HOUSE BILL No. 4476

 

March 27, 2003, Introduced by Reps. Vander Veen, Voorhees, Hager, Taub, Brandenburg, Vagnozzi, Ehardt, Shaffer, Clack, Kooiman, Stahl, Gaffney, Caswell and Meyer and referred to the Committee on Family and Children Services.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to provide for respite care resources; to establish                        

                                                                                

    the Michigan lifespan respite services program; to provide for              

                                                                                

    community lifespan respite services programs; and to prescribe              

                                                                                

    the powers and duties of certain departments of this state.                 

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 2.  As used in this act:                                               

                                                                                

2       (a) "Caregiver" means an individual providing ongoing care                  

                                                                                

3   for an individual unable to care for himself or herself.                    

                                                                                

4       (b) "Community lifespan respite services program" means a                   

                                                                                

5   program that meets all of the following criteria:                           

                                                                                

6                                                                                (i) Is operated by a community-based private nonprofit or                           

                                                                                

7   for-profit agency or a public agency that provides respite                  

                                                                                

8   services.                                                                   

                                                                                

9       (ii) Receives funding through the Michigan lifespan respite                  

                                                                                

10  services program established under section 3.                               

                                                                                


                                                                                

1       (iii) Acts as a designated local source for respite services                 

                                                                                

2   information and referral.                                                   

                                                                                

3       (iv) Facilitates access to local respite services.                           

                                                                                

4       (c) "Department" means the department of community health.                  

                                                                                

5       (d) "Director" means the director of the department.                        

                                                                                

6       (e) "Noncategorical care" means care without regard to the                  

                                                                                

7   age, type of special needs, or other status of the individual               

                                                                                

8   receiving care.                                                             

                                                                                

9       (f) "Provider" means an individual or agency selected by a                  

                                                                                

10  family or caregiver to provide respite care to an individual                

                                                                                

11  needing respite care.                                                       

                                                                                

12      (g) "Respite care" means providing short-term relief to                     

                                                                                

13  primary caregivers from the demands of ongoing care for an                  

                                                                                

14  individual whose health and welfare would be jeopardized if left            

                                                                                

15  unattended.                                                                 

                                                                                

16      (h) "Respite services" means, at a minimum, all of the                      

                                                                                

17  following services:                                                         

                                                                                

18                                                                               (i) Recruiting and screening of paid and unpaid providers.                          

                                                                                

19      (ii) Identifying local training resources and organizing                     

                                                                                

20  training opportunities for providers.                                       

                                                                                

21      (iii) Matching families and caregivers with providers and                    

                                                                                

22  other types of respite care.                                                

                                                                                

23      (iv) Linking families and caregivers with payment resources.                 

                                                                                

24      (v) Identifying, coordinating, and developing community                     

                                                                                

25  resources for respite services.                                             

                                                                                

26      (vi) Quality assurance and evaluation.                                       

                                                                                

27      (vii) Assisting families and caregivers to identify respite                  


                                                                                

1   care needs and resources.                                                   

                                                                                

2       Sec. 3.  (1) The director shall establish the Michigan                      

                                                                                

3   lifespan respite services program within the department to                  

                                                                                

4   develop and encourage statewide coordination of respite services            

                                                                                

5   and to work with community-based private nonprofit or for-profit            

                                                                                

6   agencies, public agencies, and interested citizen groups in                 

                                                                                

7   establishing community lifespan respite services programs.                  

                                                                                

8       (2) The Michigan lifespan respite services program shall do                 

                                                                                

9   all of the following:                                                       

                                                                                

10      (a) Provide policy and program development support,                         

                                                                                

11  including, but not limited to, data collection and outcome                  

                                                                                

12  measures.                                                                   

                                                                                

13      (b) Provide technical assistance to community lifespan                      

                                                                                

14  respite services programs.                                                  

                                                                                

15      (c) Develop and distribute respite services information.                    

                                                                                

16      (d) Promote information exchange and coordination among state               

                                                                                

17  and local governments, community lifespan respite services                  

                                                                                

18  programs, agencies serving individuals who need respite care,               

                                                                                

19  families of individuals unable to care for themselves, and                  

                                                                                

20  respite care advocates to encourage efficient provision of                  

                                                                                

21  respite services and reduce duplication of effort.                          

