HOUSE BILL No. 6305

 

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.