Florida 2024 Regular Session

Florida House Bill H1047 Compare Versions

Only one version of the bill is available at this time.

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10	10	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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14	14	A bill to be entitled 1
15	15	An act relating to home and community -based services 2
16	16	Medicaid waiver program; amending s. 393.065, F.S.; 3
17	17	requiring the Agency for Persons with Disabilities to 4
18	18	develop and implement an automated, electronic 5
19	19	application process for specified services; providing 6
20	20	requirements for the application process; requiring 7
21	21	the agency to provide an application in a printed form 8
22	22	or a portable document format under certain 9
23	23	circumstances; requiring the agency to make an 10
24	24	eligibility determination in a specified amount of 11
25	25	time for certain persons; authorizing the agency to 12
26	26	request additional documentation under certain 13
27	27	circumstances; providing requirements for such 14
28	28	request; requiring rulemaking; amending s. 393.0662, 15
29	29	F.S.; providing requirements for the Agency for Health 16
30	30	Care Administration when a client's iBudget is 17
31	31	established; requiring the agency within a specified 18
32	32	time period to ensure certain services that a client 19
33	33	has applied for have begun; requiring rulemaking; 20
34	34	amending ss. 393.0651, 409.9127, and s. 409.9855, 21
35	35	F.S.; conforming provisions to changes made by the 22
36	36	act; providing an effective date. 23
37	37	24
38	38	Be It Enacted by the Legislature of the State of Florida: 25
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47	47	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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52	52	Section 1. Subsections (1) through (12) of section 27
53	53	393.065, Florida Statutes, are renumbered as subsections (2) 28
54	54	through (13), respectively, present subsections (1), (5), (6), 29
55	55	and (7), paragraph (a) of present subsection (8), and present 30
56	56	subsections (11) and (12) are ame nded, and a new subsection (1) 31
57	57	is added to that section, to read: 32
58	58	393.065 Application and eligibility determination. — 33
59	59	(1) As part of the agency's website, the agency shall 34
60	60	develop and implement an automated, electronic application 35
61	61	process. The applicat ion process shall, at a minimum, support: 36
62	62	(a) Electronic submissions. 37
63	63	(b) Automatic processing of each application. 38
64	64	(c) Immediate automatic e -mail confirmation to each 39
65	65	applicant with proof of filing along with a date and time stamp. 40
66	66	(d) Upon request, if the applicant does not have access to 41
67	67	electronic resources, the agency providing the applicant with 42
68	68	the application in printed form or in a portable document 43
69	69	format. 44
70	70	(2)(1) Application for services shall be made in writing to 45
71	71	the agency, in the regi on in which the applicant resides. The 46
72	72	agency shall review each application and make an eligibility 47
73	73	determination within 60 days after receipt of the signed 48
74	74	application. If, at the time of the application, an applicant is 49
75	75	requesting enrollment in the home and community-based services 50
76	76
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84	84	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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88	88	Medicaid waiver program for individuals with developmental 51
89	89	disabilities deemed to be in crisis, as described in paragraph 52
90	90	(6)(a) (5)(a), the agency shall complete an eligibility 53
91	91	determination within 45 days after receipt of the signed 54
92	92	application. 55
93	93	(a) If the agency determines additional documentation is 56
94	94	necessary to make an eligibility determination, the agency may 57
95	95	request the additional documentation from the applicant. 58
96	96	(b) When necessary to definitively identify individual 59
97	97	conditions or needs, the agency or its designee must provide a 60
98	98	comprehensive assessment. 61
99	99	(c) If the agency requests additional documentation from 62
100	100	the applicant or provides or arranges for a comprehensive 63
101	101	assessment, the agency's eligibility determinatio n must be 64
102	102	completed within 90 days after receipt of the signed 65
103	103	application. 66
104	104	(d) If the applicant meets the criteria in paragraph 67
105	105	(7)(b), such applicant shall be deemed in crisis and the 68
106	106	following shall be required, regardless of age: 69
107	107	1. The agency shall review each application and make an 70
108	108	eligibility determination within 5 business days after receipt 71
109	109	of the signed application. 72
110	110	2. If, at the time of the application, the applicant is 73
111	111	requesting enrollment in the home and community -based services 74
112	112	Medicaid waiver program for individuals with developmental 75
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121	121	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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123	123
