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F I S C A L I M P A C T R E P O R T





SPONSOR: Jennings DATE TYPED: 2/27/99 HB
SHORT TITLE: Standards For Intermediate Care Facilities SB 708
ANALYST: Burkhart


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY99 FY2000 FY99 FY2000
$ 0.0



(Parenthesis ( ) Indicate Expenditure Decreases)



SOURCES OF INFORMATION



LFC Files



SUMMARY



Synopsis of Bill



Senate Bill 708 places a new section in the Public Health Act that is intended to limit the number of developmentally disabled or mentally retarded persons in an intermediate care facility to four per residence. The bill also requires an intermediate care facility or skilled nursing facility to not admit a medicaid beneficiary who has not been offered an informed choice to receive alternative services through a home or community based medicaid waiver program. The department is required to provide a nursing home patient who becomes enrolled in medicaid the opportunity to make an informed choice of alternative services within ten days of their enrollment. Finally the bill requires the Department of Health to develop rules regarding informed choice for home and community based waiver services and eligibility of home and community based medicaid waiver services to ensure the needs of the patient are fully met.



The department is further required to place medicaid beneficiaries who are mentally retarded or have developmental disabilities in an intermediate care facility or provide for alternative home or community based services within ninety days of enrolling in medicaid.





Significant Issues



Allowing clients and beneficiaries the choice of the housing alternative that best fits their individual needs is consistent with the direction the state of New Mexico has taken in the recent past.



ADMINISTRATIVE IMPLICATIONS



Development of regulations to implement the provisions of this bill is within the budgeted capacity of this department.



CONFLICT/DUPLICATION/COMPANIONSHIP/RELATIONSHIP



None



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