995067                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2000                                                  BHA              7SA


Senator(s) Negron moved the following LATE FILED SUBSTITUTE AMENDMENT 
for 7 (995038):

Section: 03              EXPLANATION:

On Page: 046             Appropriates $1,900,000 from the General Revenue 
                         Fund and $2,412,301 from the Operations and 
Spec App:  177           Maintenance Trust Fund to the Department of Elder 
                         Affairs to provide funding for a pilot to establish 
                         nursing home diversion slots in unserved and 
                         underserved rural areas (Planning and Service Areas 
                         1,2, and 3).  Reduces $1,900,000 from the General 
                         Revenue Fund and $2,412,301 from the Medical Care 
                         Trust Fund in the Hospital Inpatient Services 
                         appropriation category within the Agency for Health 
                         Care Administration.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 046
177     Special Categories  101582
        Hospital Inpatient Services  IOEE

   1000   From General Revenue Fund               29,379,645     27,479,645
       CA -1,900,000  FSI2 -1,900,000  
   2474   From Medical Care Trust Fund         2,009,952,762  2,007,540,461
       CA -2,412,301  FSI3 -2,412,301  

        ELDER AFFAIRS, DEPARTMENT OF
        Program: Services To Elders Program
        Home And Community Services  65100400

        In Section 03  On Page 080
382     Special Categories  109970

 995067  Log:0035  CSK/CSK           04/06/11 09:08:43 AM  Senate  Page: 1
        Capitated Nursing Home Diversion Waiver  IOEE

   1000   From General Revenue Fund              148,889,751    150,789,751
       CA 1,900,000  FSI2 1,900,000  
   2516   From Operations And Maintenance        189,035,242    191,447,543
          Trust Fund
       CA 2,412,301  FSI9 2,412,301  

Insert proviso immediately following Specific Appropriation 382:

From the funds in Specific Appropriation 382, $1,900,000 from the 
General Revenue Fund and $2,412,301 from the Operations and Maintenance 
Trust Fund are provided to expand the current Nursing Home Diversion 
program by an additional slots to assist the existing network of lead 
agencies in unserved and underserved rural areas to prepare for and 
participate in Medicaid managed care.   The Department of Elder Affairs 
shall establish a pilot program in Planning and Service Areas (PSA) 1, 
2, and the unserved counties in PSA 3 for Nursing Home Diversion.  The 
pilot project shall require a contract with a not-for-profit provider 
partnered with the existing network of providers, to begin as soon as 
the contract for Nursing Home Diversion services with the provider is in 
place.  Slots shall be allocated for the pilot only as eligible clients 
are identified and any unused slots shall be available to the rest of 
the state using the same methodology currently utilized by the 
department.  As additional eligible clients are identified in the pilot 
program, slots shall be redirected to the pilot up to the total of 500 
as they are available through attrition.  Referrals shall be provided 
through the Aging Resource Centers.   The department and Agency for 
Health Care Administration are authorized to waive the 'two providers 
per service' requirement in the rural counties.  Until actuarial rates 
are established to be effective September 2012, the rate used will be 
the highest district rate effective September 2010, or September 2011, 
whichever is higher.


















 995067  Log:0035  CSK/CSK           04/06/11 09:08:43 AM  Senate  Page: 2