2
3
4
5
6
7 LONG TITLE
8 General Description:
9 This bill requires the Department of Health to apply for a Medicaid waiver or state plan
10 amendment for medical respite care for homeless individuals.
11 Highlighted Provisions:
12 This bill:
13 ▸ defines terms;
14 ▸ requires the Department of Health to apply for a Medicaid waiver or state plan
15 amendment to provide reimbursement to a facility that provides residential medical
16 respite care to a homeless individual; and
17 ▸ establishes a reporting requirement.
18 Money Appropriated in this Bill:
19 None
20 Other Special Clauses:
21 None
22 Utah Code Sections Affected:
23 ENACTS:
24 26-18-424, Utah Code Annotated 1953
25
26 Be it enacted by the Legislature of the state of Utah:
27 Section 1. Section 26-18-424 is enacted to read:
28 26-18-424. Medicaid waiver for respite care facility that provides services to
29 homeless individuals.
30 (1) As used in this section:
31 (a) "Adult in the expansion population" means an adult:
32 (i) described in 42 U.S.C. Sec. 1396a(a)(10)(A)(i)(VIII); and
33 (ii) not otherwise eligible for Medicaid as a mandatory categorically needy individual.
34 (b) "Homeless" means the same as that term is defined in Section 26-18-411.
35 (c) "Medical respite care" means short-term housing with supportive medical services.
36 (d) "Medical respite facility" means a residential facility that provides medical respite
37 care to homeless individuals.
38 (2) Before January 1, 2022, the department shall apply for a Medicaid waiver or state
39 plan amendment with CMS to choose a single medical respite facility to reimburse for services
40 provided to an individual who is:
41 (a) homeless; and
42 (b) an adult in the expansion population.
43 (3) The department shall choose a medical respite facility best able to serve homeless
44 individuals who are adults in the expansion population.
45 (4) If the waiver or state plan amendment described in Subsection (2) is approved,
46 while the waiver or state plan amendment is in effect, the department shall submit a report to
47 the Health and Human Services Interim Committee each year before November 30 detailing:
48 (a) the number of homeless individuals served at the facility;
49 (b) the cost of the program; and
50 (c) the reduction of health care costs due to the program's implementation.
51 (5) Through administrative rule made in accordance with Title 63G, Chapter 3, Utah
52 Administrative Rulemaking Act, the department shall further define and limit the services,
53 described in this section, provided to a homeless individual.