SECONDREGULARSESSION
HOUSECOMMITTEESUBSTITUTEFOR
HOUSEBILLNO.2727
101STGENERALASSEMBLY
5616H.02C DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsection208.030,RSMo,andtoenactinlieuthereofonenewsectionrelatingto
paymentsforhomecareinlicensedresidentialcarefacilities.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Section208.030,RSMo,isrepealedandonenewsectionenactedinlieu
2thereof,tobeknownassection208.030,toreadasfollows:
208.030.1.Thefamilysupportdivisionshallmakemonthlypaymentstoeachperson
2whowasarecipientofoldageassistance,aidtothepermanentlyandtotallydisabled,andaid
3totheblindandwho:
4 (1)ReceivedsuchassistancepaymentsfromthestateofMissouriforthemonthof
5December,1973,towhichtheywerelegallyentitled;and
6 (2)IsaresidentofMissouri.
7 2.Theamountofsupplementalpaymentmadetopersonswhomeettheeligibility
8requirementsforandreceivefederalsupplementalsecurityincomepaymentsshallbeinan
9amount,asestablishedbyruleandregulationofthefamilysupportdivision,sufficientto,
10whenaddedtoallotherincome,equaltheamountofcashincomereceivedinDecember,
111973;except,inestablishingtheamountofthesupplementalpayments,thereshallbe
12disregardedcost-of-livingincreasesprovidedforinTitlesIIandXVIofthefederalSocial
13SecurityActandanybenefitsorincomerequiredtobedisregardedbyanactofCongressof
14theUnitedStatesoranyregulationdulypromulgatedthereunder.Aslongastherecipient
15continuestoreceiveasupplementalsecurityincomepayment,thesupplementalpayment
16shallnotbereduced.Theminimumsupplementalpaymentforthosepersonswhocontinueto
17meettheDecember,1973,eligibilitystandardsforaidtotheblindshallbeinanamount
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18which,whenaddedtothefederalsupplementalsecurityincomepayment,equalstheamount
19oftheblindpensiongrantasprovidedforinchapter209.
20 3.Theamountofsupplementalpaymentmadetopersonswhodonotmeetthe
21eligibilityrequirementsforfederalsupplementalsecurityincomebenefits,butwhodomeet
22theDecember,1973,eligibilitystandardsforoldageassistance,permanentandtotal
23disabilityandaidtotheblindorlessrestrictiverequirementsasestablishedbyruleor
24regulationofthefamilysupportdivision,shallbeinanamountestablishedbyruleand
25regulationofthefamilysupportdivisionsufficientto,whenaddedtoallotherincome,equal
26theamountofcashincomereceivedinDecember,1973;except,inestablishingtheamountof
27thesupplementalpayment,thereshallbedisregardedcost-of-livingincreasesprovidedforin
28TitlesIIandXVIofthefederalSocialSecurityActandanyotherbenefitsorincomerequired
29tobedisregardedbyanactofCongressoftheUnitedStatesoranyregulationduly
30promulgatedthereunder.Theminimumsupplementalpaymentsforthosepersonswho
31continuetomeettheDecember,1973,eligibilitystandardsforaidtotheblindshallbeablind
32pensionpaymentasprescribedinchapter209.
33 4.Thefamilysupportdivisionshallmakemonthlypaymentstopersonsmeetingthe
34eligibilitystandardsfortheaidtotheblindprogramineffectDecember31,1973,whoare
35bonafideresidentsofthestateofMissouri.Thepaymentshallbeintheamountprescribedin
36subsection1ofsection209.040,lessanyfederalsupplementalsecurityincomepayment.
