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





SPONSOR: Rawson DATE TYPED: 03/01/99 HB
SHORT TITLE: Consumer Direction Act SB 724
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



Department of Health did not respond



SUMMARY



Synopsis of Bill



Senate Bill 724 provides for consumer direction of personal care services by selecting an attendant appropriate to his needs and insuring that he gets the most efficient use of the entitlement he deserves. The bill has a definitions section and defines seven terms including: attendant, consumer, department, fiscal intermediary, personal assistance services, plan and surrogate. In addition, the bill authorizes consumer direction of programs and spells out the duties of the Department of Health and the Human Services Department. Finally, the bill requires both department s to report to the Legislative Finance Committee on the delivery of these services by October 1, of each year.



Significant Issues



Consumer direction of attendant care allows the client freedom to choose the best possible caregiver he can. At this time it is not known if this bill is consistent with the federal rules and regulations. However, this bill would be extremely helpful to people on the Disabled and Elderly waiver and the Developmentally Disabled waiver who live in rural areas and who live with a caregiver or have one in the neighborhood.



FISCAL IMPLICATIONS



Money is presently being spent for this category of service.



ADMINISTRATIVE IMPLICATIONS



Administration of the provision of this bill is within the budgeted capacity of the Department of Health.



POSSIBLE QUESTION



Are there other service categories where this provision could be introduced?



MB/prr