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Synopsis As Introduced Amends the Rehabilitation of Persons with Disabilities Act. In a provision concerning the Department of Human Services' Home Services Program, provides that personal assistants and individual maintenance home health workers (rather than personal assistants) shall be paid at a rate negotiated between the State and the (rather than an) exclusive representative of personal assistants and individual maintenance home health workers (rather than personal assistants) under a collective bargaining agreement. Provides that beginning on July 1, 2016, the hourly rate paid to personal assistants and individual maintenance home health workers shall be no less than $15 per hour. Requires personal assistants and individual maintenance home health workers to participate in a comprehensive in-person orientation, including standardized instruction or education as determined by the Department, concerning their obligations as an Individual Provider of Medicaid services, fraud training, and training on independent living philosophies. Requires personal assistants and individual maintenance home health workers to attend annual in-person training, including training in preventing fraud and abuse. Provides that personal assistants and individual maintenance home health workers shall be paid their regular hourly wage for all orientation and training hours. Requires the State to contribute into a Taft-Hartley health fund for the purpose of providing health insurance to qualified personal assistants and individual maintenance home health workers. Provides that for State fiscal year 2017, the rate shall be $1.11 per hour paid to personal assistants and individual maintenance home health workers and that for future fiscal years, the rate shall be adjusted as determined by actuarial analysis. Effective July 1, 2016.
Fiscal Note (Dept. of Human Services)
Fiscal Impact Supplement: (1) The PA rate increase of $2/hour will cost the state an estimated annual increase of $73M; Calculated by multiplying the estimated number of FY17 PA hours by the difference between the proposed PA rate of $15/hr. + FICA minus the current PA rate of $13/hr. + FICA; (2) The required training payments will cost the state an estimated annual increase of $13.8M; All training is in-person training; No cost training sites will be utilized whenever possible; New hire training for 10,000 new hires/yr.; Incumbent training for 35,000 (rounded up from 30,000 due to high turnover) incumbents @ I0 classes every 3 years; Assume each class plus travel time = 3 hrs.; Annual IP wages for class and travel time = $5.4M; A new HSP training unit of 48 staff would be required for training, support, and administration; Annual cost of salaries, FICA, retirement, group insurance, other staff overhead and staff travel = $5.8M; (3) The remaining costs include: class registration and follow up; training materials production; storage and distribution; rental of training sites; A/V equipment; Mailings and other communications. These amounts total an estimated $86. 81\1annual increase in costs that are not included in the Governor's FY17 proposed budget.
State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity)
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