not limited to
33   implementation in a manner which targets current
34   nursing home residents in both rural and urban areas
35   of the state.
36     Contingent upon federal approval of a waiver, the
37   department shall adopt administrative rules to
38   establish the requirements for the alternative nursing
39   home pilot project under this subsection."
40     3.  Page 6, by inserting before line 31 the
41   following:
42     "   .  If funding is projected to be available
43   within the amount appropriated in this section, the
44   department shall implement the case study for outcome-
45   based performance standards for programs serving
46   persons with mental retardation or other developmental
47   disabilities proposed pursuant to 1994 Iowa Acts,
48   chapter 1170, section 56, and expend not more than
49   $75,000 for the research associated with the case
50   study.  The department shall adopt rules applicable to

Page 2  

 1   the programs included in the case study, request a
 2   waiver of applicable federal requirements, and take
 3   other actions deemed necessary by the department to
 4   implement the case study."
 5     4.  Page 9, by striking line 13 and inserting the
 6   following:
 7   "	$  9,940,000"
 8     5.  Page 9, line 16, by striking the figure
 9   "11,593,789" and inserting the following:
10   "5,578,789".
11     6.  Page 11, by striking lines 6 through 25.

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 2)

© 1996 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Wed Mar 27 13:30:03 CST 1996
URL: /DOCS/GA/76GA/Session.2/HJournal/00900/00960.html
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