Revision: April 26, 2023, 3:35 p.m.
Health and Human Services
April 26, 2023
2023-1533s
07/10
Amendment to HB 642-FN
Amend the title of the bill by replacing it with the following:
AN ACT relative to budget flexibility for services for the developmentally disabled.
Amend the bill by replacing all after the enacting clause with the following:
1 New Section; Services for the Developmentally Disabled; Budget Flexibility. Amend RSA 171-A by inserting after section 1-d the following new section:
171-A:1-e Budget Flexibility.
I. For persons with approved budgets older than 24 months who require additional funds to carry out the services required in their individual service agreement, due to additional expenditures, such as cost-of-living or other wage and compensation increases, area agencies and authorized agencies may seek additional funds from the department for such funding needs. The department shall allocate existing budget appropriations as set forth in RSA 171-A:8-b as required to meet such funding needs, provided the requested expenditures would promote efficiency, economy, and quality of care pursuant to section 1902(a)(30)(A) of the Social Security Act.
II. The department shall record and track all requests for funding under this section including, but not limited to, the amount of each request, the reason for the request, whether the request was approved and, if denied, the reason for denial. Upon approval of a funding request, area agencies and authorized agencies shall record, and provide the department with, details of the expenditure of such funds, including, but not limited to, the amount of additional funds that are paid to direct support providers, and all details of how the funding is allocated to the person's services and service providers.
2 Prospective Repeal. RSA 171-A:1-e, relative to budget flexibility for services for the developmentally disabled, is repealed.
3 Contingency; Effective Date of Repeal. Section 2 of this act shall become effective on the date the commissioner of the department of health and human services, after consultation with the joint legislative oversight committee on health and human services established in RSA 126-A:13, certifies the full implementation of the developmental services rate redesign to the director of legislative services and the secretary of state, provided that section 2 shall take effect not later than July 1, 2025.
I. Section 2 of this act shall take effect as provided in section 3 of this act.
II. The remainder of this act shall take effect upon its passage.
2023-1533s
AMENDED ANALYSIS
This bill grants the department of health and human services flexibility to use existing budget appropriations to cover service cost increases under certain circumstances for services for the developmentally disabled.