333#3s (DARS) Long-term Care Ombudsman Program. SB30 - Member Request

State Budget

2016 Session

Budget Amendments - SB30 (Member Request)

By Member » Item 333 #3s

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Chief Patron: Barker
Co-Patron(s): Alexander, Ebbin, Favola, Hanger, Howell, Locke, Ruff, Vogel, Wexton, Edwards
Long-term Care Ombudsman Program

Item 333 #3s

Item 333 #3s	First Year - FY2017	Second Year - FY2018
Health and Human Resources
Department for Aging and Rehabilitative Services	FY2017 $2,012,645	FY2018 $2,012,645	GF

Language
Page 291, line 19, strike "$33,758,218" and insert "$35,770,863".
Page 291, line 19, strike "$34,819,218" and insert "$36,831,863".

Explanation

(This amendment provides $2.0 million each year from the general fund to the Department for Aging and Rehabilitative Services to expand the Long-Term Care Ombudsman Program that is operated at the local level by Area Agencies on Aging. This amendment would complete statewide funding of this program, and provide sufficient funds for each local program to employ one ombudsman for every 2,000 licensed nursing home and adult care residence beds in the community. This level of staffing has been recommended by the National Institute of Medicine. Funding will also support four state-level staff to provide oversight, policy guidance, training and technical assistance to the local ombudsmen and to work on statewide long-term care policy issues.)

Item 333

Item 333	First Year - FY2017	Second Year - FY2018
Individual Care Services (45500)	$33,758,218	$34,819,218
Financial Assistance for Local Services to the Elderly (45504)	FY2017 $29,650,287	FY2018 $29,650,287
Rights and Protection for the Elderly (45506)	FY2017 $4,107,931	FY2018 $5,168,931
Fund Sources:
General	FY2017 $14,002,403	FY2018 $15,063,403
Special	FY2017 $60,000	FY2018 $60,000
Dedicated Special Revenue	FY2017 $200,000	FY2018 $200,000
Federal Trust	FY2017 $19,495,815	FY2018 $19,495,815

Authority: Title 2.2, Chapter 7, Code of Virginia.

A. Out of this appropriation, $456,209 the first year and $456,209 the second year from the general fund shall be provided to continue a statewide Respite Care Initiative program for the elderly and persons suffering from Alzheimer's Disease.

B.1. Out of this appropriation, $1,476,733 the first year and $1,726,733 the second year from the general fund shall be provided to support local and regional programs of the Virginia Public Guardian and Conservator Program. This funding is estimated to provide 407 client slots the first year and 457 client slots the second year for unrestricted guardianship services.

2. Out of this appropriation, $125,500 the first year and $125,500 the second year from the general fund shall be used to provide services through the Virginia Public Guardian and Conservator Program for individuals with mental illness or intellectual disability (ID). This funding is estimated to provide 40 client slots each year for guardianship services for individuals with mental illness or ID.

3. Out of this appropriation, $1,495,600 the first year and $1,970,600 the second year from the general fund shall be used to provide services through the Virginia Public Guardian and Conservator Program for individuals with intellectual disabilities (ID) and developmental disabilities (DD). This funding shall be expended pursuant to an interagency agreement between the Department of Behavioral Health and Developmental Services (DBHDS) and the Department for Aging and Rehabilitative Services. This funding is estimated to provide 359 client slots the first year and 454 client slots the second year for guardianship services for individuals with ID/DD, as authorized by DBHDS.

4. Out of this appropriation, $350,000 the first year and $686,000 the second year from the general fund shall be used to provide services through the Virginia Public Guardian and Conservator Program for individuals with mental illness. This funding shall be expended pursuant to an interagency agreement between the Department of Behavioral Health and Developmental Services (DBHDS) and the Department for Aging and Rehabilitative Services. This funding is estimated to provide 50 client slots the first year and 98 client slots the second year for guardianship services for individuals with mental illness, as authorized by DBHDS.

C.1. The 18 Area Agencies on Aging that are authorized to use funding for the Care Coordination for the Elderly Program, shall be authorized to use funding to conduct a program providing mobile, brief intervention and service linking as a form of care coordination. The Department for Aging and Rehabilitative Services, in collaboration with the Area Agencies on Aging, shall analyze the resulting impact in these agencies and determine if this model of service delivery is an appropriate and beneficial use of these funds.

2. The Department for Aging and Rehabilitative Services, in collaboration with the 18 Area Agencies on Aging (AAAs) that are authorized to use funding for the Care Coordination for Elderly Program, shall examine and analyze existing state and national care coordination models to determine best practice models. The department and designated AAAs shall determine which models of service delivery are appropriate and demonstrate beneficial use of these funds and develop the accompanying service standards. Each AAA receiving care coordination funding shall submit its plan for care coordination with the annual area plan.

D. Area Agencies on Aging shall be designated as the lead agency in each respective area for No Wrong Door.

E. The Department for Aging and Rehabilitative Services shall (i) recommend strategies to coordinate services and resources among agencies involved in the delivery of services to Virginians with dementia; (ii) monitor the implementation of the Dementia State Plan; (iii) recommend policies, legislation, and funding needed to implement the Plan; (iv) collect and monitor data related to the impact of dementia on Virginians; and (v) determine the services, resources, and policies that may be needed to address services for individuals with dementia.

F. Out of this appropriation, $201,875 the first year and $201,875 the second year from the general fund shall be provided to support the distribution of comprehensive health and aging information to Virginia's senior population, their families and caregivers.

G. Out of this appropriation, $250,000 the first year and $250,000 the second year from the general fund shall be provided for the Pharmacy Connect Program in Southwest Virginia, administered by Mountain Empire Older Citizens, Inc.

H. Out of this appropriation, $100,000 the first year and $100,000 the second year from the general fund shall be used to contract with the Jewish Social Services Agency to provide assistance to low-income seniors who have experienced trauma.