H.R. 1670 would amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports.
Detailed Summary
Community Choice Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to require state Medicaid plan coverage of community-based attendant services and supports for certain Medicaid-eligible individuals.
Outlines requirements for: (1) an enhanced federal medical assistance percentage (FMAP) for ongoing activities of early coverage states that enhance and promote the use of community-based attendant services and supports; and (2) increased federal financial participation for certain expenditures incurred by the state for the provision of such services and supports.
Directs the Secretary of Health and Human Services to: (1) award grants to eligible states which have established a Consumer Task Force to assist the state in its development of real choice systems change initiatives; and (2) conduct a demonstration project for the purpose of evaluating service coordination and cost-sharing approaches with respect to the provision of community-based services and supports to dually eligible individuals.
Status of the Legislation
Latest Major Action: 3/23/2009: Referred to House committee. Status: Referred to the House Committee on Energy and Commerce.
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Visitor Comments
klig103
(logged-in user) March 29, 2009, 9:18pm (report abuse)This bill is needd now to help the Disabled and Elderly.
Community-Based Services are Cost Effective.
Information Bulletin # 281 (3/09)
Two recent studies/reports document the many ways Medicaid's
Community-Based Long Term Care Services are cost-effective as compared to
expensive institutional nursing facilities:
1. "Do Non-Institutional Long-Term Care Services Reduce Medicaid
Spending?" written by H.S Kaye, M. LaPlante, and C. Harrington. It is in
the journal Health Affairs, vol 28, no 1 (Jan/Feb 2009).
http://content.healthaffairs.org/index.dtl
2. "Taking the Long View: Investing in Medicaid Home and
Community-Based Services Is Cost-Effective" written by R. Mollica, E.
Kasser, L. Walker, and A. Houser. It is in the publication entitled
INSIGHT on the Issues, vol I26 (March 2009), a publication of the AARP
Public Policy Institute. www.aarp.org/ppi
klig103
(logged-in user) June 17, 2009, 5:52pm (report abuse)View Abstract Obtain Full Version
Kaye, H.S., LaPlante, M.P., & Harrington, C. (2009) Do Non-institutional Long-Term Care Reduce Medicaid Spending? Health Affairs 28, no. 1 (2009)
Medicaid spending on home & community-based services (HCBS) has grown dramatically in recent YR.S, but little is known about effect alternatives to institutional services have on overall long-term care costs. An analysis of state spending data from 1995-2005 shows for 2 distinct population groups long-term care services, spending growth w/ greater for states offering limited noninstitutional services than for states w/ large, well-established noninstitutional programs. Expansion of HCBS SEEMS to entail a short-term increase in spending, THEN a reduction in institutional COSTS & long-term cost savings.
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Brenda Speyer
October 7, 2009, 2:12pm (report abuse)I really want the comunity choice to be passed.
Deborah Russell
October 7, 2009, 2:12pm (report abuse)I want congess to support the Community Choice Act. And have it be part of the health care reform
wes nelson
October 7, 2009, 2:13pm (report abuse)i really want the commumity choice to be passed.
Kenny Thomas
October 7, 2009, 2:15pm (report abuse)I really want the community choice act tob e passed.
Donald Rowland
October 7, 2009, 2:19pm (report abuse)I think this would be a very good bill to be passed.