3.0.0 910 2023-01-11T13:36:57Z 2023-01-11T13:36:57Z Senate S 2017-04-07 115 sshr00 Health, Education, Labor, and Pensions Committee Senate Standing Referred to 2017-04-07T17:06:37Z Disability Integration Act of 2017 115 2472 HR 2017-06-07 Referred to the Subcommittee on the Constitution and Civil Justice. Identical bill CRS 2017-04-07 sshr00 Health, Education, Labor, and Pensions Committee Senate Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2451-2455) IntroReferral 2017-04-07 Introduced in Senate IntroReferral 10000 9 Library of Congress S000148 Sen. Schumer, Charles E. [D-NY] Charles Schumer D NY E. N C001070 Sen. Casey, Robert P., Jr. [D-PA] Bob Casey D PA 2017-04-07 True W000817 Sen. Warren, Elizabeth [D-MA] Elizabeth Warren D MA A. 2017-04-07 True B001230 Sen. Baldwin, Tammy [D-WI] Tammy Baldwin D WI 2017-04-25 False L000174 Sen. Leahy, Patrick J. [D-VT] Patrick Leahy D VT 2017-05-03 False S000033 Sen. Sanders, Bernard [I-VT] Bernard Sanders I VT 2017-05-25 False H001076 Sen. Hassan, Margaret Wood [D-NH] Maggie Hassan D NH 2017-06-05 False G000555 Sen. Gillibrand, Kirsten E. [D-NY] Kirsten Gillibrand D NY E. 2017-06-05 False V000128 Sen. Van Hollen, Chris [D-MD] Chris Van Hollen D MD 2017-07-11 False D000622 Sen. Duckworth, Tammy [D-IL] Tammy Duckworth D IL 2017-07-11 False B001267 Sen. Bennet, Michael F. [D-CO] Michael Bennet D CO 2017-07-19 False B001288 Sen. Booker, Cory A. [D-NJ] Cory Booker D NJ 2017-07-26 False B001277 Sen. Blumenthal, Richard [D-CT] Richard Blumenthal D CT 2017-07-31 False D000563 Sen. Durbin, Richard J. [D-IL] Richard Durbin D IL J. 2017-09-05 False F000457 Sen. Franken, Al [D-MN] Al Franken D MN 2017-09-05 False C000141 Sen. Cardin, Benjamin L. [D-MD] Ben Cardin D MD 2017-09-18 False M000133 Sen. Markey, Edward J. [D-MA] Edward Markey D MA J. 2017-10-30 False T000464 Sen. Tester, Jon [D-MT] Jon Tester D MT 2018-02-12 False M001111 Sen. Murray, Patty [D-WA] Patty Murray D WA 2018-05-14 False C001088 Sen. Coons, Christopher A. [D-DE] Christopher Coons D DE A. 2018-05-24 False M001176 Sen. Merkley, Jeff [D-OR] Jeff Merkley D OR 2018-06-05 False S001203 Sen. Smith, Tina [D-MN] Tina Smith D MN 2018-06-07 False C000174 Sen. Carper, Thomas R. [D-DE] Thomas Carper D DE R. 2018-07-30 False C000127 Sen. Cantwell, Maria [D-WA] Maria Cantwell D WA 2018-07-31 False J000300 Sen. Jones, Doug [D-AL] Doug Jones D AL 2018-08-01 False H001075 Sen. Harris, Kamala D. [D-CA] Kamala Harris D CA D. 2018-11-26 False G000562 Sen. Gardner, Cory [R-CO] Cory Gardner R CO 2018-12-19 False Civil Rights and Liberties, Minority Issues Administrative law and regulatory procedures Civil actions and liability Community life and organization Department of Health and Human Services Department of Justice Disability and health-based discrimination Disability and paralysis Disability assistance Employment and training programs Health care costs and insurance Health care coverage and access Health programs administration and funding Home and outpatient care Housing for the elderly and disabled Housing supply and affordability Intergovernmental relations Long-term, rehabilitative, and terminal care Low- and moderate-income housing Medicaid State and local government operations Civil Rights and Liberties, Minority Issues 00 2017-04-07 Introduced in Senate 2017-06-09T20:04:14Z Disability Integration Act of 2017

This bill prohibits states or local governments that provide institutional placements for individuals with disabilities who need long-term assistance with daily living activities or health-related tasks, and prohibits insurance providers that fund such long-term services, from denying community-based services that would enable such individuals to live in the community and lead an independent life.

States, local governments, or insurance providers may not discriminate against such individuals in the provision of community-based services by: (1) imposing prohibited eligibility criteria, cost caps, waiting lists, or payment structures; (2) failing to provide a specific community-based service; or (3) requiring an individual to receive a service in a congregate or disability-specific setting.

Community-based services must be offered to individuals with such disabilities prior to institutionalization. Institutionalized individuals must be notified regularly of community-based alternatives.

States, local governments, and public insurance providers must assess: (1) transportation barriers that prevent individuals from receiving services in integrated settings, and (2) the availability of integrated employment opportunities.

The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) must issue regulations requiring states, local governments, or insurance providers to offer community-based long-term services to individuals with such disabilities who would otherwise qualify for institutional placement. State and local governments, in conjunction with housing agencies, must ensure sufficient availability of affordable, accessible, and integrated housing that is not a disability-specific residential setting or a setting where services are tied to tenancy.

Such regulations must also require states and local governments to begin implementing a transition plan to achieve the requirements of this bill within 12 years after its enactment. For 10 years after issuance of the regulations, HHS must determine annually whether each state is complying with the transition plan. If a state is complying, HHS must increase by five percentage points the federal medical assistance percentage for a state requesting an increase for expenditures on home and community-based services furnished under the state Medicaid plan under title XIX (Medicaid) of the Social Security Act, or a waiver of such plan, that are identified as: (1) improvements to ensure accessibility or self-directed receipt of such services, (2) funding shifts from institutional settings to integrated community-based services, or (3) environmental modifications for housing targeted toward the lowest income individuals.

The bill provides for DOJ enforcement and allows civil actions by individuals subjected to, or about to be subjected to, a violation of this bill.

]]> Disability Integration Act of 2017 Display Title Disability Integration Act of 2017 Official Title as Introduced A bill to prohibit discrimination against individuals with disabilities who need long-term services and supports, and for other purposes. Introduced in Senate IS Short Titles as Introduced Disability Integration Act of 2017 Introduced in Senate 2017-04-07T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-115s910is/xml/BILLS-115s910is.xml 2017-04-07 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2451-2455) 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.