S-3161

   Amend Senate File 505 as follows:
   1.  Page 88, line 14, by striking <eighty-five> and inserting <85>
   2.  Page 92, line 26, by striking <DECISIONMAKER> and inserting <DECISION MAKER>
   3.  Page 109, line 21, before <caseload> by inserting <and>
   4.  Page 109, by striking lines 22 through 26 and inserting <Iowa compares nationally and with best practices as utilized by other states. The study shall also identify methods for decreasing social worker caseloads. The committee shall submit a report with>
   5.  Page 119, line 10, by striking <PSYCHIATRISTS> and inserting <PSYCHOLOGISTS>
   6.  Page 119, after line 25 by inserting: 

<DIVISION ___
HOME MODIFICATION ASSISTANCE PROGRAM PLAN
   Sec. ___.  HOME MODIFICATION ASSISTANCE PROGRAM PLAN.
   1.  The aging and disability resource center and the mental health and disability services commission shall jointly develop a plan for a home modification assistance program to provide grants and individual income tax credits to assist with expenses related to the making of permanent home modifications that permit individuals with a disability in this state to remain in their homes and age in place. The plan shall include the following components:
   a.  The plan shall develop criteria and procedures for establishing eligibility of individuals with a disability under the program, and in doing so the plan shall utilize the definition of disability found in 42 U.S.C. §12102 and shall require appropriate certifications from the primary health care providers of individuals with a disability.
   b.  The plan shall establish criteria for determining the type of home modification expenses that will be eligible for a grant or tax credit award under the program.
   c.  The plan shall develop criteria and procedures for receiving grants and tax credits under the program, and shall determine the maximum amount of grants and tax credits that may be provided to an individual with a disability under the program.
   d.  The plan shall provide that individuals with a disability shall utilize any funding for home modification under the Medicaid program to the fullest extent possible before becoming eligible to participate in the home modification assistance program to ensure that the program’s grants and tax credits do not supplant available Medicaid program resources.
   e.  The plan shall provide that grants under the program shall be available to individuals with a disability with annual incomes that do not exceed 250 percent of the federal poverty level, and that individual income tax credits under the program shall be available to individuals with a disability with annual incomes exceeding 250 percent but not exceeding 450 percent of the federal poverty level.
   f.  The plan shall avoid placing unrealistic expectations and overly burdensome requirements on individuals with a disability and their families, particularly those living in rural areas.
   2.  In developing the plan for the home modification assistance program, the aging and disability resource center and the mental health and disability services commission shall seek input from and consult with the department on aging, the department of human services, the department of revenue, and other interested public and private stakeholders.
   3.  The aging and disability resource center and the mental health and disability services commission shall submit the plan on or before December 15, 2015, to the chairpersons and ranking members of the joint appropriations subcommittee on health and human services, to the chairpersons and ranking members of the senate and house standing committees on human resources, to the chairpersons and ranking members of the senate and house standing committees on ways and means, and to the governor.>
   7.  By renumbering as necessary.

______________________________
AMANDA RAGAN