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125	125	disabilities deemed to be in crisis, as described in paragraph 76
126	126	(7)(a), the agency shall complete an eligibility determination 77
127	127	within 15 calendar days after receipt of the signed application. 78
128	128	3. If the agency determines additional documentation is 79
129	129	necessary to make an eligibility determination, the agency may 80
130	130	request additional documentation from the applicant, but such 81
131	131	agency request may not prevent or delay services to the 82
132	132	applicant. When necessa ry to definitively identify individual 83
133	133	conditions or needs, the agency or its designee must provide a 84
134	134	comprehensive assessment. 85
135	135	4. If the agency requests additional documentation from 86
136	136	the applicant or provides or arranges for a comprehensive 87
137	137	assessment, the agency's eligibility determination must be 88
138	138	completed within 60 calendar days after receipt of the signed 89
139	139	application. 90
140	140	(6)(5) Except as provided in subsections (7) and (8) (6) 91
141	141	and (7), if a client seeking enrollment in the developmental 92
142	142	disabilities home and community-based services Medicaid waiver 93
143	143	program meets the level of care requirement for an intermediate 94
144	144	care facility for individuals with intellectual disabilities 95
145	145	pursuant to 42 C.F.R. ss. 435.217(b)(1) and 440.150, the agency 96
146	146	must assign the client to an appropriate preenrollment category 97
147	147	pursuant to this subsection and must provide priority to clients 98
148	148	waiting for waiver services in the following order: 99
149	149	(a) Category 1, which includes clients deemed to be in 100
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158	158	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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160	160
161	161
162	162	crisis as described in rule, must be given first priority in 101
163	163	moving from the preenrollment categories to the waiver. 102
164	164	(b) Category 2, which includes clients in the 103
165	165	preenrollment categories who are: 104
166	166	1. From the child welfare system with an open case in the 105
167	167	Department of Children and Famili es' statewide automated child 106
168	168	welfare information system and who are either: 107
169	169	a. Transitioning out of the child welfare system into 108
170	170	permanency; or 109
171	171	b. At least 18 years but not yet 22 years of age and who 110
172	172	need both waiver services and extended foster car e services; or 111
173	173	2. At least 18 years but not yet 22 years of age and who 112
174	174	withdrew consent pursuant to s. 39.6251(5)(c) to remain in the 113
175	175	extended foster care system. 114
176	176	For individuals who are at least 18 years but not yet 22 years 115
177	177	of age and who are eligible under sub-subparagraph 1.b., the 116
178	178	agency must provide waiver services, including residential 117
179	179	habilitation, and the community -based care lead agency must fund 118
180	180	room and board at the rate established in s. 409.145(3) and 119
181	181	provide case management and related se rvices as defined in s. 120
182	182	409.986(3)(e). Individuals may receive both waiver services and 121
183	183	services under s. 39.6251. Services may not duplicate services 122
184	184	available through the Medicaid state plan. 123
185	185	(c) Category 3, which includes, but is not required to be 124
186	186	limited to, clients: 125
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195	195	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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199	199	1. Whose caregiver has a documented condition that is 126
200	200	expected to render the caregiver unable to provide care within 127
201	201	the next 12 months and for whom a caregiver is required but no 128
202	202	alternate caregiver is available; 129
203	203	2. At substantial r isk of incarceration or court 130
204	204	commitment without supports; 131
205	205	3. Whose documented behaviors or physical needs place them 132
206	206	or their caregiver at risk of serious harm and other supports 133
207	207	are not currently available to alleviate the situation; or 134
208	208	4. Who are identified as ready for discharge within the 135
209	209	next year from a state mental health hospital or skilled nursing 136
210	210	facility and who require a caregiver but for whom no caregiver 137
211	211	is available or whose caregiver is unable to provide the care 138
212	212	needed. 139
213	213	(d) Category 4, which includes, but is not required to be 140
214	214	limited to, clients whose caregivers are 70 years of age or 141
215	215	older and for whom a caregiver is required but no alternate 142
216	216	caregiver is available. 143
217	217	(e) Category 5, which includes, but is not required to be 144
218	218	limited to, clients who are expected to graduate within the next 145
219	219	12 months from secondary school and need support to obtain a 146
