Florida Senate - 2007 COMMITTEE AMENDMENT
Bill No. SB 12-C
Barcode 285544
CHAMBER ACTION
Senate House
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11 The Committee on Health and Human Services Appropriations
12 (Gaetz) recommended the following amendment:
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14 Senate Amendment (with title amendment)
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17 insert:
18 Section 1. Paragraph (f) of subsection (3) of section
19 393.0661, Florida Statutes, is amended to read:
20 393.0661 Home and community-based services delivery
21 system; comprehensive redesign.--The Legislature finds that
22 the home and community-based services delivery system for
23 persons with developmental disabilities and the availability
24 of appropriated funds are two of the critical elements in
25 making services available. Therefore, it is the intent of the
26 Legislature that the Agency for Persons with Disabilities
27 shall develop and implement a comprehensive redesign of the
28 system.
29 (3) The Agency for Health Care Administration, in
30 consultation with the agency, shall seek federal approval and
31 implement a four-tiered waiver system to serve clients with
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Florida Senate - 2007 COMMITTEE AMENDMENT
Bill No. SB 12-C
Barcode 285544
1 developmental disabilities in the developmental disabilities
2 and family and supported living waivers. The agency shall
3 assign all clients receiving services through the
4 developmental disabilities waiver to a tier based on a valid
5 assessment instrument, client characteristics, and other
6 appropriate assessment methods. All services covered under the
7 current developmental disabilities waiver shall be available
8 to all clients in all tiers where appropriate, except as
9 otherwise provided in this subsection or in the General
10 Appropriations Act.
11 (f) The agency shall seek federal waivers and amend
12 contracts as necessary to make changes to services defined in
13 federal waiver programs administered by the agency as follows:
14 1. Supported living coaching services shall not exceed
15 20 hours per month for persons who also receive in-home
16 support services.
17 2. Limited support coordination services shall be the
18 only type of support coordination service provided to persons
19 under the age of 18 who live in the family home.
20 3. Personal care assistance services shall be limited
21 to no more than 180 hours per calendar month and shall not
22 include rate modifiers. Additional hours may be authorized for
23 persons who have intensive medical or adaptive needs and if
24 such hours are essential for avoiding institutionalization, or
25 for persons who possess behavioral problems that are
26 exceptional in intensity, duration, or frequency and present a
27 substantial risk of harming themselves or others. Additional
28 hours may be authorized only if a substantial change in
29 circumstances occurs for the individual.
30 4. Residential habilitation services shall be limited
31 to 8 hours per day. Additional hours may be authorized for
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Florida Senate - 2007 COMMITTEE AMENDMENT
Bill No. SB 12-C
Barcode 285544
1 persons who have intensive medical or adaptive needs and if
2 such hours are essential for avoiding institutionalization, or
3 for persons who possess behavioral problems that are
4 exceptional in intensity, duration, or frequency and present a
5 substantial risk of harming themselves or others. This
6 restriction shall be in effect until the four-tiered waiver
7 system is fully implemented.
8 5. Chore Services, nonresidential support services,
9 and homemaker services shall be eliminated. The agency shall
10 expand the definition of in-home support services to enable
11 the provider of the service to include activities previously
12 provided in these eliminated services.
13 6. Massage therapy and psychological assessment
14 services shall be eliminated.
15 7. The agency shall conduct supplemental cost plan
16 reviews to verify the medical necessity of authorized services
17 for plans that have increased by more than 8 percent during
18 either of the 2 preceding fiscal years.
19 8. The agency shall implement a consolidated
20 residential habilitation rate structure to increase savings to
21 the state through a more cost-effective payment method and
22 establish uniform rates for intensive behavioral residential
23 habilitation services.
24 9. Pending federal approval, the agency is authorized
25 to extend current support plans for clients receiving services
26 under Medicaid waivers for 1 year beginning July 1, 2007, or
27 from the date approved, whichever is later. Clients who have a
28 substantial change in circumstances which threatens their
29 health and safety may be reassessed during this year in order
30 to determine the necessity for a change in their support plan.
31 Section 2. The following proviso associated with
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Florida Senate - 2007 COMMITTEE AMENDMENT
Bill No. SB 12-C
Barcode 285544
1 Specific Appropriation 270 in chapter 2007-72, Laws of
2 Florida, is repealed: "Personal Care Assistance services shall
3 be limited to no more than 180 hours per calendar month and
4 shall not include rate modifiers. Additional hours may be
5 authorized only if a substantial change in circumstances
6 occurs for the individual."
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8 (Redesignate subsequent sections.)
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11 ================ T I T L E A M E N D M E N T ===============
12 And the title is amended as follows:
13 On page 1, line 2, after the semicolon,
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15 insert:
16 amending s. 393.0661, F.S.; providing for
17 additional hours to be authorized under the
18 personal care assistance services provided
19 pursuant to a federal waiver program and
20 administered by the Agency for Health Care
21 Administration; repealing proviso language
22 contained in Specific Appropriation 270 in
23 chapter 2007-72, Laws of Florida, to conform;
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