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S.F. No. 0089 |
Long term care choices. |
Sponsored By: Joint Labor, Health and Social Services Interim Committee
AN ACT relating to long term care and the Wyoming Medical Assistance and Services Act (Medicaid); modifying the Medicaid reimbursement formulas for nursing homes and other long term care facilities; modifying limitations on new nursing home construction; expanding the Medicaid home and community based waiver program; providing transition services; authorizing application to the federal government for Medicaid program long term care waivers; authorizing and regulating an adult foster home care system; authorizing alternative long term care pilot programs; granting rulemaking authority; requiring a report; providing appropriations; authorizing positions; and providing for an effective date.
1/8/2007 Bill Number Assigned
1/10/2007 S Received for Introduction
1/10/2007 S Introduced and Referred to S10
1/23/2007 S10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Senator(s) Aullman, Barrasso, Fecht, Hastert and Scott
Ayes 5 Nays 0 Excused 0 Absent 0 Conflicts 0
1/23/2007 S Rereferred to S02
1/29/2007 S02 Recommended Amend and Do Pass
ROLL CALL
Ayes: Senator(s) Job, Meier, Nicholas, Peterson and Townsend
Ayes 5 Nays 0 Excused 0 Absent 0 Conflicts 0
1/29/2007 S Placed on General File
That Substitute No. 1 be substituted for SF0089 and that Substitute No. 1 DO Pass. SCOTT, CHAIRMAN
[TO SUBSTITUTE BILL No. 1]
Page 29-lines 9 through 14 Delete and renumber.
Page 29-line 16 Delete "(b)" insert "(a)".
Page 29–line 18 After "appropriated" delete balance of line and insert "one hundred fifty thousand dollars ($150,000.00)".
Page 29–line 22 Delete "(c)" insert "(b)".
Page 30-lines 11 through 15 Delete and renumber.
Page 30–line 17 Delete "(e)" insert "(c)".
Page 30-line 19 Delete "one million three" insert "four hundred ninety-two thousand eight hundred dollars ($492,800.00)".
Page 30-line 20 Delete.
Page 30-line 21 Delete "($1,372,069.00)"; delete "one million five" insert "five hundred seven thousand two hundred dollars ($507,200.00)".
Page 30-line 22 Delete.
Page 30-line 23 Delete "($1,541,647.00)".
Page 31-lines 2 through 5 Delete and renumber.
Page 31-line 7 Delete "(g)" insert "(d)".
Page 31-line 9 After "general fund" delete balance of line and insert "two hundred forty-six thousand four hundred dollars ($246,400.00) and two hundred fifty three thousand six hundred dollars ($253,600.00)".
Page 31-line 10 Delete.
Page 31-line 11 Delete through "($258,927.00)".
Page 31-lines 14 through 19 Delete and renumber.
Page 31-line 21 Delete "(j)" insert "(e)".
Page 31-line 22 Delete "two million dollars ($2,000,000.00)" insert "eight hundred fifty thousand dollars ($850,000.00)".
Page 32-lines 2 through 8 Delete and renumber.
Page 32-line 10 Delete "(m)" insert "(f)".
Page 32-line 13 Delete "six hundred twenty-seven" insert "ninety-four thousand eight hundred dollars ($94,800.00) and ninety-four thousand eight hundred dollars ($94,800.00)".
Page 32-lines 14 and 15 Delete.
Page 32-line 16 Delete "($353,940.00)".
Page 32-line 18 Delete "(n)" insert "(g)"; delete "Eleven (11)" insert "Two (2)".
Page 32-line 21 Delete "(o)" insert "(h)".
Page 32-line 23 Delete "two hundred fifty" insert "one hundred fifty thousand dollars ($150,000.00)".
Page 33-line 1 Delete through "($250,000.00)". NICHOLAS, CHAIRMAN
[TO SUBSTITUTE BILL No. 1]
Page 29-lines 9 through 14 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to these lines and further amend as follows:
Page 29-line 11 Delete and insert "two hundred thirty-five thousand four hundred fifty dollars ($235,450.00)".
