990220                                                            No.  12
                    HOUSE APPROPRIATIONS BILL AMENDMENT
                                  HB5001

                               CHAMBER ACTION
           SENATE                     .                    HOUSE
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Representative(s): Bean
offered the following amendment:

In Section: 03 On Page: 073 Specific Appropriation:  270
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Explanation:
Specifies proviso to enable the Agency for Persons with Disabilities to 
limit waiver services to remain within appropriation in accordance with 
section 393.0661 (4), Florida Statutes.
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        AGENCY FOR PERSONS WITH DISABILITIES
        Program: Services To Persons With 
        Disabilities
        Home And Community Services

        In Section 03  On Page 073
270     Special Categories
        Home And Community Based Services Waiver

At the end of existing proviso language, following Specific 
Appropriation 270, INSERT:

From the funds in Specific Appropriation 270 and 273, the agency shall 
limit services defined in federal waiver programs administered by the 
agency as follows:

Non-residential support services shall be limited to persons who are 18 
years of age unless they are continuing to participate in public school 
in which case they may receive this service beginning at age 22 years.

Supported living coaching services shall not exceed 20 hours per month 
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for persons who also receive in-home support services.

Limited support coordination services shall be the only type of support 
coordination service provided to persons under the age of 18 who live in 
the family home.

Personal care assistance services shall be limited to no more than 180 
hours per calendar month.  Additional hours may be authorized only if 
they are deemed medically necessary.  Personal care assistance services 
shall not include rate modifiers for the service.

Chore, companion, and homemaker services shall be eliminated.  The 
agency is directed to expand the definition of in-home support to enable 
the service provider to include activities previously provided in chore, 
companion and homemaker services.

From the funds in Specific Appropriation 270 the agency shall serve 
additional clients on the Home and Community Based Services Waiver only 
if they are in crisis and sufficient funding is made available through 
attrition.

The agency is directed to amend provider contracts and seek federal 
waivers as necessary to implement these service limitations.

Line item amendments are accepted as part of the amendatory process.  However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items.





























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