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	Amend CSSB 1 in the Special Provisions Relating to All Health 
and Human Services Agencies in Article XI of the bill by adding the 
following appropriately numbered section:
	Sec. ____.  Community Care Services Rate Increase.  Out of the 
amounts appropriated elsewhere in this Act, the following agencies 
shall allocate the following amounts to allow for increases in 
community care attendant wages in the strategies listed for each 
agency:
	a.  Department of Aging and Disability Services:  $34,227,474 
in general revenue funds and $43,262,822 in federal funds for the 
state fiscal year ending August 31, 2010, and $84,892,018 in 
general revenue funds and $107,301,764 in federal funds for the 
state fiscal year ending August 31, 2011, in the following 
strategies:
		(1)  A.2.1.  Primary Home Care;                                               
		(2)  A.2.2.  Community Attendant Services;                                    
		(3)  A.2.3.  Day Activity and Health Services;                                
		(4)  A.3.1.  Community-Based Alternatives;                                    
		(5)  A.3.3.  Community Living Assistance (CLASS);                             
		(6)  A.3.5.  Medically Dependent Children Program;                            
		(7)  A.3.6.  Consolidated Waiver Program;                                     
		(8)  A.4.1.  Non-Medicaid Services;                                           
		(9)  A.5.1.  Program of All-Inclusive Care-Elderly 
(PACE); and              
		(10)  A.6.4.  Promoting Independence Services.                                
	b.  Health and Human Services Commission:  $2,070,159 in 
general revenue funds and $2,616,641 in federal funds for the state 
fiscal year ending August 31, 2010, and $8,308,592 in general 
revenue funds and $10,501,894 in federal funds for the state fiscal 
year ending August 31, 2011, in the following strategies:
		(1)  B.1.6.  STAR+PLUS (Integrated Managed Care); and                         
		(2)  B.3.3.  Health Steps (EPSDT) Comprehensive Care 
Program.               
	c.  It is the intent of the legislature that the base 
attendant care rate reimbursement component for the strategies 
listed in this section be increased by $0.80 per unit of service, or 
the unit's equivalent, to satisfy the requirements of the federal 
minimum wage increment that takes effect on July 24, 2009.  Any 
remaining general revenue funds are intended to be proportionately 
allocated to each program's attendant enhancement program as 
appropriate.
	d.  The Department of Aging and Disability Services and the 
Health and Human Services Commission shall submit a joint report by 
November 1, 2009, and November 1, 2010.  The report submitted on 
November 1, 2009, shall contain a description of the prospective 
use of the funds allocated under this section for the state fiscal 
year ending August 31, 2010.  The report submitted on November 1, 
2010, shall include prospective information for the state fiscal 
year ending August 31, 2011, and retrospective use of the funds for 
the state fiscal year ending August 31, 2010.  The reports shall be 
identified by fiscal year, strategy, and method of finance and must 
include any supporting materials specified by the Legislative 
Budget Board or the governor.