37 5.Thefamilysupportdivisionshallmakemonthlypaymentstopersonsagetwenty-
38oneoroverwhomeettheeligibilityrequirementsineffectonDecember31,1973,orless
39restrictiverequirementsasestablishedbyruleorregulationofthefamilysupportdivision,
40whowerereceivingoldageassistance,permanentandtotaldisabilityassistance,general
41reliefassistance,oraidtotheblindassistancelawfully,whoarenoteligiblefornursinghome
42careundertheTitleXIXprogram,andwhoresideinalicensedresidentialcarefacility,a
43licensedassistedlivingfacility,alicensedintermediatecarefacilityoralicensedskilled
44nursingfacilityinMissouriandwhosetotalcashincomeisnotsufficienttopaytheamount
45chargedbythefacility;andtoallapplicantsagetwenty-oneoroverwhoarenoteligiblefor
46nursinghomecareundertheTitleXIXprogramwhoareresidinginalicensedresidentialcare
47facility,alicensedassistedlivingfacility,alicensedintermediatecarefacilityoralicensed
48skillednursingfacilityinMissouri,whomakeapplicationafterDecember31,1973,provided
49theymeettheeligibilitystandardsforoldageassistance,permanentandtotaldisability
50assistance,generalreliefassistance,oraidtotheblindassistanceineffectonDecember31,
511973,orlessrestrictiverequirementsasestablishedbyruleorregulationofthefamilysupport
52division,whoarebonafideresidentsofthestateofMissouri,andwhosetotalcashincomeis
53notsufficienttopaytheamountchargedbythefacility.[UntilJuly1,1983,theamountofthe
54totalstatepaymentforhomecareinlicensedresidentialcarefacilitiesshallnotexceedone
HCSHB2727 2 55hundredtwentydollarsmonthly,forcareinlicensedintermediatecarefacilitiesorlicensed
56skillednursingfacilitiesshallnotexceedthreehundreddollarsmonthly,andforcarein
57licensedassistedlivingfacilitiesshallnotexceedtwohundredtwenty-fivedollarsmonthly.
58BeginningJuly1,1983,forfiscalyear1983-1984andeachyearthereafter,]Theamountof
59thetotalstatepaymentforhomecareinlicensedresidentialcarefacilitiesandforcarein
60licensedassistedlivingfacilitiesshall[notexceedonehundredfifty-sixdollarsmonthly,]be
61subjecttoappropriation.Theamountoftotalstatepaymentforcareinlicensed
62intermediatecarefacilitiesorlicensedskillednursingfacilitiesshallnotexceedthreehundred
63ninetydollarsmonthly[, andforcareinlicensedassistedlivingfacilitiesshallnotexceedtwo
64hundredninety-twodollarsandfiftycentsmonthly]. Nointermediatecareorskillednursing
65paymentshallbemadetoapersonresidinginalicensedintermediatecarefacilityorina
66licensedskillednursingfacilityunlesssuchpersonhasbeendetermined,byhisorherown
67physicianordoctor,tomedicallyneedsuchservicessubjecttoreviewandapprovalbythe
68department.Residentialcarepaymentsmaybemadetopersonsresidinginlicensed
69intermediatecarefacilitiesorlicensedskillednursingfacilities.Anypersoneligibleto
70receiveamonthlypaymentpursuanttothissubsectionshallreceiveanadditionalmonthly
71paymentequaltotheMedicaidvendornursingfacilitypersonalneedsallowance.Theexact
72amountoftheadditionalpaymentshallbedeterminedbyruleofthedepartment.This
73additionalpaymentshallnotbeusedtopayforanysuppliesorservices,orforanyotheritems
74thatwouldhavebeenpaidforbythefamilysupportdivisionifthatpersonwouldhavebeen
75receivingmedicalassistancebenefitsunderTitleXIXofthefederalSocialSecurityActfor
76nursinghomeservicespursuanttotheprovisionsofsection208.159.Notwithstandingthe
77previouspartofthissubsection,thepersoneligibleshallnotreceivethisadditionalpaymentif
78sucheligiblepersonisreceivingfundsforpersonalexpensesfromsomeotherstateorfederal
79program.
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HCSHB2727 3