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Budget Summary FY2017

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91101630 - Elder Home Care Purchased Services
Data Current as of:  8/9/2016

Account Description FY2016
9110-1630 Elder Home Care Purchased Services
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities for the home care program, home care, health aides, home health and respite services, geriatric mental health services and other services provided to the elderly; provided, that sliding-scale fees shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding-scale fees in cases of extreme financial hardship; provided further, that not more than $16,000,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care corporations without reallocation by the executive office of elder affairs and shall be expended for the home care program, consistent with guidelines to be issued by the executive office; provided further, that no rate increase shall be awarded in fiscal year 2017 which would cause a reduction in client services or the number of clients served; provided further, that no funds shall be expended from this item to pay for salary increases for direct service workers who provide state-funded homemaker and home health aide services which would cause a reduction in client services; provided further, that funding shall be expended for provider training and outreach to gay, lesbian, bisexual, transgender, queer and questioning elders and to caregivers; provided further, that the secretary of elder affairs may transfer not more than 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program; provided further, that not less than $10,000 shall be allocated for the operation of the Brookline Senior Center's Alzheimer's Caregiver Respite Program; provided further, that the secretary of elder affairs shall develop a pilot program to provide home care services to certain persons whose annual income exceeds, by 15 per cent or less, the income eligibility limit as of January 1, 2016; provided further, that such persons may include those who: (a) are unable to afford sufficient unsubsidized home care for their needs; (b) pose a risk of higher-cost state-provided care in a nursing facility should they be ineligible for home care; or (c) lose home care eligibility as a result of a spouse's death; provided further, that an amount not to exceed $1,075,000 shall be used for the pilot program which shall be allocated between items 9110-1500, 9110-1630 and 9110-1633; and provided further, the secretary shall report to the house and senate committees on ways and means not later than February 1, 2018 on: (a) caseload and expenditures made from the pilot program; (b) projected cost effectiveness from the piloted population including, but not limited to, estimated savings from reduced medical costs, avoided nursing facility admissions and cost sharing by recipients; and (c) the estimated fiscal impact and cost benefits of expanding home care to all eligible persons whose annual income exceeds the income eligibility limit in effect on January 1, 2016 by 15 per cent or less

                General Fund ............... 94.60%
                Community First Trust Fund ............... 5.40%
104,595,483 102,570,589

Veto Explanation:   I am striking language which earmarks funding for a program not recommended. The reduction in the item incorporates the amount of the stricken earmarked funds.