SB781: Global reform waiver; Secretary of Health and Human Resources to apply.

SENATE BILL NO. 781

Offered January 10, 2018
Prefiled January 10, 2018
A BILL directing the Secretary of Health and Human Resources to apply for a global reform waiver.
Patron-- Dunnavant

Referred to Committee on Rules

Be it enacted by the General Assembly of Virginia:

1. § 1. That the Secretary of Health and Human Resources shall apply to the Centers for Medicare and Medicaid Services for approval of a waiver, pursuant to § 1115 of the Social Security Act, 42 U.S.C. § 1315, to allow for transformation of the Commonwealth's existing program of medical assistance services through implementation of a person-centered model of medical assistance services that improves outcomes and reduces costs by (i) integrating medical and behavioral health care, (ii) implementing a value-based payment model, and (iii) promoting personal choice and responsibility, including cost-sharing and incentives that encourage healthy behaviors, prevention, and wellness. Such waiver may include provisions for an aggregate cap on federal funds for a specified period of time with adequate tools to manage state financing of the program. The Secretary of Health and Human Resources shall report to the Governor and the General Assembly on the status of the waiver by December 1, 2018.

§ 2. That the Secretary of Health and Human Resources, together with the Secretary of Commerce and Trade, shall submit a request to the U.S. Secretary of Housing and Urban Development (i) to receive all federal funds made available to the Commonwealth from the Department of Housing and Urban Development as a single annual grant and (ii) for flexibility in the administration of such funds to better align medical assistance and housing support services to better support low-income individuals receiving medical assistance. The Secretaries of Health and Human Resources and Commerce and Trade shall report to the Governor and the General Assembly on the status of such request by December 1, 2018.