1 | A bill to be entitled |
2 | An act relating to the Agency for Persons with |
3 | Disabilities; amending s. 393.23, F.S.; revising purposes |
4 | of expenditures of moneys deposited in the trust accounts |
5 | of developmental disabilities centers; amending s. |
6 | 393.0661, F.S.; revising provisions relating to services |
7 | provided to certain clients with developmental |
8 | disabilities served under the four-tiered waiver system; |
9 | revising provisions relating to the calculation of |
10 | annualized expenditures; deleting future review and repeal |
11 | of s. 393.0661(6), F.S., relating to cost plans for |
12 | individuals served by the home and community-based |
13 | services waiver or the family and supported living waiver |
14 | funded through the Agency for Persons with Disabilities; |
15 | providing effective dates. |
16 |
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17 | Be It Enacted by the Legislature of the State of Florida: |
18 |
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19 | Section 1. Subsection (1) of section 393.23, Florida |
20 | Statutes, is amended to read: |
21 | 393.23 Developmental disabilities centers; trust |
22 | accounts.--All receipts from the operation of canteens, vending |
23 | machines, hobby shops, sheltered workshops, activity centers, |
24 | farming projects, and other like activities operated in a |
25 | developmental disabilities center, and moneys donated to the |
26 | center, must be deposited in a trust account in any bank, credit |
27 | union, or savings and loan association authorized by the State |
28 | Treasury as a qualified depository to do business in this state, |
29 | if the moneys are available on demand. |
30 | (1) Moneys in the trust account must be expended for the |
31 | benefit, education, or and welfare of clients. However, if |
32 | specified, moneys that are donated to the center must be |
33 | expended in accordance with the intentions of the donor. Trust |
34 | account money may not be used for the benefit of employees of |
35 | the agency or to pay the wages of such employees. The welfare of |
36 | the clients includes the expenditure of funds for the purchase |
37 | of items for resale at canteens or vending machines, and for the |
38 | establishment of, maintenance of, and operation of canteens, |
39 | hobby shops, recreational or entertainment facilities, sheltered |
40 | workshops, activity centers, farming projects, or other like |
41 | facilities or programs established at the center for the benefit |
42 | of clients. |
43 | Section 2. Subsection (3) of section 393.0661, Florida |
44 | Statutes, is amended to read: |
45 | 393.0661 Home and community-based services delivery |
46 | system; comprehensive redesign.--The Legislature finds that the |
47 | home and community-based services delivery system for persons |
48 | with developmental disabilities and the availability of |
49 | appropriated funds are two of the critical elements in making |
50 | services available. Therefore, it is the intent of the |
51 | Legislature that the Agency for Persons with Disabilities shall |
52 | develop and implement a comprehensive redesign of the system. |
53 | (3) The Agency for Health Care Administration, in |
54 | consultation with the agency, shall seek federal approval and |
55 | implement a four-tiered waiver system to serve clients with |
56 | developmental disabilities in the developmental disabilities and |
57 | family and supported living waivers. The agency shall assign all |
58 | clients receiving services through the developmental |
59 | disabilities waiver to a tier based on a valid assessment |
60 | instrument, client characteristics, and other appropriate |
61 | assessment methods. All services covered under the current |
62 | developmental disabilities waiver shall be available to all |
63 | clients in all tiers where appropriate, except as otherwise |
64 | provided in this subsection or in the General Appropriations |
65 | Act. |
66 | (a) Tier one shall be limited to clients who have service |
67 | needs that cannot be met in tier two, three, or four for |
68 | intensive medical or adaptive needs and that are essential for |
69 | avoiding institutionalization, or who possess behavioral |
70 | problems that are exceptional in intensity, duration, or |
71 | frequency and present a substantial risk of harm to themselves |
72 | or others. |
73 | (b) Tier two shall be limited to clients whose service |
74 | needs include a licensed residential facility and who are |
75 | authorized to receive a moderate level of support for standard |
76 | residential habilitation services or a minimal level of support |
77 | for behavior focus residential habilitation services or clients |
78 | in supported living who receive greater than 6 hours a day of |
79 | in-home support services. Total annual expenditures under tier |
80 | two may not exceed $55,000 per client each year. |
81 | (c) Tier three shall include, but is not limited to, |
82 | clients requiring residential placements, clients in independent |
83 | or supported living situations, and clients who live in their |
84 | family home. Total annual expenditures under tier three may not |
85 | exceed $35,000 per client each year. |
86 | (d) Tier four is the family and supported living waiver. |
87 | Tier four shall include, but is not limited to, clients in |
88 | independent or supported living situations and clients who live |
89 | in their family home. An increase to the number of services |
90 | available to clients in this tier shall not take effect prior to |
91 | July 1, 2009. Total annual expenditures under tier four may not |
92 | exceed $14,792 per client each year. |
93 | (e) The Agency for Health Care Administration shall also |
94 | seek federal approval to provide a consumer-directed option for |
95 | persons with developmental disabilities which corresponds to the |
96 | funding levels in each of the waiver tiers. The agency shall |
97 | implement the four-tiered waiver system beginning with tiers |