220	220	meaningful day activity, maintain competitive employment, or 147
221	221	pursue an accredited program of postsecondary education to which 148
222	222	they have been accepted. 149
223	223	(f) Category 6, which includes clients 21 years of age or 150
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232	232	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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234	234
235	235
236	236	older who do not meet the criteria for category 1, category 2, 151
237	237	category 3, category 4, or category 5. 152
238	238	(g) Category 7, which includes clients younger than 21 153
239	239	years of age who do not meet the criteria for category 1, 154
240	240	category 2, category 3, or category 4. 155
241	241	Within preenrollment categories 3, 4, 5, 6, and 7, the agency 156
242	242	shall prioritize clients in the order of the date that the 157
243	243	client is determined eligible for waiver services. 158
244	244	(7)(6) The agency must allow an individual who meets the 159
245	245	eligibility requirements of subsection (3) (2) to receive home 160
246	246	and community-based services in this state if the individual's 161
247	247	parent or legal guardian is an active -duty military 162
248	248	servicemember and if, at the time of the servicemember's 163
249	249	transfer to this state, the individual was receiving home and 164
250	250	community-based services in another state. 165
251	251	(8)(7) The agency must allow an individual with a 166
252	252	diagnosis of Phelan-McDermid syndrome who meets the eligibility 167
253	253	requirements of subsection (3) (2) to receive home and 168
254	254	community-based services. 169
255	255	(9)(8) Only a client may be eligible for services under 170
256	256	the developmental disabilities home and community -based services 171
257	257	Medicaid waiver program. For a client to receive services u nder 172
258	258	the developmental disabilities home and community -based services 173
259	259	Medicaid waiver program, there must be available funding 174
260	260	pursuant to s. 393.0662 or through a legislative appropriation 175
261	261
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269	269	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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271	271
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273	273	and the client must meet all of the following: 176
274	274	(a) The eligibility requirements of subsection (3) (2), 177
275	275	which must be confirmed by the agency. 178
276	276	(12)(a)(11)(a) The agency must provide the following 179
277	277	information to all applicants or their parents, legal guardians, 180
278	278	or family members: 181
279	279	1. A brief overview of the vocational rehabilitation 182
280	280	services offered through the Division of Vocational 183
281	281	Rehabilitation of the Department of Education, including a 184
282	282	hyperlink or website address that provides access to the 185
283	283	application for such services; 186
284	284	2. A brief overview of the Florida ABLE program as 187
285	285	established under s. 1009.986, including a hyperlink or website 188
286	286	address that provides access to the application for establishing 189
287	287	an ABLE account as defined in s. 1009.986(2); 190
288	288	3. A brief overview of the supplemental security income 191
289	289	benefits and social security disability income benefits 192
290	290	available under Title XVI of the Social Security Act, as 193
291	291	amended, including a hyperlink or website address that provides 194
292	292	access to the application for such benefits; 195
293	293	4. A statement indicating that the applicant's local 196
294	294	public school district may provide specialized instructional 197
295	295	services, including transition programs, for students with 198
296	296	special education needs; 199
297	297	5. A brief overview of programs and services funded 200
298	298
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306	306	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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308	308
309	309
310	310	through the Florida Center for Students with Unique Abilities, 201
311	311	including contact information for each state -approved Florida 202
312	312	Postsecondary Comprehensive Transition Program; 203
313	313	6. A brief overview of decisionmaking options for 204
314	314	individuals with disabilities, gua rdianship under chapter 744, 205
315	315	and alternatives to guardianship as defined in s. 744.334(1), 206
316	316	which may include contact information for organizations that the 207
317	317	agency believes would be helpful in assisting with such 208
318	318	decisions; 209
319	319	7. A brief overview of the refe rral tools made available 210
320	320	through the agency, including a hyperlink or website address 211
321	321	that provides access to such tools; and 212
322	322	8. A statement indicating that some waiver providers may 213
323	323	serve private-pay individuals. 214
324	324	(b) The agency must provide the infor mation required in 215
325	325	paragraph (a) in writing to an applicant or his or her parent, 216
