| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsection208.030,RSMo,andtoenactinlieuthereofonenewsectionrelatingto |
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| 8 | 8 | | paymentsforhomecareinlicensedresidentialcarefacilities. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Section208.030,RSMo,isrepealedandonenewsectionenactedinlieu |
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| 11 | 11 | | 2thereof,tobeknownassection208.030,toreadasfollows: |
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| 12 | 12 | | 208.030.1.Thefamilysupportdivisionshallmakemonthlypaymentstoeachperson |
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| 13 | 13 | | 2whowasarecipientofoldageassistance,aidtothepermanentlyandtotallydisabled,andaid |
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| 14 | 14 | | 3totheblindandwho: |
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| 15 | 15 | | 4 (1)ReceivedsuchassistancepaymentsfromthestateofMissouriforthemonthof |
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| 16 | 16 | | 5December,1973,towhichtheywerelegallyentitled;and |
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| 17 | 17 | | 6 (2)IsaresidentofMissouri. |
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| 18 | 18 | | 7 2.Theamountofsupplementalpaymentmadetopersonswhomeettheeligibility |
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| 19 | 19 | | 8requirementsforandreceivefederalsupplementalsecurityincomepaymentsshallbeinan |
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| 20 | 20 | | 9amount,asestablishedbyruleandregulationofthefamilysupportdivision,sufficientto, |
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| 21 | 21 | | 10whenaddedtoallotherincome,equaltheamountofcashincomereceivedinDecember, |
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| 22 | 22 | | 111973;except,inestablishingtheamountofthesupplementalpayments,thereshallbe |
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| 23 | 23 | | 12disregardedcost-of-livingincreasesprovidedforinTitlesIIandXVIofthefederalSocial |
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| 24 | 24 | | 13SecurityActandanybenefitsorincomerequiredtobedisregardedbyanactofCongressof |
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| 25 | 25 | | 14theUnitedStatesoranyregulationdulypromulgatedthereunder.Aslongastherecipient |
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| 26 | 26 | | 15continuestoreceiveasupplementalsecurityincomepayment,thesupplementalpayment |
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| 27 | 27 | | 16shallnotbereduced.Theminimumsupplementalpaymentforthosepersonswhocontinueto |
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| 28 | 28 | | 17meettheDecember,1973,eligibilitystandardsforaidtotheblindshallbeinanamount |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18which,whenaddedtothefederalsupplementalsecurityincomepayment,equalstheamount |
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| 31 | 31 | | 19oftheblindpensiongrantasprovidedforinchapter209. |
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| 32 | 32 | | 20 3.Theamountofsupplementalpaymentmadetopersonswhodonotmeetthe |
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| 33 | 33 | | 21eligibilityrequirementsforfederalsupplementalsecurityincomebenefits,butwhodomeet |
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| 34 | 34 | | 22theDecember,1973,eligibilitystandardsforoldageassistance,permanentandtotal |
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| 35 | 35 | | 23disabilityandaidtotheblindorlessrestrictiverequirementsasestablishedbyruleor |
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| 36 | 36 | | 24regulationofthefamilysupportdivision,shallbeinanamountestablishedbyruleand |
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| 37 | 37 | | 25regulationofthefamilysupportdivisionsufficientto,whenaddedtoallotherincome,equal |
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| 38 | 38 | | 26theamountofcashincomereceivedinDecember,1973;except,inestablishingtheamountof |
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| 39 | 39 | | 27thesupplementalpayment,thereshallbedisregardedcost-of-livingincreasesprovidedforin |
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| 40 | 40 | | 28TitlesIIandXVIofthefederalSocialSecurityActandanyotherbenefitsorincomerequired |
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| 41 | 41 | | 29tobedisregardedbyanactofCongressoftheUnitedStatesoranyregulationduly |
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| 42 | 42 | | 30promulgatedthereunder.Theminimumsupplementalpaymentsforthosepersonswho |
