67th Legislature HB 275.1
1 HOUSE BILL NO. 275
2 INTRODUCED BY M. CAFERRO
3
4 A BILL FOR AN ACT ENTITLED: “AN ACT ESTABLISHING REQUIREMENTS FOR THE USE OF MONEY
5 APPROPRIATED FOR MEDICAID HOME AND COMMUNITY-BASED SERVICES WAIVER SLOTS;
6 PROVIDING DIRECTION TO THE DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES ON THE
7 0208 WAIVER FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES; AND PROVIDING AN
8 EFFECTIVE DATE.”
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10 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MONTANA:
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12 NEW SECTION. Section 1. Use of waiver funding. (1) The department shall use money
13 appropriated for home and community-based services waiver slots for the purpose of:
14 (a) creating waiver slots as authorized by the legislature; or
15 (b) addressing workforce shortages or other barriers to creating the number of waiver slots authorized
16 by the legislature.
17 (2) Unencumbered funds appropriated for home and community-based services waiver slots for use
18 by a particular division may not be transferred to another department division or program. The money must be
19 used for the program for which it was appropriated or be reverted to the fund from which it was appropriated.
20 (3) The department shall report annually to the legislative finance committee in accordance with 5-11-
21 210 on the status of appropriations for home and community-based services waiver slots.
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23 NEW SECTION. Section 2. Direction to the department of public health and human services.
24 The legislature directs the department of public health and human services to submit to the centers for
25 medicare and medicaid services, by no later than September 30, 2021, a request for an amendment to the
26 medicaid home and community-based services 0208 waiver for individuals with developmental disabilities that:
27 (1) allows individuals and providers to use the entirety of each individual's cost plan to provide
28 services that the individual needs to be successful in the community, not to exceed the amount of medicaid
-1- Authorized Print Version – HB 275
67th Legislature HB 275.1
1 waiver appropriations in House Bill No. 2;
2 (2) provides the flexibility necessary to enable the provision of professional services to an individual;
3 and
4 (3) provides a sufficient number of emergency slots throughout the state to accommodate individuals
5 who may go into crisis.
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7 NEW SECTION. Section 3. Codification instruction. [Section 1] is intended to be codified as an
8 integral part of Title 53, chapter 6, part 4, and the provisions of Title 53, chapter 6, part 4, apply to [section 1].
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10 NEW SECTION. Section 4. Effective date. [This act] is effective July 1, 2021.
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-2- Authorized Print Version – HB 275