326	326	legal guardian, or family member along with a written disclosure 217
327	327	statement in substantially the following form: 218
328	328	219
329	329	DISCLOSURE STATEMENT 220
330	330	Each program and service has its own el igibility 221
331	331	requirements. By providing the information specified in 222
332	332	section 393.065(12)(a) 393.065(11)(a), Florida Statutes, 223
333	333	the agency does not guarantee an applicant's eligibility 224
334	334	for or enrollment in any program or service. 225
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343	343	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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348	348	(c) The agency must also pub lish the information required 227
349	349	in paragraph (a) and the disclosure statement in paragraph (b) 228
350	350	on its website, and must provide that information and statement 229
351	351	annually to each client placed in the preenrollment categories 230
352	352	or to the parent, legal guardian, or family member of such 231
353	353	client. 232
354	354	(13)(12) The agency and the Agency for Health Care 233
355	355	Administration: 234
356	356	(a) May adopt rules specifying application procedures, 235
357	357	criteria associated with the preenrollment categories, 236
358	358	procedures for administering the preenrollme nt, including tools 237
359	359	for prioritizing waiver enrollment within preenrollment 238
360	360	categories, and eligibility requirements as needed to administer 239
361	361	this section. 240
362	362	(b) By September 29, 2024, adopt rules and implement 241
363	363	policies to maintain compliance with paragraph (2)(d). 242
364	364	Section 2. Subsections (2) and (15) of section 393.0662, 243
365	365	Florida Statutes, are amended to read: 244
366	366	393.0662 Individual budgets for delivery of home and 245
367	367	community-based services; iBudget system established. —The 246
368	368	Legislature finds that improved fi nancial management of the 247
369	369	existing home and community -based Medicaid waiver program is 248
370	370	necessary to avoid deficits that impede the provision of 249
371	371	services to individuals who are on the waiting list for 250
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380	380	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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382	382
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384	384	enrollment in the program. The Legislature further finds that 251
385	385	clients and their families should have greater flexibility to 252
386	386	choose the services that best allow them to live in their 253
387	387	community within the limits of an established budget. Therefore, 254
388	388	the Legislature intends that the agency, in consultation with 255
389	389	the Agency for Health Care Administration, shall manage the 256
390	390	service delivery system using individual budgets as the basis 257
391	391	for allocating the funds appropriated for the home and 258
392	392	community-based services Medicaid waiver program among eligible 259
393	393	enrolled clients. The service delivery system that uses 260
394	394	individual budgets shall be called the iBudget system. 261
395	395	(2) The Agency for Health Care Administration, in 262
396	396	consultation with the agency, shall : 263
397	397	(a) Seek federal approval to amend current waivers, 264
398	398	request a new waiver , and amend contracts as necessary to manage 265
399	399	the iBudget system, improve services for eligible and enrolled 266
400	400	clients, and improve the delivery of services through the home 267
401	401	and community-based services Medicaid waiver program and the 268
402	402	Consumer-Directed Care Plus Program, including, but not limited 269
403	403	to, enrollees with a dual diagnosis of a developmental 270
404	404	disability and a mental health disorder. 271
405	405	(b) At the time a client's iBudget is established: 272
406	406	1. Educate the client or the caregiver of the client 273
407	407	regarding the Consumer-Directed Care Plus Program. 274
408	408	2. Provide each client the opportunity to apply for the 275
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417	417	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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421	421	Consumer-Directed Care Plus Program. 276
422	422	(c) The agency shall, within 14 calendar days after the 277
423	423	time of a client's submission for Consumer -Directed Care Plus 278
424	424	Program, ensure that the client's Consumer -Directed Care Plus 279
425	425	Program services begin and the client is no longer required to 280
426	426	go through iBudget. 281
427	427	(15) The agency and the Agency for Health Care 282
428	428	Administration: 283
429	429	(a) May adopt rules specifying the allocatio n algorithm 284
430	430	and methodology; criteria and processes for clients to access 285
431	431	funds for services to meet significant additional needs; and 286
432	432	processes and requirements for selection and review of services, 287
433	433	development of support and cost plans, and management of the 288
434	434	iBudget system as needed to administer this section. 289
