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44 of human services shall allocate conversion 45 authorizations to provide for four conversions in each 46 of the department's five service regions. If a 47 conversion authorization allocated to a region is not 48 used for conversion by January 1, 1998, the department 49 of human services may reallocate the unused conversion 50 authorization to another region. The department of Page 2 1 human services shall study the cost effectiveness of 2 the conversions and provide an initial report to the 3 general assembly no later than January 2, 1998, and a 4 final report no later than December 15, 1998." 5 6. Page 11, by inserting after line 12 the 6 following: 7 "Sec. ___. ENHANCED RESIDENTIAL CARE FACILITY FOR 8 PERSONS WITH MENTAL RETARDATION REIMBURSEMENT RATES. 9 The department of human services shall design a 10 program to provide an enhanced reimbursement rate for 11 individuals transferred from an intermediate care 12 facility for persons with mental retardation to a 13 residential care facility for persons with mental 14 retardation. The enhanced reimbursement rate shall 15 not exceed the nonfederal share of intermediate care 16 facility for persons with mental retardation 17 reimbursement plus state supplementary assistance. 18 The department shall report to the general assembly 19 concerning the program on or before January 1, 1998. 20 The report shall address both the cost impact and 21 decreased utilization of intermediate care facilities 22 for persons with mental retardation level of care 23 which may result from implementation of the program." 24 7. Page 11, by striking lines 26 through 29 and 25 inserting the following: "economy and efficiency. In 26 developing the service cost inflation recommendation, 27 the committee shall consider the cost trends indicated 28 by the expenditure reports submitted by counties 29 pursuant to subsection 1, paragraph "b". The 30 governor". 31 8. Page 12, by striking line 7 and inserting the 32 following: "various types of services. Data". 33 9. Page 12, by striking lines 15 through 23 and 34 inserting the following: 35 "NEW SUBSECTION. 8A. Contingent upon the 36 department of human services receiving federal 37 approval, a residential program which serves not more 38 than eight individuals and is licensed as an 39 intermediate care facility for persons with mental 40 retardation may surrender the facility license and 41 continue to operate under a federally approved medical 42 assistance home and community-based services waiver 43 for persons with mental retardation, if the department
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