February 16, 2020
With the caveat that the “half sheets” which give the detail will not be available until Tuesday, here are the highlights of the House and Senate Reports:
House HHR Report Notes:
Senate HHR Report Notes:
- Includes the Option 2 version (the one we proposed) for a rate refresh; details to be settled, but sufficient funds for a 6.5-7.3% increase.
- Includes a Skilled and Private Duty nursing rates increase to 75% of the rate model benchmark
- Retains the Governor’s proposal for Redesign, STEP-VA and the increases proposed for Outpatient Services;
- Retains the DD Waiver slots the Governor had included
- Includes an increase to accommodate the projected increase in minimum wage for respite, companion and personal care, plus a factor for a greater increase for those services in NoVA because technically they will not be impacted by the minimum wage. We have more work to do on this front – DMAS simply has no way to estimate the cost of competition and compression.
- Includes our language amendments on both an advisory committee for the redesign and on center-based respite are included and we are included in the group to review the regulations for Peer Recovery Specialists.
- Eliminates the language authorizing 20 new children’s inpatient beds and prevents the operation of the additional 28 beds above the June 30, 2020 number at Catawba
- Includes funding for a DD Waiver rate increase which is the Option 2 version (with a slight recalculation by DMAS), plus an increase in “personal care rates” of 5% each year and a small allowance for overtime for the same group
- Includes Skilled and Private Duty nursing rates increase to 85% of the rate model benchmark
- Adds 500 additional DD Waiver slots (TBD) in the second year
- Includes our language amendments on both an advisory committee for the redesign and on center-based respite are included
- Eliminate the language authorizing 20 new children’s inpatient beds and to prevent the expansion of 56 beds at Catawba
- Retains the Governor’s proposal for Redesign, STEP-VA and the increases proposed for Outpatient Services, but reduces funding in DBHDS for STEP-VA Administration and Redesign Training
Neither budget recognizes our concerns about the impact of the minimum wage increase, however, we have been very active in having the conversations and have, we hope, laid the ground work for the future. All things considered – the reports are good!