                                                                                

22      (e) Promote statewide access to community lifespan respite                  

                                                                                

23  services programs.                                                          

                                                                                

24      (f) Monitor and evaluate implementation of community lifespan               

                                                                                

25  respite services programs.                                                  

                                                                                

26      Sec. 4.  (1) The department, through the Michigan lifespan                  

                                                                                

27  respite services program, shall coordinate the establishment of             


                                                                                

1   community lifespan respite services programs.  The Michigan                 

                                                                                

2   lifespan respite services program shall accept proposals                    

                                                                                

3   submitted in the form and manner required by the department from            

                                                                                

4   community-based private nonprofit or for-profit agencies or                 

                                                                                

5   public agencies that provide respite services to operate                    

                                                                                

6   community lifespan respite services programs.  According to                 

                                                                                

7   criteria established by the department, the Michigan lifespan               

                                                                                

8   respite services program shall designate agencies described in              

                                                                                

9   this section to operate community lifespan respite services                 

                                                                                

10  programs.                                                                   

                                                                                

11      (2) The director shall designate a program specialist                       

                                                                                

12  position for the Michigan lifespan respite services program to              

                                                                                

13  administer the program.                                                     

                                                                                

14      Sec. 5.  Each community lifespan respite services program                   

                                                                                

15  established under section 4 shall do both of the following:                 

                                                                                

16      (a) Involve key local individuals and agencies in the                       

                                                                                

17  community lifespan respite services program planning process.               

                                                                                

18      (b) Create an advisory committee to advise the community                    

                                                                                

19  lifespan respite services program on how the program may best               

                                                                                

20  serve the needs of families and caregivers of individuals needing           

                                                                                

21  respite care.  Other members shall include providers,                       

                                                                                

22  representatives of local service agencies, consumers, and other             

                                                                                

23  community representatives.  Committee membership shall represent            

                                                                                

24  senior citizens, individuals needing respite care, and families             

                                                                                

25  of individuals needing respite care.                                        

                                                                                

26      Sec. 6.  Respite services made available through the                        

                                                                                

27  Michigan lifespan respite services program shall do all of the              


                                                                                

1   following in making respite care available:                                 

                                                                                

2       (a) Include a flexible array of respite care options                        

                                                                                

3   responsive to family and caregiver needs that are available                 

                                                                                

4   beginning before the family and caregiver are in a crisis.                  

                                                                                

5       (b) Be sensitive to the unique needs, strengths, and cultural               

                                                                                

6   values of an individual, family, or caregiver.                              

                                                                                

7       (c) Offer the most efficient access to an array of                          

                                                                                

8   coordinated respite care that is built on existing community                

                                                                                

9   support and services.                                                       

                                                                                

10      (d) Be driven by community strengths, needs, and resources.                 

                                                                                

11      (e) Use a variety of funds and resources, including, but not                

                                                                                

12  limited to, all of the following:                                           

                                                                                

13                                                                               (i) Family or caregiver funds.                                                      

                                                                                

14      (ii) Private and volunteer resources.                                        

                                                                                

15      (iii) Public funds.                                                          

                                                                                

16      (iv) Exchange of care among families or caregivers.                          

                                                                                

17      Sec. 7.  The department shall promulgate rules to implement                 

                                                                                

18  this act pursuant to the administrative procedures act of 1969,             

                                                                                

19  1969 PA 306, MCL 24.201 to 24.328.  Rules promulgated under this            

                                                                                

20  section shall include both of the following:                                

                                                                                

21      (a) Criteria, procedures, and timelines for designating                     

                                                                                

22  community-based private nonprofit or for-profit agencies or                 

                                                                                

23  public agencies that shall receive funding to provide respite               

                                                                                

24  care under community lifespan respite services programs.                    

                                                                                

25      (b) A requirement that each community lifespan respite                      

                                                                                

26  services program publicize the telephone number and address where           

                                                                                

27  families and caregivers may contact the program.                            


                                                                                

1       Sec. 8.  The department shall establish at least 6 community                

                                                                                

2   lifespan respite services programs in Michigan on or before the             

                                                                                

3   expiration of 1 year after the effective date of this act.                  

                                                                                

4       Sec. 9.  The Michigan lifespan respite services program may                 

                                                                                

5   use funds appropriated to the program for all of the following              

                                                                                

6   purposes:                                                                   

                                                                                

7       (a) The purposes established in sections 3 and 4.                           

                                                                                

8       (b) Costs related to developing provider recruitment and                    

                                                                                

9   training, information and referral, outreach, and other                     

                                                                                

10  components of providing respite services.                                   

                                                                                

11      (c) One-time-only startup costs related to establishing the                 

                                                                                

12  community lifespan respite services program.                                

                                                                                

13      (d) Minimum administrative costs for operating the Michigan                 

                                                                                

14  lifespan respite services program.