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| 43 | 43 | | 31continuetomeettheDecember,1973,eligibilitystandardsforaidtotheblindshallbeablind |
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| 44 | 44 | | 32pensionpaymentasprescribedinchapter209. |
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| 45 | 45 | | 33 4.Thefamilysupportdivisionshallmakemonthlypaymentstopersonsmeetingthe |
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| 46 | 46 | | 34eligibilitystandardsfortheaidtotheblindprogramineffectDecember31,1973,whoare |
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| 47 | 47 | | 35bonafideresidentsofthestateofMissouri.Thepaymentshallbeintheamountprescribedin |
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| 48 | 48 | | 36subsection1ofsection209.040,lessanyfederalsupplementalsecurityincomepayment. |
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| 49 | 49 | | 37 5.Thefamilysupportdivisionshallmakemonthlypaymentstopersonsagetwenty- |
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| 50 | 50 | | 38oneoroverwhomeettheeligibilityrequirementsineffectonDecember31,1973,orless |
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| 51 | 51 | | 39restrictiverequirementsasestablishedbyruleorregulationofthefamilysupportdivision, |
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| 52 | 52 | | 40whowerereceivingoldageassistance,permanentandtotaldisabilityassistance,general |
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| 53 | 53 | | 41reliefassistance,oraidtotheblindassistancelawfully,whoarenoteligiblefornursinghome |
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| 54 | 54 | | 42careundertheTitleXIXprogram,andwhoresideinalicensedresidentialcarefacility,a |
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| 55 | 55 | | 43licensedassistedlivingfacility,alicensedintermediatecarefacilityoralicensedskilled |
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| 56 | 56 | | 44nursingfacilityinMissouriandwhosetotalcashincomeisnotsufficienttopaytheamount |
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| 57 | 57 | | 45chargedbythefacility;andtoallapplicantsagetwenty-oneoroverwhoarenoteligiblefor |
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| 58 | 58 | | 46nursinghomecareundertheTitleXIXprogramwhoareresidinginalicensedresidentialcare |
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| 59 | 59 | | 47facility,alicensedassistedlivingfacility,alicensedintermediatecarefacilityoralicensed |
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| 60 | 60 | | 48skillednursingfacilityinMissouri,whomakeapplicationafterDecember31,1973,provided |
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| 61 | 61 | | 49theymeettheeligibilitystandardsforoldageassistance,permanentandtotaldisability |
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| 62 | 62 | | 50assistance,generalreliefassistance,oraidtotheblindassistanceineffectonDecember31, |
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| 63 | 63 | | 511973,orlessrestrictiverequirementsasestablishedbyruleorregulationofthefamilysupport |
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| 64 | 64 | | 52division,whoarebonafideresidentsofthestateofMissouri,andwhosetotalcashincomeis |
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| 70 | | - | 58BeginningJuly1,1983,forfiscalyear1983-1984andeachyearthereafter,]Theamountof |
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| 71 | | - | 59thetotalstatepaymentforhomecareinlicensedresidentialcarefacilitiesandforcarein |
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| 72 | | - | 60licensedassistedlivingfacilitiesshall[notexceedonehundredfifty-sixdollarsmonthly,]be |
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| 73 | | - | 61subjecttoappropriation.Theamountoftotalstatepaymentforcareinlicensed |
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| 74 | | - | 62intermediatecarefacilitiesorlicensedskillednursingfacilitiesshallnotexceedthreehundred |
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| 75 | | - | 63ninetydollarsmonthly[, andforcareinlicensedassistedlivingfacilitiesshallnotexceedtwo |
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| 76 | | - | 64hundredninety-twodollarsandfiftycentsmonthly]. Nointermediatecareorskillednursing |
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| 77 | | - | 65paymentshallbemadetoapersonresidinginalicensedintermediatecarefacilityorina |
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| 78 | | - | 66licensedskillednursingfacilityunlesssuchpersonhasbeendetermined,byhisorherown |
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| 79 | | - | 67physicianordoctor,tomedicallyneedsuchservicessubjecttoreviewandapprovalbythe |