435	435	(b) By September 29, 2024, adopt rules and implement 290
436	436	policies to maintain compliance with paragraph (2)(b). 291
437	437	Section 3. Section 393.0651, Florida Statutes, is amended 292
438	438	to read: 293
439	439	393.0651 Family or individual support plan. —The agency 294
440	440	shall provide directly or contract for the development of a 295
441	441	family support plan for children ages 3 to 18 years of age and 296
442	442	an individual support plan for each client. The client, if 297
443	443	competent, the client's parent or guardian, or, when 298
444	444	appropriate, the client advocate, shall be consulted in the 299
445	445	development of the plan and shall receive a copy of the plan. 300
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454	454	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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458	458	Each plan must include the most appropriate, least restrictive, 301
459	459	and most cost-beneficial environment for accomplish ment of the 302
460	460	objectives for client progress and a specification of all 303
461	461	services authorized. The plan must include provisions for the 304
462	462	most appropriate level of care for the client. Within the 305
463	463	specification of needs and services for each client, when 306
464	464	residential care is necessary, the agency shall move toward 307
465	465	placement of clients in residential facilities based within the 308
466	466	client's community. The ultimate goal of each plan, whenever 309
467	467	possible, shall be to enable the client to live a dignified life 310
468	468	in the least restrictive setting, be that in the home or in the 311
469	469	community. The family or individual support plan must be 312
470	470	developed within 60 days after the agency determines the client 313
471	471	eligible pursuant to s. 393.065(4) s. 393.065(3). 314
472	472	(1) The agency shall develop and specify by rule the core 315
473	473	components of support plans. 316
474	474	(2) The family or individual support plan shall be 317
475	475	integrated with the individual education plan (IEP) for all 318
476	476	clients who are public school students entitled to a fr ee 319
477	477	appropriate public education under the Individuals with 320
478	478	Disabilities Education Act, I.D.E.A., as amended. The family or 321
479	479	individual support plan and IEP must be implemented to maximize 322
480	480	the attainment of educational and habilitation goals. 323
481	481	(a) If the IEP for a student enrolled in a public school 324
482	482	program indicates placement in a public or private residential 325
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491	491	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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495	495	program is necessary to provide special education and related 326
496	496	services to a client, the local education agency must provide 327
497	497	for the costs of that ser vice in accordance with the 328
498	498	requirements of the Individuals with Disabilities Education Act, 329
499	499	I.D.E.A., as amended. This does not preclude local education 330
500	500	agencies and the agency from sharing the residential service 331
501	501	costs of students who are clients and req uire residential 332
502	502	placement. 333
503	503	(b) For clients who are entering or exiting the school 334
504	504	system, an interdepartmental staffing team composed of 335
505	505	representatives of the agency and the local school system shall 336
506	506	develop a written transitional living and training p lan with the 337
507	507	participation of the client or with the parent or guardian of 338
508	508	the client, or the client advocate, as appropriate. 339
509	509	(3) Each family or individual support plan shall be 340
510	510	facilitated through case management designed solely to advance 341
511	511	the individual needs of the client. 342
512	512	(4) In the development of the family or individual support 343
513	513	plan, a client advocate may be appointed by the support planning 344
514	514	team for a client who is a minor or for a client who is not 345
515	515	capable of express and informed consent when: 346
516	516	(a) The parent or guardian cannot be identified; 347
517	517	(b) The whereabouts of the parent or guardian cannot be 348
518	518	discovered; or 349
519	519	(c) The state is the only legal representative of the 350
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528	528	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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532	532	client. 351
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534	534	Such appointment may not be construed to extend the powers of 353
535	535	the client advocate to include any of those powers delegated by 354
536	536	law to a legal guardian. 355
537	537	(5) The agency shall place a client in the most 356
538	538	appropriate and least restrictive, and cost -beneficial, 357
539	539	residential facility according to his or her individual support 358
540	540	plan. The client, if competent, the client's parent or guardian, 359
