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2018 SESSION

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18107129D
SENATE BILL NO. 915 FLOOR AMENDMENT IN THE NATURE OF A SUBSTITUTE (Proposed by Senators Dunnavant and Chase on February 13, 2018) (Patron Prior to Substitute--Senator Dunnavant) A BILL to increase access to certain medical assistance services.

Be it enacted by the General Assembly of Virginia:

1. § 1. That the Department of Medical Assistance Services (Department) shall amend the Medicaid demonstration project (Project Number 11-W-00297/3) to (i) increase the income eligibility from 100 to 138 percent of the federal poverty level; (ii) expand program eligibility to individuals with a diagnosis of mental illness, substance use disorder, or a life-threatening or complex chronic medical condition; (iii) include in the benefit package inpatient hospital and emergency room services; and (iv) include the demonstration project in the Commonwealth Coordinated Care Plus managed care program. The Department shall have authority to implement necessary changes upon federal approval and prior to the completion of any regulatory process undertaken in order to effect such changes. Such demonstration program shall be known as the Priority Needs Access Program. The total number of individuals enrolled in the Priority Needs Access Program as a result of the increased in income eligibility pursuant to clause (i) or the expansion of program eligibility pursuant to clause (ii) shall not exceed 20,000 individuals.

§ 2. The Department of Medical Assistance Services shall amend the Community Living waiver to add 144 new waiver slots and shall seek such federal approval as may be necessary for changes to the Community Living waiver for the addition of such waiver slots.

§ 3. The Department of Medical Assistance Services shall amend the Family and Individual Support waiver to add 1,847 new waiver slots and shall seek such federal approval as may be necessary for changes to the Family and Individual Support waiver for the addition of such waiver slots.

§ 4. The Department of Medical Assistance Services shall amend the Building Independence waiver to add 305 new waiver slots and shall seek such federal approval as may be necessary for changes to the Building Independence waiver for the addition of such waiver slots.

§ 5. The Department of Behavioral Health and Developmental Services shall establish and operate a statewide alternative transportation system for adults and children who are subject to temporary detention orders.

§ 6. The Department of Medical Assistance Services shall ensure that children in the Medicaid and FAMIS programs are screened for adverse childhood experiences.

§ 7. The Department for Aging and Rehabilitative Services shall expand neurobehavioral services used to assist persons with brain injuries in returning to work and community living and avoid inappropriate institutionalization of persons with brain injuries.

2. That the provisions of this act shall not become effective unless an appropriation effectuating the purposes of this act is included in the general appropriations act passed in 2018 by the General Assembly that becomes law.