Legislative & Capitol Update

Legislative and Regulatory Priorities 2017

House Bill 916 (2016): Reintroducing with Revisions for 2017 Session
Presented last session, this bill prohibits the recoupment of Medicaid funds for clerical or minor documentation errors. This bill was passed by the House and Senate in 2016 (with only 1 dissenting vote) but was vetoed.
Medicaid Waiver COMP Rate: Ensuring Funding for Full Implementation
It is important to ensure Medicaid Waiver COMP rate increases included in the approved 2016 budget be fully funded. Current rates do not cover the cost of providing home and community based services.  The current rates have remained virtually unchanged for 25 years.
Proxy Caregiving: Revising Law on Training Requirements
Current statute requires staff that support adults with I/DD who cannot self-administer medication be trained by an RN on the individual’s medications and medical issues. Retraining must occur each time a medication or medical condition changes and the individual’s family, guardian and doctor must each give written permission for each individual staff member to function as a “proxy caregiver.” Staff turnover makes adherence to the current legislation nearly impossible.
Workforce Development: Convening a Joint Study Committee
A Joint Study Committee comprised of legislators and subject-matter experts, would review the direct support workforce crisis in Georgia. Recommendations and actions from this committee will help all providers of home and community based care meet the future needs of an aging population.
Development, Implementation and Funding of a Strategic 3-5 yr. Plan for Waiting List Reduction
SPADD is committed to assuring that individuals and families in need of HCBS supports receive them in a timely and meaningful way. SPADD supports and encourages the development of a significant commitment of funding to assure that individuals with IDD are moved off the waiting list into services in a systematic way with the addition of a meaningful number waiver supports/slots. SPADD is confident in the community provider’s capacity to provide services to a growing number of individuals.
Room and Board Supplement: Studying the Cost of Housing
Social Security income is the only resource available to many individuals with developmental disabilities to pay for housing. A legislative study of residential care costs and exploration of funding to support I/DD organizations to bridge the gap between an individual’s Social Security income and the cost of housing is necessary.