541	541	or, when appropriate, the client advocate, and the administrator 360
542	542	of the facility to which placement is proposed shall be 361
543	543	consulted in determining the appropriate placement for the 362
544	544	client. Considerations for placement shall be made in the 363
545	545	following order: 364
546	546	(a) Client's own home or the home of a family member or 365
547	547	direct service provider. 366
548	548	(b) Foster care facility. 367
549	549	(c) Group home facility. 368
550	550	(d) Intermediate care facility for the developmentally 369
551	551	disabled. 370
552	552	(e) Other facilities licensed by the agency which offer 371
553	553	special programs for people with developmental disabilities. 372
554	554	(f) Developmental disabilities center. 373
555	555	(6) In developing a client's annual family or individual 374
556	556	support plan, the individu al or family with the assistance of 375
557	557
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569	569	the support planning team shall identify measurable objectives 376
570	570	for client progress and shall specify a time period expected for 377
571	571	achievement of each objective. 378
572	572	(7) The individual, family, and support coordinator shall 379
573	573	review progress in achieving the objectives specified in each 380
574	574	client's family or individual support plan, and shall revise the 381
575	575	plan annually, following consultation with the client, if 382
576	576	competent, or with the parent or guardian of the client, or, 383
577	577	when appropriate, the client advocate. The agency or designated 384
578	578	contractor shall annually report in writing to the client, if 385
579	579	competent, or to the parent or guardian of the client, or to the 386
580	580	client advocate, when appropriate, with respect to the client's 387
581	581	habilitative and medical progress. 388
582	582	(8) Any client, or any parent of a minor client, or 389
583	583	guardian, authorized guardian advocate, or client advocate for a 390
584	584	client, who is substantially affected by the client's initial 391
585	585	family or individual support plan, or the annual rev iew thereof, 392
586	586	shall have the right to file a notice to challenge the decision 393
587	587	pursuant to ss. 120.569 and 120.57. Notice of such right to 394
588	588	appeal shall be included in all support plans provided by the 395
589	589	agency. 396
590	590	Section 4. Subsection (3) of section 409.9127 , Florida 397
591	591	Statutes, is amended to read: 398
592	592	409.9127 Preauthorization and concurrent utilization 399
593	593	review; conflict-of-interest standards.— 400
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606	606	(3) The agency shall help the Agency for Persons with 401
607	607	Disabilities meet the requirements of s. 393.065(5) s. 402
608	608	393.065(4). Only admissions approved pursuant to such 403
609	609	assessments are eligible for reimbursement under this chapter. 404
610	610	Section 5. Paragraphs (b) and (d) of subsection (2) of 405
611	611	section 409.9855, Florida Statutes, are amended to read: 406
612	612	409.9855 Pilot program for ind ividuals with developmental 407
613	613	disabilities.— 408
614	614	(2) ELIGIBILITY; VOLUNTARY ENROLLMENT; DISENROLLMENT. — 409
615	615	(b) The Agency for Persons with Disabilities shall approve 410
616	616	a needs assessment methodology to determine functional, 411
617	617	behavioral, and physical needs of prosp ective enrollees. The 412
618	618	assessment methodology may be administered by persons who have 413
619	619	completed such training as may be offered by the agency. 414
620	620	Eligibility to participate in the pilot program is determined 415
621	621	based on all of the following criteria: 416
622	622	1. Whether the individual is eligible for Medicaid. 417
623	623	2. Whether the individual is 18 years of age or older and 418
624	624	is on the waiting list for individual budget waiver services 419
625	625	under chapter 393 and assigned to one of categories 1 through 6 420
626	626	as specified in s. 393.065(6) s. 393.065(5). 421
627	627	3. Whether the individual resides in a pilot program 422
628	628	region. 423
629	629	(d) Notwithstanding any provisions of s. 393.065 to the 424
630	630	contrary, an enrollee must be afforded an opportunity to enroll 425
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643	643	in any appropriate existing Medicaid waiver program if any of 426
644	644	the following conditions occur: 427
645	645	1. At any point during the operation of the pilot program, 428
646	646	an enrollee declares an intent to voluntarily disenroll, 429
647	647	provided that he or she has been covered for the entire previous 430
648	648	plan year by the pilot program. 431
649	649	2. The agency determines the enrollee has a good cause 432
650	650	reason to disenroll. 433
651	651	3. The pilot program ceases to operate. 434
652	652	435
653	653	Such enrollees must receive an individualized transition plan to 436
654	654	assist him or her in accessing sufficient services and supports 437
655	655	for the enrollee's safety, well -being, and continuity of care. 438
656	656	Section 6. This act shall take effect July 1, 2024. 439