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2015 - 2016 LEGISLATURE
SENATE AMENDMENT 13,
TO SENATE SUBSTITUTE AMENDMENT 1,
TO SENATE BILL 21
July 7, 2015 - Offered by Senators Erpenbach, Carpenter, L. Taylor, Lassa,
Hansen, Ringhand, Bewley, Harris Dodd, Vinehout, Miller, Risser and
Shilling.
SB21-SSA1-SA13,1,11 At the locations indicated, amend the substitute amendment as follows:
SB21-SSA1-SA13,1,6 21. Page 195, line 5: decrease the dollar amount for fiscal year 2015-16 by
3$30,600 and decrease the dollar amount for fiscal year 2016-17 by $39,300 for the
4purpose of eliminating the independent assessment requirement for personal care
5services under the Medical Assistance program and to decrease the authorized FTE
6positions for the department of health services by 0.5 GPR position.
SB21-SSA1-SA13,1,10 72. Page 195, line 7: increase the dollar amount for fiscal year 2015-16 by
8$3,546,900 and increase the dollar amount for fiscal year 2016-17 by $8,073,100 for
9the purpose of eliminating the independent assessment requirement for personal
10care services under the Medical Assistance program.
SB21-SSA1-SA13,2,3 113. Page 195, line 7: increase the dollar amount for fiscal year 2015-16 by
12$4,800,000 and increase the dollar amount for fiscal year 2016-17 by $6,930,000 for

1the purpose of providing a 4 percent increase in personal care fee-for-service rates
2in the Medical Assistance program in 2015-16 and a 4 percent increase in personal
3care fee-for-service rates in the Medical Assistance program in 2016-17.
SB21-SSA1-SA13,2,9 44. Page 195, line 7: increase the dollar amount for fiscal year 2015-16 by
5$8,970,900 and increase the dollar amount for fiscal year 2016-17 by $19,277,200 for
6the purpose of providing a 1 percent acuity increase to nursing homes in 2015-16 and
7an additional 1 percent acuity increase in 2016-17 and to reflect the cost of using
8revenue from the nursing home bed assessment to provide a 2 percent increase to
9nursing homes in 2015-16 and an additional 2 percent increase in 2016-17.
SB21-SSA1-SA13,2,13 105. Page 195, line 12: decrease the dollar amount for fiscal year 2015-16 by
11$1,000,000 and decrease the dollar amount for fiscal year 2016-17 by $2,000,000 for
12the purpose of eliminating the independent assessment requirement for personal
13care services under the Medical Assistance program.
SB21-SSA1-SA13,2,14 146. Page 489, line 16: delete lines 16 to 18.
SB21-SSA1-SA13,2,15 157. Page 1497, line 21: after that line insert:
SB21-SSA1-SA13,2,20 16"(af) Stakeholder meetings. Before submitting its 2017-19 biennial budget
17request, the department shall hold at least 6 discussion meetings with consumers
18and other parties interested in long-term care programs to identify opportunities for
19improving the family care program, IRIS, and the state's other long-term care
20programs.".
SB21-SSA1-SA13,2,23 218. Page 1498, line 3: after "is later." insert "The department shall allow any
22county the option of not providing the family care program to residents of that county
23if the county chooses not to provide the family care program.".
SB21-SSA1-SA13,3,2
19. Page 1498, line 9: delete the material beginning with that line and ending
2with page 1502, line 21.
SB21-SSA1-SA13,3,3 310. Page 1503, line 20: after that line insert:
SB21-SSA1-SA13,3,4 4"(10j) Independent assessment for personal care services.
SB21-SSA1-SA13,3,9 5(a) Elimination of independent assessment contract. The department of health
6services may not require, before a recipient of Medical Assistance benefits receives
7personal care services on a fee-for-service basis, that an entity that does not oversee,
8manage, or provide the personal care services conduct an assessment to determine
9the amount and frequency of services the individual requires.
SB21-SSA1-SA13,3,14 10(b) Position reduction. The authorized FTE positions for the department of
11health services are decreased by 0.5 FED position on July 1, 2015, to be funded from
12the appropriation under section 20.435 (4) (n) of the statutes, for eliminating the
13independent assessment requirement for personal care services under the Medical
14Assistance program.".
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