98 | one, three, and four and followed by tier two. The agency and |
99 | the Agency for Health Care Administration may adopt any rules |
100 | necessary to administer this subsection. |
101 | (f) The agency shall seek federal waivers and amend |
102 | contracts as necessary to make changes to services defined in |
103 | federal waiver programs administered by the agency as follows: |
104 | 1. Supported living coaching services shall not exceed 20 |
105 | hours per month for persons who also receive in-home support |
106 | services. |
107 | 2. Limited support coordination services shall be the only |
108 | type of support coordination service provided to persons under |
109 | the age of 18 who live in the family home. |
110 | 3. Personal care assistance services shall be limited to |
111 | no more than 180 hours per calendar month and shall not include |
112 | rate modifiers. Additional hours may be authorized for persons |
113 | who have intensive physical, medical, or adaptive needs if such |
114 | hours are essential for avoiding institutionalization. |
115 | 4. Residential habilitation services shall be limited to 8 |
116 | hours per day. Additional hours may be authorized for persons |
117 | who have intensive medical or adaptive needs and if such hours |
118 | are essential for avoiding institutionalization, or for persons |
119 | who possess behavioral problems that are exceptional in |
120 | intensity, duration, or frequency and present a substantial risk |
121 | of harming themselves or others. This restriction shall be in |
122 | effect until the four-tiered waiver system is fully implemented. |
123 | 5. Chore services, nonresidential support services, and |
124 | homemaker services shall be eliminated. The agency shall expand |
125 | the definition of in-home support services to enable the |
126 | provider of the service to include activities previously |
127 | provided in these eliminated services. |
128 | 6. Massage therapy, medication review, and psychological |
129 | assessment services shall be eliminated. |
130 | 7. The agency shall conduct supplemental cost plan reviews |
131 | to verify the medical necessity of authorized services for plans |
132 | that have increased by more than 8 percent during either of the |
133 | 2 preceding fiscal years. |
134 | 8. The agency shall implement a consolidated residential |
135 | habilitation rate structure to increase savings to the state |
136 | through a more cost-effective payment method and establish |
137 | uniform rates for intensive behavioral residential habilitation |
138 | services. |
139 | 9. Pending federal approval, the agency is authorized to |
140 | extend current support plans for clients receiving services |
141 | under Medicaid waivers for 1 year beginning July 1, 2007, or |
142 | from the date approved, whichever is later. Clients who have a |
143 | substantial change in circumstances which threatens their health |
144 | and safety may be reassessed during this year in order to |
145 | determine the necessity for a change in their support plan. |
146 | 10. The agency shall eliminate redundancies and |
147 | duplications between in-home support services, companion |
148 | services, personal care services, and supported living coaching |
149 | by limiting or consolidating the services. |
150 | 11. The agency shall reduce the intensity and frequency of |
151 | supported employment services to individuals in stable |
152 | employment situations who have a documented history of at least |
153 | 3 years' employment with the same company or in the same |
154 | industry. |
155 | Section 3. Effective upon this act becoming a law, |
156 | subsection (6) of section 393.0661, Florida Statutes, is amended |
157 | to read: |
158 | 393.0661 Home and community-based services delivery |
159 | system; comprehensive redesign.--The Legislature finds that the |
160 | home and community-based services delivery system for persons |
161 | with developmental disabilities and the availability of |
162 | appropriated funds are two of the critical elements in making |
163 | services available. Therefore, it is the intent of the |
164 | Legislature that the Agency for Persons with Disabilities shall |
165 | develop and implement a comprehensive redesign of the system. |
166 | (6) Effective January 1, 2009, and except as otherwise |
167 | provided in this section, an individual served by the home and |
168 | community-based services waiver or the family and supported |
169 | living waiver funded through the Agency for Persons with |
170 | Disabilities shall have his or her cost plan adjusted to reflect |
171 | the amount of expenditures for the previous state fiscal year |
172 | plus 5 percent if such amount is less than the individual's |
173 | existing cost plan. The Agency for Persons with Disabilities |
174 | shall use actual paid claims for services provided during the |
175 | previous fiscal year that are submitted by October 31 to |
176 | calculate the revised cost plan amount. If an individual was not |
177 | served for the entire previous state fiscal year or there was |
178 | any single change in the cost plan amount of more than 5 percent |
179 | during the previous state fiscal year, the agency shall set the |
180 | cost plan amount at an estimated annualized expenditure amount |
181 | plus 5 percent. The agency shall estimate the annualized |
182 | expenditure amount by calculating the average of monthly |
183 | expenditures, beginning in the fourth month after the individual |
184 | enrolled or the cost plan was changed by more than 5 percent and |
185 | ending with August 31, 2008, and multiplying the average by 12. |
186 | In the event that at least 3 months of actual expenditure data |
187 | are not available to estimate annualized expenditures, the |
188 | agency may not rebase a cost plan pursuant to this subsection. |
189 | This subsection expires June 30, 2009, unless reenacted by the |
190 | Legislature before that date. |
191 | Section 4. Except as otherwise expressly provided in this |
192 | act, this act shall take effect July 1, 2009. |