House File 226 HOUSE FILE BY HEDDENS Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to specifications for home and community=based 2 services waivers under the medical assistance program. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2373HH 80 5 pf/sh/8 PAG LIN 1 1 Section 1. CONSOLIDATION AND FLEXIBILITY OF HOME AND 1 2 COMMUNITY=BASED SERVICES WAIVERS. The department of human 1 3 services shall consolidate the home and community=based 1 4 services waivers under the medical assistance program in 1 5 accordance with the following in order to accomplish the 1 6 purpose specified: 1 7 1. Remove service=specific requirements in order to 1 8 provide flexibility in the types of services provided to 1 9 waiver recipients. 1 10 2. Replace daily and monthly recipient expenditure 1 11 maximums with annualized expenditure maximums to increase 1 12 flexibility of the overall program. 1 13 EXPLANATION 1 14 This bill directs the department of human services to 1 15 consolidate the home and community=based services waivers 1 16 under the medical assistance (Medicaid) program in order to 1 17 increase flexibility in the services provided and in the 1 18 overall program. In order to accomplish increased 1 19 flexibility, the bill directs the department of human services 1 20 specifically to remove service=specific requirements and to 1 21 replace daily and monthly recipient expenditure maximums with 1 22 annualized expenditure maximums. 1 23 LSB 2373HH 80 1 24 pf/sh/8 1 25 1 26 1 27 1 28 1 29 1 30 1 31 1 32 1 33 1 34 1 35