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Amend the bill by striking out everything after the enacting clause and before the emergency clause and inserting the following:
‘Sec. 1. 22 MRSA §7301, sub-§2,  as enacted by PL 1981, c. 511, §1, is amended to read:
 
2. Policy.   The Legislature declares that it is the policy of this State, with regard to in-home and community support services:
 
A. To increase the availability of in-home and community support serviceslong-term care services that are consumer-driven, optimize individual choice and autonomy and maximize physical health, mental health, functional well-being and independence for adults with long-term care needs through high-quality services and supports in settings that reflect the needs and choices of consumers and that are delivered in the most flexible, innovative and cost-effective manner;
 
B. That the priority recipients of in-home and community support services, pursuant to this subtitle, shallmust be the elderly and disabled adults with long-term care needs who are at the greatest risk of being, or who already have been, placed inappropriately in an institutional settingwithout needed in-home and community support services; and
 
C.  That a variety of agencies, facilities and individuals shallmust be encouraged to provide in-home and community support services and to increase the percentages of adults with long-term care needs receiving in-home and community support services.;
 
D.  To promote and encourage public and private partnerships among a variety of agencies, facilities and individuals;
 
E.  To support the roles of family caregivers and a qualified workforce in the effort to streamline and facilitate access to high-quality services in the least restrictive and most integrated settings; and
 
F.  To establish the most efficient, innovative and cost-effective system for delivering a broad array of long-term care services.
Sec. 2. 22 MRSA §7302, sub-§5,  as enacted by PL 1981, c. 511, §1, is amended to read:
 
5. In-home and community support services.   "In-home and community support services" means health and social services and other assistance required to enable adults with long-term care needs to remain in their places of residence. These services include, but are not limited to, medical and diagnostic services; professional nursing; physical, occupational and speech therapy; dietary and nutrition services; home health aide services; personal care assistance services; companion and attendant services; handyman, chore and homemaker services; respite care; hospice care; counseling services; transportation; small rent subsidies; various devices whichthat lessen the effects of disabilities; and other appropriate and necessary social services.
Sec. 3. Planning for comprehensive presentation of long-term care budget for services and supports for adults with long-term care needs. The Department of Health and Human Services shall undertake a process to provide a comprehensive presentation of a budget for long-term care services and supports for adults with long-term care needs that is complementary to the State’s vision for a consumer-centered approach to long-term care. By January 1, 2010, the Commissioner of Health and Human Services shall submit a report to the joint standing committees of the Legislature having jurisdiction over appropriations and financial affairs and health and human services matters.
Sec. 4. Report. The Department of Health and Human Services shall report by January 1, 2010 to the joint standing committee of the Legislature having jurisdiction over health and human services matters on:
1. Waiting lists for services for home-based and community-based care and homemaker services for adults with long-term care needs and strategies to eliminate waiting lists;
2. Funding sources for assistive technologies to help accomplish the State’s vision of long-term services and supports for adults with long-term care needs;
3. A comprehensive and systematic approach to training, reimbursement and benefits for direct care workers in home-based and community-based care, residential facilities and nursing facilities; and
4. Work done regarding the expenditures and the operations of the Aging and Disability Resource Centers and efforts to improve the discharge planning process and the provision of information to consumers and their families.
Sec. 5. Increase number of people served. The Department of Health and Human Services shall undertake efforts to increase the number of people served and funds spent in home-based and community support services for people with long-term care needs. The department shall report annually through 2015 on its progress regarding increased funding and access to in-home and community support services by February 1st beginning in 2010 to the joint standing committees of the Legislature having jurisdiction over appropriations and financial affairs and health and human services matters.
Sec. 6. Aging and Disability Resource Centers. The Department of Health and Human Services shall work with the 5 area agencies on aging to provide services through Aging and Disability Resource Centers on a statewide basis. The department shall provide funding as appropriated in this Act. As a condition of receiving the funding, the area agencies on aging shall work with hospitals, nursing facilities and residential care facilities to improve the discharge planning process, including improving the provision of information to the consumer about facility-based and home-based and community-based options, and improving consumer choice in the discharge process.
Sec. 7. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Long Term Care - Human Services 0420
 
Initiative: Provides funding for Aging and Disability Resource Centers in the five area agencies on aging to provide information and referral services for the elderly and adults with physical disabilities and their families.

GENERAL FUND	2009-10	2010-11	
All Other	$300,000	$300,000	
 	  	  	
GENERAL FUND TOTAL	$300,000	$300,000	

Long Term Care - Human Services 0420
 
Initiative: Provides funding for the Priority Social Services program for reimbursement of the costs of volunteers for the delivery of meals in the homes of consumers of long-term care services and medical rides.

GENERAL FUND	2009-10	2010-11	
All Other	$500,000	$500,000	
 	  	  	
GENERAL FUND TOTAL	$500,000	$500,000	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF	 	 	
DEPARTMENT TOTALS	2009-10	2010-11	
 	 	 	
GENERAL FUND	$800,000	$800,000	
 	  	  	
DEPARTMENT TOTAL - ALL FUNDS	$800,000	$800,000	
 
’
 
SUMMARY
This amendment replaces the bill. It combines 4 provisions requiring reports to the joint standing committee of the Legislature having jurisdiction over health and human services matters. It reduces the funding from $1,000,000 per year to $800,000 per year. It changes the provision requiring a unified long-term care budget to the provision of a comprehensive presentation of the long-term care budget.
FISCAL NOTE REQUIRED
(See attached)