Page 29-line 12 Delete "($470,900.00)"; delete "five hundred twenty-" insert "one hundred seventeen thousand, seven hundred twenty-five dollars ($117,725.00)".
Page 29-line 13 Delete through "($529,100.00)".
Page 29-line 16 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line.
Page 29-line 22 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line.
Page 30-line 17 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(e)" insert "(d)".
Page 31-line 7 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(g)" insert "(e)".
Page 31-line 21 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(j)" insert "(f)".
Page 32-line 10 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(m)" insert "(g)".
Page 32-line 18 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(n)" insert "(h)".
Page 32-line 21 Delete the Second Senate Standing Committee Amendment (SF0089SS002/A) to this line and further amend as follows: delete "(o)" insert "(j)". SCOTT
1/30/2007 S Passed CoW
[TO SUBSTITUTE BILL No. 1]
Page 8-line 9 Delete "42-6-119" insert "42-6-111".
Page 9-line 5 After "Wyoming" insert "in those counties in which consultative services are available".
Page 10-line 13 After "section." insert "The department shall waive this requirement in those counties in which consultative services are not available.".
Page 14-line 2 After "(a)" delete "Five (5)" insert "Three (3)".
Page 19-line 20 Delete "42-6-115" insert "42-6-108".
Page 20-line 7 After "levels by" insert "an amount up to".
Page 21-lines 4 through 14 Delete and renumber.
Page 21-line 16 Delete "(d)" insert "(c)".
Page 22-line 1 Delete "42-6-116" insert "42-6-109".
Page 22-line 6 After "to" delete "one hundred" insert "one hundred sixty-eight (168) slots.".
Page 22-lines 7 through 9 Delete.
Page 22-line 11 Delete "42-6-117" insert "42-6-110".
Page 22-lines 21 through 24 Delete and renumber.
Page 23-lines 1 and 2 Delete and renumber.
Page 23-line 4 Delete "42-6-119" insert "42-6-111". SCOTT, NICHOLAS
SF0089S2002/ADOPTED (CORRECTED COPY)
[TO SUBSTITUTE BILL No. 1]
Page 1-line 12 Delete "eldercare".
Page 13-line 8 Delete "(a)".
Page 13-lines 16 through 21 Delete and renumber.
Page 13-line 23 Delete "eldercare" insert "long term care".
Page 16-line 13 Delete "the alternative" insert "innovative long term care approaches.".
Page 16-line 14 Delete.
Page 16-line 19 After "(a)" delete balance of line and insert "The department may initiate and license an adult foster care pilot project home subject to the following:".
Page 16-line 20 Delete.
Page 17-line 21 Delete "any" insert "the".
Page 17-line 22 Delete "a" insert "the".
Page 18-line 1 After "of" delete "a" insert "the"; after "require" delete "a" insert "the".
Page 18-line 17 Delete "an" insert "the".
Page 18-line 23 After "by" insert "the"; delete "homes" insert "home".
Page 19-line 10 Delete "a" insert "the".
Page 19-lines 16 through 18 Delete and renumber.
Page 25-line 10 After "section," insert "implement the formula developed pursuant to subsection (c) of this section or".
Page 28-line 12 Delete "program" insert "programs"; delete "42-6-105" insert "42-6-106 and 42-6-107".
Page 28-line 16 After "(g)" insert "If a plan amendment or waiver is granted pursuant to W.S. 42-6-111(a),". MASSIE
1/31/2007 S Passed 2nd Reading
[TO SUBSTITUTE BILL No. 1]
Page 16-line 19 In the Massie Second Reading Amendment (SF0089S2002/AC) to this line, after "pilot project" delete "home".
Page 17-line 18 Delete "." insert ";".
