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ARIZONA STATE SENATE
Fifty-Sixth Legislature, First Regular Session
appropriations; developmental disabilities programs
Purpose
Appropriates a total of $83 million from the state General Fund (state GF) and $156 million from the expenditure authority in FY 2024 to the Department of Economic Security (DES) for the purposes of provider rate increases for services to individuals with intellectual and developmental disabilities, home and community-based services (HCBS) and the Arizona Early Intervention Program (AzEIP).
Background
The DES Director is responsible for developing and annually revising a statewide plan and initiating statewide programs and services for persons with developmental disabilities. Services include child, adult, residential and resource services. An Arizona resident with a developmental disability, supported by medical and psychological documentation, is eligible to apply for developmental disabilities programs, services and facilities operated, licensed and supervised by DES (A.R.S. §§ 36-554 and 36-559).
The Division of Developmental Disabilities (DDD) is the division of DES that empowers individuals with intellectual and developmental disabilities to lead self-directed, healthy and meaningful lives. DDD provides supports and services for eligible Arizonans diagnosed with one of the following developmental disabilities: 1) autism; 2) cerebral palsy; 3) epilepsy; 4) cognitive or intellectual disability; 5) Down syndrome; or 6) are under the age of six and at risk of having a developmental disability. DDD serves more than 40,000 people with developmental disabilities and their families throughout Arizona each year (DDD).
HCBS may be
provided in a member's home, an adult foster care home, an assisted living home
or center, group homes or at other licensed behavioral health alternative
residential facilities. HCBS services include: 1) home health; 2) licensed
health aid services; 3) home health aide;
4) homemaker services; 5) personal care; 6) day care; 7) habilitation; 8)
respite care;
9) transportation; and 10) other services provided by the Director of the
Arizona Health Care Cost Containment System (A.R.S.
36-2939).
AzEIP is an interagency system that provides services and supports for families of infants and toddlers, birth through two years of age, with disabilities or delays. AzEIP is established by Part C of the Individuals with Disabilities Education Act (IDEA), which provides eligible children and their families access to services to enhance the capacity of families and caregivers to support the child's development (DES).
S.B. 1225 appropriates $83 million from the state GF in FY 2024 to DES.
Provisions
1. Appropriates $60 million from the state GF and $120 million from expenditure authority in FY 2024 to DES for provider rate increases for services to individuals with intellectual and developmental disabilities.
2. Appropriates
$18 million from the state GF and $36 million from expenditure authority in
FY 2024 to DES for HCBS for:
a) habilitation services for adults and children;
b) habilitation services and room and board at vendor supported developmental homes; and
c) habilitation services and room and board at group homes.
3. Appropriates $5 million from the state GF in FY 2024 to DES for AzEIP.
4. Becomes effective on the general effective date.
Prepared by Senate Research
February 3, 2023
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