996014                                                     
Committee
HA
Amendment
4SA
Florida Senate - 2007 SB7100 The Committee on Health and Human Services Appropriations (Peaden) recommended the following SUBSTITUTE AMENDMENT for 4 (996004):
Section: 03
On Page: 019
Spec App: 270
EXPLANATION:
Amendment to conform proviso to PCS 1124.

NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 0 0 0 Non-Recurring - 0 0 0 ______________________________________________________________________________________ Positions & Amounts Positions & Amounts DELETE INSERT AGENCY FOR PERSONS WITH DISABILITIES Program: Services To Persons With Disabilities Home And Community Services 67100100 In Section 03 On Page 019 270 Special Categories 101555 Home And Community Based Services Waiver IOEE DELETE from the seventh paragraph immediately following Specific Appropriation 270: rehabilitation and insert in lieu thereof: habilitation DELETE from the seventh paragraph immediately following Specific Appropriation 270: Funds from Specific Appropriation 270 expended for residential habilitation services, with an exception for intensive behavioral clients, are limited to the number of hours medically necessary not to exceed 8 hours per day. At the beginning of the seventh paragraph immediatley following Specific 996014 Log:0074 RAF/RAF 03/27/07 05:24:21 PM Senate Page: 1
Appropriation 270, INSERT: Funds from Specific Appropriation 270 expended for residential habilitation services, with an exception for clients who have intensive medical or adaptive needs and that are essential for avoiding institutionalization or who possess behavioral concerns that are exceptional in intensity, duration, or frequency and present a substantial risk of harm to themselves or others, are limited to the number of hours medically necessary not to exceed 8 hours per day. DELETE the eighth paragraph immediately following Specific Appropriation 270: The agency shall work with the Agency for Health Care Administration to develop a new Medicaid waiver to include all of the services in the Family and Supported Living Waiver with the addition of residential rehabilitation services. This waiver must include the 8 hour residential rehabilitation cap and have an annual total expenditure cap per client of $30,000. All current clients with annual service billings less than or equal to $30,000 after the residential rehabilitation cap is imposed, shall be moved to the new Medicaid waiver. The transition to the new waiver must be accomplished by October 1, 2007. At the end of existing proviso language, following Specific Appropriation 270, INSERT: The agency shall work with the Agency for Health Care Administration to develop a new Medicaid waiver to include all of the services in the Home and Community Based Services Waiver. This waiver will include the residential habilitation and personal care assistance service caps and have an annual total expenditure cap per client of $30,000. All clients receiving services through the Home and Community Based Services Waiver on March 1, 2007, shall be moved to the new Medicaid waiver, except clients who 1)have service needs that exceed $30,000 for intensive medical or adaptive needs and that are essential to avoid institutionalization; or 2) possess behavioral concerns that are exceptional in intensity, duration, or frequency, and present a substantial risk of harm to themselves or others. The transition to the new waiver must be accomplished by October 1, 2007.
Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items. Items printed in italics are computer codes and are not a part of the official text of this amendment.
996014 Log:0074 RAF/RAF 03/27/07 05:24:21 PM Senate Page: 2