Page 17-after line 18 Insert and renumber:
"(vi) The pilot program shall consist of no more than five (5) adult foster homes. At least three (3) of the homes shall be in counties with a population of thirty thousand (30,000) or less.".
Page 17-line 21 Delete the Massie Second Reading Amendment (SF0089S2002/AC) to this line.
Page 17-line 22 Delete the Massie Second Reading Amendment (SF0089S2002/AC) to this line.
Page 18-line 1 Delete the Massie Second Reading Amendment (SF0089S2002/AC) to this line.
Page 18-line 17 Delete the Massie Second Reading Amendment (SF0089S2002/AC) to this line.
Page 18-line 23 Delete the Massie Second Reading Amendment (SF0089S2002/AC) to this line. VASEY, SCOTT, MASSIE, MEIER
2/1/2007 S Passed 3rd Reading
ROLL CALL
Ayes: Senator(s) Anderson, J., Aullman, Barrasso, Burns, Cooper, Decaria, Fecht, Hastert, Jennings, Job, Johnson, Massie, Meier, Mockler, Perkins, Peterson, Ross, Schiffer, Scott, Sessions, Vasey and Von Flatern
Nays: Senator(s) Case, Coe, Geis, Hines, Nicholas and Townsend
Excused: Senator(s) Peck
Conflicts: Senator(s) Larson
Ayes 22 Nays 6 Excused 1 Absent 0 Conflicts 1
2/5/2007 H Received for Introduction
2/6/2007 H Introduced and Referred to H10
2/13/2007 H10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Representative(s) Esquibel, K., Gentile, Hallinan, Harvey, Iekel, Landon, Millin and Steward
Nays: Representative(s) Lubnau
Ayes 8 Nays 1 Excused 0 Absent 0 Conflicts 0
2/13/2007 H Rereferred to H02
2/21/2007 H02 Recommended Amend and Do Pass
ROLL CALL
Ayes: Representative(s) Berger, Harshman, Jones, Jorgensen, Petersen, Philp and Warren
Ayes 7 Nays 0 Excused 0 Absent 0 Conflicts 0
2/21/2007 H Placed on General File
SF0089HS001/ADOPTED (TO ENGROSSED COPY)
Page 1-line 6 After "program;" delete balance of the line and insert "providing transition services;".
Page 1-lines 7 and 8 Delete entirely.
Page 1-line 9 Delete "care options;".
Page 1-line 12 Delete "an".
Page 1-line 13 Delete the line through "care;" insert "programs".
Page 2-line 3 Delete "42-6-119" insert "42-6-108".
Page 3-line 6 Delete "35-2-109 through 35-2-908" insert "35-2-901 through 35-2-912".
Page 3-lines 12 and 13 Delete entirely.
Page 3-line 15 Delete "(B)" insert "(A)".
Page 3-line 19 Delete "(C)" insert "(B)".
Page 3-line 20 Delete "35-2-908" insert "35-2-912".
Page 3-line 22 Delete "(D)" insert "(C)".
Page 4-line 2 Delete "(E)" insert "(D)".
Page 4-line 3 After "other" delete balance of the line and insert ";".
Page 4-lines 4 and 5 Delete entirely.
Page 4-line 7 Delete "(F)" insert "(E)".
Page 4-line 8 Delete "full bath" insert "bathroom".
Page 4-line 10 Delete "(G)" insert "(F)".
Page 4-lines 13 through 16 Delete entirely.
Page 4-line 18 Delete "(J)" insert "(G)".
Page 4-lines 22 through 24 Delete entirely.
Page 5-line 2 Delete "(M)" insert "(H)"; after "office" insert "space for a nurse"; after "house" insert ";".
Page 5-line 3 Delete entirely.
Page 5-line 5 Delete "(N)" insert "(J)".
Page 5-lines 8 through 10 Delete entirely.
Page 5-line 12 Delete "(P)" insert "(K)".
