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, homemaker, personal care, supportive home care aides, home health and respite services, geriatric behavioral health services and other services provided to older adults; provided, that sliding-scale fees shall be charged to qualified older adults; provided further, that the secretary of elder affairs may waive collection of slidingscale 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 2024 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 a contract with the LGBTQIA+ Aging Project for provider training including, but not limited to, home care and home health providers, councils on aging, skilled nursing facilities and adult day health programs and outreach to gay, lesbian, bisexual, transgender, queer and questioning older adults 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 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; provided further, that not less than $300,000 shall be expended to the Alzheimer's Association, Massachusetts Chapter, to expand access to its evidence-based program dementia care coordination program in order to reduce hospitalizations, emergency department visits and delays in long-term care placements; and provided further, that not less than $35,000 shall be expended to Norwell Visiting Nurse Association, Inc. in the town of Norwell
