BillTracker

Concerning long-term care services and supports (Jinkins, Johnson, Cody)

Places responsibility for the implementation and administration of the family and medical leave program with the state health care authority, the department of social and health services, and the employment security department. Creates the long-term services and supports trust commission and requires the commission to, beginning January 1, 2019, establish certain rules and policies. States that, beginning January 1, 2025, long-term services and supports are available and benefits are payable to a registered long-term services and supports provider on behalf of a qualified individual. Requires the benefits to be paid periodically and
promptly to registered long-term services and supports providers. Allows any self-employed person, beginning January 1, 2023, to elect coverage under the program. Creates the long-term services and supports trust account.

EFFECT OF CHANGES MADE BY 1ST SUBSTITUTE:
(1) Adds a finding that the choice of provider type must be at least the same or greater than currently available through Medicaid long-term services and supports. (2) Changes the definition to wages to the remuneration paid by one employer during any calendar year to an individual in its employment. (3) Adds to the Long-Term Services and Supports Trust Commission: Two additional members of the House of Representatives; Two additional members of the Senate; and One representative of an organization representing the managers of in-home long-term care. (4) Changes the requirement for a qualifying individual to receive benefits from not being for long-term services and supports under Medicare to not currently using rehabilitation services paid for by Medicare. (5) Requires that the moneys in the Long-Term Services and Supports Account (Account) remain in the Account until expended for the purposes of the Long-Term Services and Supports Program (Program). (6) Requires that, if moneys in the Account are appropriated for any other purpose, the Legislature must notify qualified individuals by mail that the person's premiums have been appropriated for an alternate use, describe the alternate use, and state its plan for restoring moneys so that premiums are not increased and benefits are not reduced.

EFFECT OF CHANGES MADE BY 2ND SUBSTITUTE (Appropriations)
(1) Changes the definition of "wages" to the same definition used by the Family Medical Leave Act, except that there is no limit on the amount of wages subject to a premium assessment. (2) Adds a member to the Long-Term Services and Supports Trust Commission who is a representative of an association that represents caregivers who provide services to both private pay and medicaid clients. (3) Adds this representative and the representative of the managers of in-home long-term care to the list of members who will be subject to initial staggered terms. (4) Specifies that only the Department of Social and Health Services may authorize disbursement of benefit payments. (5) Specifies that an appropriation is required for administrative expenses, but not for benefit payments.

Hearing Date: Monday, February 05, 2018 -- 1:30 pm

WA State Legislature Link:
http://app.leg.wa.gov/billsummary?BillNumber=2533&Year=2017    (opens a new browser tab)