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Code · BILL · 117th Congress · H.R. 5376 (Engrossed in House) — To provide for reconciliation pursuant to title II of S. Con. Res. 14. · Sec. 30714

Sec. 30714. Funding for HCBS quality measurement and improvement

956 words·~4 min read·/bill/117/hr/5376/eh/section-30714·

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Section 1903(a)(3) of the Social Security Act ( 42 U.S.C. 1396b(a)(3) ) is amended— in subparagraph (F)(ii), by striking plus after the semicolon and inserting and ; and by inserting after subparagraph (F), the following: 80 percent of so much of the sums expended during such quarter as are attributable to the reporting of information regarding the quality of home and community-based services in accordance with sections 1139A(a)(4)(B)(ii) and 1139B(b)(3)(C); and . Section 1108(g)(4) of the Social Security Act is amended by adding at the end the following new subparagraph: Payments under section 1903(a)(3)(G) shall not be taken into account in applying payment limits under subsections
(f)and
(g)of this subsection. . Title XI of the Social Security Act (42 U.S.C. 1301 through 1320e–3) is amended— in section 1139A— in subsection (a)(4)(B)— by striking Beginning with the annual State report on fiscal year 2024 and inserting the following: Subject to clause (ii), beginning with the annual State report on fiscal year 2024 ; and by adding at the end the following new clause: With respect to reporting on information regarding the quality of home and community-based services provided to children under title XIX or title XXI, beginning with the annual State report required under subsection (c)(1) for the first fiscal year that begins on or after the date that is 2 years after the date that the Secretary publishes the home and community-based services quality measures developed under subsection (b)(5)(B) the Secretary shall require States to report such information using the standardized format for reporting information and procedures developed under subparagraph
(A)and using all such home and community-based quality measures developed under subsection (b)(5) (including any updates or changes to such measures). ; and in subsection (b)(5)— by striking Beginning no later than January 1, 2013 and inserting the following: Beginning no later than January 1, 2013 ; and by adding at the end the following new subparagraph: Beginning with the first year that begins on the date that is 2 years after the date of enactment of this subparagraph (or, in the case of measures that require development and testing prior to availability, not later than 4 years after the date of enactment of this subparagraph), the requirements of subparagraph
(A)shall apply, and the core measures described in subsection
(a)(and any updates or changes to such measures) shall include home and community-based services quality measures developed by the Secretary. The Secretary shall ensure that such measures reflect the full array of home and community-based services, and consult with nongovernmental stakeholders with expertise in home and community-based services (including recipients and providers of such services). ; in subsection (b)(6)— by inserting or support services before that is capable of ; by striking and ambulatory health care settings and inserting , ambulatory health care, and home and community-based settings ; and by inserting and home and community-based before care system ; and in subsection (c)(1), in the matter preceding subparagraph (A), by inserting , subject to subsection (a)(4)(B)(ii), before annually report ; and in section 1139B— in subsection (b)— in paragraph (3), by adding at the end the following new subparagraph: Beginning with the State report required under subsection (d)(1) for the first year that begins on or after the date that is 2 years after the date that the Secretary publishes the home and community-based quality measures developed under paragraph (5)(D), the Secretary shall require States to report information, using the standardized format for reporting information and procedures developed under subparagraph (A), regarding the quality of home and community-based services for Medicaid eligible adults using all of the home and community-based services quality measures included in the core set of adult health quality measures under paragraph (5)(D), and any updates or changes to such measures. ; and in paragraph (5), by adding at the end the following new subparagraph: In addition to amounts otherwise available, there is appropriated to the Secretary, for fiscal year 2022, to be available until expended, out of any money in the Treasury not otherwise appropriated, $22,000,000, for carrying out this subparagraph. Beginning with respect to State reports required under subsection (d)(1) for the first year that begins on or after the date that is 2 years after the date of enactment of this subparagraph (or, in the case of measures that require development and testing prior to availability, not later than 4 years after the date of enactment of this subparagraph) the core set of adult health quality measures maintained under this paragraph (and any updates or changes to such measures) shall include home and community-based services quality measures developed in accordance with this subparagraph. In developing, reviewing and updating the home and community-based services quality measures included in the core set of adult health quality measures maintained under this paragraph, the Secretary shall consult with nongovernmental stakeholders with expertise in home and community-based services (including recipients and providers of such services) and ensure such measures reflect the full array of home and community-based services and recipients of such services. For purposes of this section and section 1139A, the term home and community-based services has the meaning given such term in section 30711(e) of the Act titled An Act to provide for reconciliation pursuant to title II of S. Con. Res. 14 . ; and in subsection (d)(1)(A), by striking ; and and inserting and, beginning with the report for the first year that begins after the date that is 2 years after the Secretary publishes the home and community-based quality measures developed under subsection (b)(5)(D), all home and community-based services quality measures included in the core set of adult health quality measures maintained under subsection (b)(5) and any updates or changes to such measures; and .
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Sec. 30714
Funding for HCBS quality measurement and improvement
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