HLS 23RS-845 ENGROSSED 2023 Regular Session HOUSE BILL NO. 525 BY REPRESENTATIVE MAGEE FUNDS/FUNDING: Establishes the Community Options Waiver Fund and provides for dedication of revenues and use of monies in the fund 1 AN ACT 2To amend and reenact the heading of Subpart O of Part II-A of Chapter 1 of Subtitle I of 3 Title 39 of the Louisiana Revised Statutes of 1950 and to enact R.S. 39:100.62, 4 relative to special funds; to create the Community Options Waiver Fund as a special 5 fund in the state treasury; to provide for dedication of certain revenues and for the 6 deposit and use of monies in the fund; to provide an effective date; and to provide 7 for related matters. 8Be it enacted by the Legislature of Louisiana: 9 Section 1. The heading of Subpart O of Part II-A of Chapter 1 of Subtitle I of Title 1039 of the Louisiana Revised Statutes of 1950 is hereby amended and reenacted and R.S. 1139:100.62 is hereby enacted to read as follows: 12 SUBPART O. NEW OPPORTUNITIES WAIVER FUND FUNDS 13 * * * 14 ยง100.62. Community Options Waiver Fund 15 A. There is hereby created in the state treasury, as a special fund, the 16 Community Options Waiver Fund, hereinafter referred to in this Section as the 17 "fund". 18 B.(1) The source of monies in the fund shall be as follows: 19 (a) In any fiscal year, after deposits required pursuant to R.S. 39:100.61, the 20 state treasurer is directed to deposit twelve percent of the total of recurring state Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 23RS-845 ENGROSSED HB NO. 525 1 general fund revenue as recognized by the Revenue Estimating Conference in excess 2 of the official forecast at the beginning of the current fiscal year, not to exceed fifty 3 million dollars in any fiscal year, into the fund, and monies in the fund from this 4 Subparagraph shall be used for appropriation in the ensuing fiscal year. 5 (b) Monies designated for the fund and received by the state treasurer from 6 donations, gifts, grants, appropriations, or other revenue. 7 (2) Monies in the fund shall be invested in the same manner as monies in the 8 state general fund. Interest earned on investment of monies in the fund shall be 9 credited to the fund. Unexpended and unencumbered monies in the fund at the end 10 of the fiscal year shall remain in the fund. 11 (3) For the purposes of this Section, "waiver services" means Medicaid 12 services provided under the Community Choices Waiver or the Adult Day Health 13 Care Waiver or any other Medicaid home and community based service for persons 14 with adult-onset disabilities as promulgated by rule by the Louisiana Department of 15 Health. The Louisiana Department of Health shall consult with stakeholders 16 representing persons with adult-onset disabilities to develop a plan for appropriations 17 out of the fund. 18 C. Subject to an appropriation by the legislature, monies in the fund shall be 19 used solely to fund waiver services, to improve the capacity of the state to meet the 20 varying and complex needs of individuals with adult-onset disabilities, and shall be 21 administered by the Louisiana Department of Health. Such funding shall not be used 22 to supplant appropriations from the general fund for waiver services. Nothing 23 contained in this Subpart shall prohibit the legislature from appropriating additional 24 monies for waiver services. 25 Section 2. This Act shall become effective July 1, 2023. If vetoed by the governor 26and subsequently approved by the legislature, this Act shall become effective on July 1, 272023, or on the day following such approval by the legislature, whichever is later. Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 23RS-845 ENGROSSED HB NO. 525 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] HB 525 Engrossed 2023 Regular Session Magee Abstract: Creates the Community Options Waiver Fund (fund) and provides for dedication and uses of monies in the fund Proposed law establishes the fund to provide additional revenues for Medicaid services provided under the Community Choices Waiver or the Adult Day Health Care Waiver or any other Medicaid home and community-based service for persons with adult-onset disabilities. Requires the treasurer to annually deposit into the fund an amount equal to 12% the total of recurring state general fund revenue as recognized by the Revenue Estimating Conference in excess of the Official Forecast at the beginning of the current fiscal year, not to exceed $50,000,000 dollars in any fiscal year. Requires interest earned on investment of monies in the fund be credited to the fund and. Authorizes unexpended and unencumbered monies in the fund at the end of the fiscal year to remain in the fund. Requires the La. Dept. of Health to consult with the stakeholders representing persons with adult-onset disabilities to develop a plan for use of fund monies. Effective July 1, 2023. (Adds R.S. 39:100.62) Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions.