June 29, 2006, Introduced by Reps. Emmons, Vander Veen, Gosselin, Steil, Baxter, Casperson, Ball, Green, Byrnes, Schuitmaker, Pearce, Stahl, Adamini, Sak, Mayes, Amos, Farhat, Pastor and Lemmons, III and referred to the Committee on Senior Health, Security, and Retirement.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding section 109i.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 109i. (1) The director of the department of community
health or his or her agent shall seek approval from the centers for
medicare and medicaid services to amend the existing home- and
community-based services waiver to include funding for the housing
commission assisted living program for up to 600 individuals in an
eligible home for the aged or for licensed medicaid providers
delivering supportive services in facilities owned by, under
contract with, or administered by housing commissions. The amended
waiver shall be project-based. The money designated for the program
described in this section shall remain with this program and shall
not follow the individual if he or she leaves the program or
becomes ineligible for the program.
(2) The director of the department of community health or his
or her agent shall formulate the waiver amendment application and
shall submit the waiver request not later than 45 days after the
effective date of the amendatory act that added this section.
(3) The waiver obtained under this section shall be reviewed
and expanded periodically in consultation with the director of
community health.
(4) Supportive services paid for with state or federal money
in an eligible home for the aged or provided by a medicaid provider
in a facility owned by, under contract with, or administered by a
housing commission shall be provided to individuals who are
eligible for or at risk for placement in a nursing facility and
whose comprehensive assessment indicates that the individual is
able to receive appropriate care in the eligible home for the aged
or by the medicaid provider.
(5) Reimbursement to eligible home for the aged and medicaid
providers delivering supportive services in a facility owned by,
under contract with, or administered by a housing commission shall
be $32.00 per day per eligible recipient. The reimbursement rate
may be adjusted on October 1 each year based on the average
percentage increase or decrease of the Detroit consumer price index
for the 12-month state fiscal year ending the preceding September
30.
(6) The department of community health may contract with
eligible housing commissions for reimbursement.
(7) Upon implementation of the program established in this
section, the department of community health or its agent and
participating housing commissions shall monitor, evaluate, and
report on the qualitative benefits and cost-effectiveness of the
program. The department of community health shall submit the report
required under this subsection to the senate and house
appropriations subcommittees on the department of community health
budget, the senate and house standing committees on human services,
the senate and house fiscal agencies, and the senate and house
policy offices.
(8) As used in this section:
(a) "Comprehensive assessment" means a tool approved by the
department of community health to determine the level of supportive
services required by an individual.
(b) "Eligible home for the aged" means a home for the aged as
defined in section 20106(3) of the public health code, 1978 PA 368,
MCL 333.20106, that provides services to medicaid recipients under
a written contract with the department of community health or its
agent or that has entered into an agreement of enrollment under
section 111b(4).
(c) "Housing commission" means a housing commission created
under 1933 (Ex Sess) PA 18, MCL 125.651 to 125.709c.
(d) "Low income" and "moderate income" are those terms as
determined and published annually by the United States department
of housing and urban development for federally subsidized housing
developments.
(e) "Supportive services" means personal care and services,
including care of the skin, mouth and teeth, and hands and feet and
the shampooing and grooming of the hair.