Amendment #102 to H4400

Home Care Wages and Oversight

Mr. Cullinane of Boston moves that the bill be amended in section 2 by inserting after line item 9110-1633 the following new line item 9110-1635: "9110-1635  For adjustments to rates and capitations for home and community based services provided through line items 9110-1630 and 9110-0600; provided further that $15,724,284 shall be provided for an adjustment to approved program rates issued under line items 9110-1630 and 9110-0600 to provide a rate add-on for wages, compensation and /or salary related costs for personnel providing home maker and personal care homemaker services; provided further that the Department of Elder Affairs shall develop new additional regulations and procedures to carry-out this section; provided further that such additional regulations and procedures shall mandate full compliance reporting from and a department audit of the home care agencies receiving these rate add-on funds including a full accounting of the uses of these funds that itemizes spending of the rate add-on funds for hourly rate increases, other categories of worker compensation and other categories of salary related costs; provided further that, no later than January 30, 2019, the Department of Elder Affairs shall report to the house and senate committees on ways and means an analysis of the impact on the wages for the workforce at the home care agencies receiving said funds; provided further that $7,488,000 shall be utilized for adjusting rates for home health aide services funded through line item 4000-0601 for the purpose of providing Title XIX services …… $23,212,284"

and in line item 9110-1630 by adding the following: “…provided further that, in consultation with the Department of Elder Affairs, the Division of Purchased Services shall amend 808 CMR 1.00 to improve and strengthen compliance, reporting and auditing of home care agencies providing subcontracted home care services in Massachusetts through the state’s Aging Service Access Points (ASAPs).  Such amendments shall ensure that all home care agencies that contract with the Aging Service Access Points (ASAPs) are mandated to fill out a complete Uniform Financial Report and that no exemptions to this reporting requirement will be permitted…”

Additional co-sponsor(s) added to Amendment #102 to H4400

Home Care Wages and Oversight