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Amend Amendment No. 129 by Wohlgemuth to CSHB 1 (amendment
packet, page 146) by striking the language following "Amend CSHB 1
as follows:" and substituting the following:
In Article II, strike Rider 12 following the appropriation to
the Department of Mental Health and Mental Retardation (page II-83)
and substitute the following:
12. Home and Community-Based Services (HCS) Waiver Program.
The department shall ensure the cost-effectiveness of the HCS
program by limiting the average annual HCS expenditure per client
to 80 percent of the average annual per client ICF-MR expenditure.
Expenditures for individual clients may exceed this cap as long as
the overall average expenditure for HCS clients remains below 80
percent of the ICF-MR annual average. Furthermore, it is the intent
of the legislature that, to increase the number of clients served,
the overall average monthly expenditure per client may not exceed
$3,430 per month in the fiscal years 2004 and 2005. The Department
of Mental Health and Mental Retardation and the Health and Human
Services Commission shall report to the Legislative Budget Board
and the governor by October 1 of each year of the biennium on the
measures taken to decrease the average cost per person and to
increase the number of clients served in the HCS program.