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| 80 | | - | 68department.Residentialcarepaymentsmaybemadetopersonsresidinginlicensed |
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| 81 | | - | 69intermediatecarefacilitiesorlicensedskillednursingfacilities.Anypersoneligibleto |
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| 82 | | - | 70receiveamonthlypaymentpursuanttothissubsectionshallreceiveanadditionalmonthly |
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| 83 | | - | 71paymentequaltotheMedicaidvendornursingfacilitypersonalneedsallowance.Theexact |
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| 84 | | - | 72amountoftheadditionalpaymentshallbedeterminedbyruleofthedepartment.This |
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| 85 | | - | 73additionalpaymentshallnotbeusedtopayforanysuppliesorservices,orforanyotheritems |
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| 86 | | - | 74thatwouldhavebeenpaidforbythefamilysupportdivisionifthatpersonwouldhavebeen |
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| 87 | | - | 75receivingmedicalassistancebenefitsunderTitleXIXofthefederalSocialSecurityActfor |
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| 88 | | - | 76nursinghomeservicespursuanttotheprovisionsofsection208.159.Notwithstandingthe |
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| 89 | | - | 77previouspartofthissubsection,thepersoneligibleshallnotreceivethisadditionalpaymentif |
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| 90 | | - | 78sucheligiblepersonisreceivingfundsforpersonalexpensesfromsomeotherstateorfederal |
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| 91 | | - | 79program. |
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| 70 | + | 58BeginningJuly1,1983,forfiscalyear1983-1984andeachyearthereafter,theamountofthe |
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| 71 | + | 59totalstatepaymentforhomecareinlicensedresidentialcarefacilitiesshall[notexceedone |
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| 72 | + | 60hundredfifty-sixdollarsmonthly] besubjecttoappropriation, forcareinlicensed |
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| 73 | + | 61intermediatecarefacilitiesorlicensedskillednursingfacilitiesshallnotexceedthreehundred |
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| 74 | + | 62ninetydollarsmonthly,andforcareinlicensedassistedlivingfacilitiesshallnotexceedtwo |
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| 75 | + | 63hundredninety-twodollarsandfiftycentsmonthly.Nointermediatecareorskillednursing |
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| 76 | + | 64paymentshallbemadetoapersonresidinginalicensedintermediatecarefacilityorina |
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| 77 | + | 65licensedskillednursingfacilityunlesssuchpersonhasbeendetermined,byhisorherown |
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| 78 | + | 66physicianordoctor,tomedicallyneedsuchservicessubjecttoreviewandapprovalbythe |
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| 79 | + | 67department.Residentialcarepaymentsmaybemadetopersonsresidinginlicensed |
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| 80 | + | 68intermediatecarefacilitiesorlicensedskillednursingfacilities.Anypersoneligibleto |
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| 81 | + | 69receiveamonthlypaymentpursuanttothissubsectionshallreceiveanadditionalmonthly |
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| 82 | + | 70paymentequaltotheMedicaidvendornursingfacilitypersonalneedsallowance.Theexact |
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| 83 | + | 71amountoftheadditionalpaymentshallbedeterminedbyruleofthedepartment.This |
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| 84 | + | 72additionalpaymentshallnotbeusedtopayforanysuppliesorservices,orforanyotheritems |
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| 85 | + | 73thatwouldhavebeenpaidforbythefamilysupportdivisionifthatpersonwouldhavebeen |
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| 86 | + | 74receivingmedicalassistancebenefitsunderTitleXIXofthefederalSocialSecurityActfor |
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| 87 | + | 75nursinghomeservicespursuanttotheprovisionsofsection208.159.Notwithstandingthe |
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| 88 | + | 76previouspartofthissubsection,thepersoneligibleshallnotreceivethisadditionalpaymentif |
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| 89 | + | 77sucheligiblepersonisreceivingfundsforpersonalexpensesfromsomeotherstateorfederal |
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| 90 | + | 78program. |
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