S.B. 819

VETOES

LESS THAN THE AVERAGE MEDICAID REIMBURSEMENT RATE FOR LONG-TERM CARE
AFTER ALL DEDUCTIONS INCLUDING THE PROTECTION FROM SPOUSAL
IMPOVERISHMENT PROVISIONS OF THE FEDERAL SOCIAL SECURITY ACT; AND

[(iii)] (IV) Categorically needy individuals with income up to 300%
of the applicable payment rate for supplemental security income; [and]

[(5)] (6)    Waiver services that include at least the following:

(i)     Assisted living services;

(ii)    Case management services;

(iii)   Personal care services and homemaker services;

(iv)    Home health care services;

(v)     Respite care services;

(vi)   Assistive technology;

(vii)    Environmental modifications;

(viii) Medically necessary over-the-counter supplies ordered by a
physician and not otherwise covered by the program;

(ix)    Environmental assessments;

(x)     Family/consumer training;

(xi)    Personal emergency response systems;

(xii) Home delivered meals and dietitian/nutrition services; [and]

(xiii) Ambulance or other transportation services for individuals
receiving assisted living services or home health care services for being transported to
and from health care providers and facilities for medical diagnosis or medically
necessary treatment or care; AND

(XIV) CASH PAYMENTS TO PERSONAL CARE ATTENDANTS BY AN
INDIVIDUAL RECEIVING WAIVER SERVICES;

(7) (6) THE OPPORTUNITY TO PROVIDE ELIGIBLE INDIVIDUALS WITH
WAIVER SERVICES UNDER THIS SECTION AS SOON AS THEY ARE AVAILABLE
WITHOUT WAITING FOR PLACEMENT SLOTS TO OPEN IN THE NEXT FISCAL YEAR;

(8) (7) AN INCREASE IN PARTICIPANT SATISFACTION;

(9) (8) THE FORESTALLING OF FUNCTIONAL DECLINE;

(10) (9) A REDUCTION IN MEDICAID EXPENDITURES BY REDUCING
UTILIZATION OF SERVICES; AND

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