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91101630 - Home Care Services
Data Current as of: 8/10/2018
| Account | Description | FY2018 Spending |
FY2019 GAA |
|---|---|---|---|
| 9110-1630 | Home Care 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 organizations 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 2019 that 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 that 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 not less than $35,000 shall be expended for a 1 year pilot program for the demonstration of the community network aging in place in Brookline, Nauset, and Reading; 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 the secretary of elder affairs shall expend not less than $1,400,000 between this item and item 9110-1633 on recipients of the home care over-income cost-sharing program and on a study of the cost effectiveness of the home care program, including the over-income cost-sharing program; provided further, the secretary shall report to the house and senate committees on ways and means not later than February 1, 2019 on the impacts of the home care and over-income cost-sharing programs, both in aggregate and disaggregated by income level and acuity: (i) caseload and expenditures made from said programs; and (ii) preliminary and projected cost effectiveness from the population served including, but not limited to, estimated savings from avoided nursing facility admissions, cost-sharing by recipients and, if available, reduced medical costs; provided further, that not more than $100,000 from this amount shall be expended for the home care cost effectiveness study; and provided further, that $100,000 from this amount shall not revert to the General Fund but shall be available for expenditure through January 1, 2020 for the continuation of the cost effectiveness study in subsequent fiscal years without further appropriation |
173,749,706 | 175,054,124 |
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.
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