S. 683 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: 3/24/2009: Referred to Senate committee. Status: Read twice and referred to the Committee on Finance.
Points in Favor
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Points Against
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Visitor Comments
FJ
March 29, 2009, 10:54am (report abuse)Obama's army of volunteers.
COMMUNITY-BASED ATTENDANT SERVICES AND SUPPORTS?
klig103
(logged in user) March 29, 2009, 6:05pm (report abuse)Tgis bill is needed now to help free Disabled and Elderly citizens from Nursing homes, Most would rather live in the community and they shoukd be able to.
This bill when passed will help save the Govt, money.
It will also vreate jobs and true equalirty!
David Kligerman
April 2, 2009, 7:13am (report abuse)Community-Based Services are Cost Effective.
Posted by: SteveGoldADA@cs.com
Date Mailed: Sunday, March 22nd 2009 11:31 AM
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
LatifaRing
(logged in user) June 4, 2009, 3:53am (report abuse)We need this !
With one comment. Please if you are going to make arrangements for elderly to live at home with thier loved ones ensure mechanisms to support the family members with adequate respite care and caregiver support dollars. I cared for my loved one at home and got dollars through the Medicaid Waiver to pay for caregivers but the rate was so low I had a difficult time finding quality, trustworthy workers.
Also I hope this bill will apply to ALL senior and vulnerable citizens INCLUDING thos in guardianships who do not have a voice because they have not rights anymore.