Req. No. 9648 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) HOUSE BILL 3844 By: Pittman AS INTRODUCED An Act relating to respite care for advantage waiver program; amending 56 O.S. 2021, Section 1017.2, which relates to legislative findin gs in the Oklahoma Choices for Long-Term Care Act; clarifying certain respite care lengths; a nd providing an effective date. BE IT ENACTED BY THE PEOPLE OF T HE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 56 O.S. 2021, Se ction 1017.2, is amended to read as follows: Section 1017.2 The Legislature finds that: 1. Oklahoma has a successful home - and community-based services program known as the ADvantage Waiver Program for the frail, elderly and adults with physical disabili ties age twenty-one (21) and over who do not have an intellectual disability nor a cognitive impairment. The ADvantage Waiver Program provides the following services: case management, trans itional case management, personal care, advanced supportive/resto rative, skilled nursing - home health setting, RN assessment evaluation, occupational therapy, physical Req. No. 9648 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 therapy, respiratory therapy, speech/language therapy, adult day health, personal care in adult day health, therapy in adult day health, home-delivered meals, NF not less than thirty (30) and up to sixty (60) days of nursing facility extended respite, in-home respite, in-home extended respite, environmental modifications, hospice, consumer-directed personal care assistant servi ces and supports, assisted living, and specialized medical equipment and supplies; 2. Many Oklahomans who could safely stay at home with cost- effective home- and community-based services go into nursing facilities the day assistance is needed because their eligibility for nursing facility supports is "presumed" by the nursing facility, while eligibility for home and community s upports can take weeks or months. If their circumstances are such that they need immediate or urgent care, they lose their choice to live and receive their services at home. Once they are in a nursing facility, they may lose their home or the supports th ey need to stay at home; and 3. The cost of serving Oklahomans who are in nursing facilities when they could be living and receivi ng services at home is significantly higher than the cost of serving them with home - and community-based services. SECTION 2. This act shall become effective November 1, 2024. 59-2-9648 TJ 01/18/24