996014                                                     
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. | 
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