Maryland 2022 Regular Session

Maryland Senate Bill SB28

Introduced
1/12/22  
Refer
1/12/22  
Report Pass
2/21/22  
Engrossed
2/24/22  
Refer
2/25/22  
Report Pass
4/7/22  
Enrolled
4/11/22  

Caption

Home- and Community-Based Services Waiver - Participation and Applications

Impact

If enacted, SB28 would modify existing regulations surrounding home and community-based services, particularly impacting the eligibility criteria and participation caps. It ensures that a minimum of 7,500 individuals can enroll in the waiver program. This change indicates a significant increase in the reach of community-based services, which will provide essential support to individuals who would otherwise require more costly institutional care. Additionally, the bill aims to increase participant satisfaction and alleviate functional decline by ensuring timely service access.

Summary

Senate Bill 28, known as the Home- and Community-Based Services Waiver, is a legislative effort in Maryland aimed at expanding participation and improving applications for individuals seeking community-based services under Medicaid. The bill mandates the Maryland Department of Health to alter the content of its waiver submission to the Centers for Medicare and Medicaid Services, ensuring that a designated number of individuals on the waiting list receive monthly application opportunities for these services. This is a systematic push toward alleviating the burden on those waiting for waiver services by enforcing regular outreach.

Sentiment

The sentiment regarding SB28 appears mostly positive, with supporters arguing that it represents a necessary improvement to the system of care for vulnerable populations. Advocates for increased funding and resources in community services are pleased with the expansion of eligibility and access requirements. However, there may be some concern among critics regarding the adequacy of the funding and resources necessary to support the increased cap on participants. The intention behind the bill is universally acknowledged as a beneficial move toward better service delivery.

Contention

Critics have raised points of contention regarding the feasibility and sustainability of the proposed changes in SB28. There are concerns about whether the necessary infrastructure and funding will be allocated to handle the increased number of participants effectively. The integration and management of these enhanced services are crucial; thus, regulations must ensure that quality is maintained amid expanding access. Additionally, discussions have highlighted the concern that simply increasing participant numbers without appropriate funding could lead to substandard care and services.

Companion Bills

MD HB80

Crossfiled Home- and Community-Based Services Waiver - Participation and Applications

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