Page 5-line 15 Delete "(Q)" insert "(M)".
Page 5-lines 19 through 22 Delete entirely.
Page 6-lines 1 through 3 Delete entirely.
Page 6-line 5 Delete "(T)" insert "(N)"; delete "fully".
Page 6-lines 8 through 10 Delete entirely.
Page 6-line 12 Delete "(W)" insert "(O)".
Page 8-line 9 Delete "42-6-111" insert "42-6-108".
Page 8-line 16 Delete "changing" insert "expanding".
Page 8-line 17 After "emphasizing" insert "consumer choice and".
Page 8-line 18 After "alternatives" delete balance of the line and insert ".".
Page 8-line 20 through Page 13-line 17 Delete entirely.
Page 13-line 19 Delete "42-6-106" insert "42-6-104".
Page 13-line 20 Delete "program" insert "programs".
Page 14-line 6 After "The" insert "department, in consultation with the"; after "council" insert ",".
Page 14-line 16 Delete "at least".
Page 14-line 17 Delete "more" insert "resident-centered cultural change;".
Page 14-line 18 Delete entirely.
Page 14-line 20 Delete "at least".
Page 14-line 21 After "home" insert ", as defined in W.S. 42-6-102(a)(iii),".
Page 14-After line 23 Insert:
"(iv) Fund one (1) study relating to the creation of an alternative eldercare home, as defined in W.S. 42-6-102(a)(iii), which shall require that the home:
(A) Maintains residences as units independent from other facilities such that there is no physical connection or shared roof structures between houses;
(B) Provides a secured exterior patio or garden with covered seating for each house accessible by all residents including those with wheelchairs and assistive devices;
(C) Provides for locked storage of hazardous materials and control of kitchen access during high traffic periods of meal preparation and clean-up;
(D) Provides a den in each house to accommodate television viewing and limited overnight guests;
(E) Implements a self-managed work team approach to in-house and clinical support staffing. Each house shall have its own core in-house staffing that is specific and dedicated to a single house;
(F) Uses a home base facility for the clinical support team members that is outside and separate from the house; and
(G) Maintains a lift free environment by providing ceiling lifts in each resident's bedroom and bathroom.".
Page 15-line 1 Delete "(iv)" insert "(v)".
Page 15-line 6 Delete "(v)" insert "(vi)".
Page 16-line 11 Delete "42-6-107" insert "42-6-105".
Page 17-line 11 Delete "all resident clients" insert "each resident client".
Page 19-line 11 After "project" delete balance of the line and insert ".".
Page 19-lines 12 through 14 Delete entirely.
Page 19-line 16 Delete "42-6-108" insert "42-6-106".
Page 20-line 4 Delete "nonhourly" insert "hourly".
Page 20-line 5 Delete "that" insert "the".
Page 20-line 6 After "prevailing" insert "rate for nonhourly services".
Page 21-line 10 Delete "42-6-109" insert "42-6-107".
Page 21-line 18 Delete "42-6-110" insert "42-6-108".
Page 21-line 20 Delete "why so many".
Page 21-line 21 After "Wyoming" delete balance of the line and insert "with respect to access, rates, administration of rules and regulations and their impact on providers and clients,".
Page 21-line 22 Delete "four (4) years".
Page 22-line 4 through Page 24-line 15 Delete entirely.
Page 24-line 20 Delete "new subsections" insert "a new subsection"; delete "and (g)".
Page 27-line 2 After "facility" delete balance of the line and insert "as defined in W.S. 42-6-102(a)(iii).".
Page 27-line 3 Delete line through "entity.".
Page 27-line 16 Delete "42-6-106 and 42-6-107" insert "42-6-104 and 42-6-105".
Page 27-lines 20 through 23 Delete entirely.
Page 28-lines 1 and 2 Delete entirely.
Page 30-line 6 After "administer" delete balance of the line and insert "programs".
Page 30-line 7 Delete "program".
