3.0.0 1256 2023-01-11T13:18:37Z 2023-01-11T13:18:37Z Senate S S 2009-06-11 111 ssfi00 Finance Committee Senate Standing Referred to 2009-06-11T23:30:41Z 2009-06-11 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6561-6564) IntroReferral 2009-06-11 Sponsor introductory remarks on measure. (CR S6560-6561) IntroReferral B00100 9 Library of Congress 2009-06-11 Introduced in Senate IntroReferral 10000 9 Library of Congress C000127 Sen. Cantwell, Maria [D-WA] Maria Cantwell D WA N K000305 Sen. Kohl, Herb [D-WI] HERBERT KOHL D WI H. 2009-06-11 True G000555 Sen. Gillibrand, Kirsten E. [D-NY] Kirsten Gillibrand D NY E. 2010-03-10 False Health Government information and archives Health information and medical records Home and outpatient care Long-term, rehabilitative, and terminal care Medicaid Nursing Health 00 2009-06-11 Introduced in Senate 2009-09-22T19:58:29Z Home and Community Balanced Incentives Act of 2009 - Amends title XIX (Medicaid) of the Social Security to increase the federal medical assistance percentage (FMAP) for a balancing incentive payment state and any other state in which less than 50% of the total FY2009 expenditures for medical assistance for long-term services and supports (LTSS) are for non-institutionally-based (home and community-based) LTSS.

Directs the Secretary of Health and Human Services to award grants to states to: (1) support the development of a common national set of coding methodologies and databases related to the provision of home and community-based LTSS; and (2) make certain structural changes to the state Medicaid program.

Directs the Secretary to develop specifications for standardization of: (1) reporting of assessment data for LTSS for each population served; and (2) outcomes measures that track assessment processes for LTSS for each such population that maintain and enhance individual function, independence, and stability.

Directs the Secretary to promulgate regulations to ensure that all states develop service systems that are designed to: (1) allocate resources for services in a manner that is responsive to the changing needs and choices of beneficiaries receiving home and community-based LTSS, and that provides strategies for beneficiaries receiving such services to maximize their independence; (2) provide the support and coordination needed for a beneficiary in need of such services to design an individualized, self-directed, community-supported life; and (3) improve coordination among all providers of such services under federally and state-funded programs.

Directs the Secretary to assess, on an ongoing basis and based on measures specified by the Agency for Healthcare Research and Quality, the safety, quality, and outcomes of home and community-based LTSS.

Changes from 150% of the poverty line to 300% of the supplemental security income (SSI) benefit rate the income eligibility level for providing home and community-based services under the state plan amendment option for elderly and disabled individuals. Authorizes additional state options to provide home and community-based services.

Removes the limitation on the scope of services.

Creates an eligibility category to provide full Medicaid benefits to individuals receiving home and community-based services under a state plan amendment.

Applies spousal impoverishment protections to recipients of home and community-based services.

Authorizes states to elect to exclude up to six months of the average cost of nursing facility services from assets or resources for home and community-based services eligibility determinations.

Directs the Secretary to create a template to streamline the process of approving, monitoring, evaluating, and renewing state proposals to conduct a program that combines Medicaid waiver authorities into a single program under which the state provides home and community-based services to individuals based on individualized assessments and care plans.

]]> Home and Community Balanced Incentives Act of 2009 Display Title Home and Community Balanced Incentives Act of 2009 Official Title as Introduced A bill to amend title XIX of the Social Security Act to establish financial incentives for States to expand the provision of long-term services and supports to Medicaid beneficiaries who do not reside in an institution, and for other purposes. Introduced in Senate IS Short Titles as Introduced Home and Community Balanced Incentives Act of 2009 Introduced in Senate 2009-06-11T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-111s1256is/xml/BILLS-111s1256is.xml 2009-06-11 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6561-6564) text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.