Page 30-line 17 Delete "program" insert "programs". LANDON, CHAIRMAN
SF0089HS002/ADOPTED (TO ENGROSSED COPY)
Page 20-line 14 Delete "In".
Page 20-lines 15 through 22 Delete entirely. PHILP, CHAIRMAN
SF0089HW001/ADOPTED (TO ENGROSSED COPY)
Page 21-After line 8 Insert:
"(d) Consistent with approved budgets, the department shall make available a pool of state funds to meet transitional needs of clients moving from a more restrictive to a less restrictive environment in circumstances where Medicaid funds are not available due to federal restrictions. If sufficient funds are available, these state funds may also be used to meet short term needs of clients seeking to avoid placements in more restrictive environments. The department shall govern the expenditure of these funds though contracts, policies and rules and regulations as needed.". LANDON, HARVEY
2/23/2007 H Passed CoW
SF0089H2001/ADOPTED (TO ENGROSSED COPY)
Page 1-line 14 After "authority" insert "requiring a report;".
Page 19-After line 15 Insert:
"(f) The department shall report to the joint labor, health and social services interim committee on the status of all adult foster care home pilot projects annually by October 1 of each year. The report shall include:
(i) The location of each pilot project home;
(ii) The licensure status of each pilot project home;
(iii) The average number of adults receiving foster care in each home;
(iv) Both the total number of complaints and the number of complaints by pilot project home which were filed with the department and the number of complaints that were substantiated by the department;
(v) Both the total number of complaints and the number of complaints by pilot project home filed with the long term care ombudsman program and the number of complaints that were substantiated by the ombudsman program;
(vi) Both the total number of complaints and the number of complaints by pilot project home filed with adult protective services and the number of complaints that were substantiated by adult protective services;
(vii) The number of inspections conducted at each pilot project home by the department, a public health nurse or a local health department and a summary of the findings for each visit.". MEYER, ALDEN, MERCER
2/26/2007 H Passed 2nd Reading
2/27/2007 H Passed 3rd Reading
ROLL CALL
Ayes: Representative(s) Alden, Anderson, R., Bagby, Berger, Blake, Brechtel, Brown, Buchanan, Cohee, Craft, Davison, Diercks, Dockstader, Edmonds, Edwards, Esquibel, F., Esquibel, K., Gentile, Gilmore, Gingery, Goggles, Hallinan, Hammons, Harshman, Harvey, Iekel, Illoway, Jaggi, Jones, Jorgensen, Landon, Lockhart, Lubnau, Madden, Martin, McOmie, Mercer, Meyer, Miller, Millin, Olsen, Petersen, Philp, Quarberg, Samuelson, Semlek, Shepperson, Simpson, Slater, Steward, Teeters, Thompson, Throne, Wallis, Walsh, Warren, White, Zwonitzer, Dn. and Zwonitzer, Dv.
Excused: Representative(s) Childers
Ayes 59 Nays 0 Excused 1 Absent 0 Conflicts 0
2/27/2007 S Did Concur
ROLL CALL
Ayes: Senator(s) Anderson, J., Aullman, Barrasso, Burns, Case, Coe, Cooper, Decaria, Fecht, Geis, Hastert, Hines, Jennings, Job, Johnson, Larson, Massie, Meier, Mockler, Perkins, Peterson, Ross, Schiffer, Scott, Sessions, Townsend, Vasey and Von Flatern
Nays: Senator(s) Nicholas
Excused: Senator(s) Peck
Ayes 28 Nays 1 Excused 1 Absent 0 Conflicts 0
2/27/2007 Assigned Number SEA No. 0089
2/28/2007 S President Signed SEA No. 0089
2/28/2007 H Speaker Signed SEA No. 0089
3/15/2007 Governor Signed SEA No. 0089
3/15/2007 Assigned Chapter Number
Chapter No. 0219 Session Laws of Wyoming 2007.