Regular Session 2015-2016 House Bill 0133 P.N. 2078

PRIOR PRINTER'S NOS. 117, 1753

PRINTER'S NO. 2078

THE GENERAL ASSEMBLY OF PENNSYLVANIA

HOUSE BILL

No.

133

Session of

2015

INTRODUCED BY MURT, ACOSTA, BARRAR, BOYLE, V. BROWN, BROWNLEE,

CALTAGIRONE, COHEN, D. COSTA, DAVIS, DeLUCA, FRANKEL,

GOODMAN, KAVULICH, MILLARD, O'NEILL, C. PARKER, SCHLOSSBERG,

STURLA, GIBBONS, SAMUELSON, MOUL, R. BROWN, BIZZARRO, FLYNN,

SCHWEYER, KILLION, TOOHIL, KORTZ AND BARBIN, JANUARY 21, 2015

AS AMENDED ON SECOND CONSIDERATION, HOUSE OF REPRESENTATIVES,

JULY 22, 2015

AN ACT

Establishing a bill of rights for individuals with intellectual

and developmental disabilities OR AUTISM; and conferring

powers and duties on the Department of Human Services.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1. Short title.

This act shall be known and may be cited as the Individuals

with Intellectual and Developmental Disabilities OR AUTISM Bill

of Rights Act.

Section 2. Findings.

The General Assembly finds and declares as follows:

(1) Disability is a natural part of the human

experience, which does not diminish the right of individuals

with intellectual and developmental disabilities OR AUTISM

to:

(i) enjoy the opportunity to live, to the maximum

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extent possible, independently and in the community;

(ii) make choices and decisions;

(iii) contribute to society and participate in the

community; and

(iv) experience full integration and inclusion in

the economic, political, social, cultural, educational

and all other aspects of society in this Commonwealth.

(2) Individuals with intellectual and developmental

disabilities OR AUTISM continually encounter various forms of

discrimination in all areas.

(3) There is a lack of public awareness of the

capabilities and competencies of individuals with

intellectual and developmental disabilities OR AUTISM.

(4) A substantial number of individuals with

intellectual and developmental disabilities and their

families or legal guardians DISABILITIES OR AUTISM do not

have access to appropriate community-integrated support

SUPPORTS and services from generic and specialized service

systems and remain unserved or underserved.

(5) Communities can be enriched by the full and active

participation and the contributions by individuals with

intellectual and developmental disabilities OR AUTISM and

their families; and there is a need to ensure that, within

this Commonwealth, there is the availability and equitable

provision of necessary community-integrated SUPPORTS AND

services for individuals with intellectual and developmental

disabilities OR AUTISM, regardless of religion, race, color,

national origin, economic or social status and degree or type

of disability.

(6) The long-time commitment of the General Assembly to

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secure for individuals with intellectual and developmental

disabilities OR AUTISM in partnership with their families or

legal guardians the opportunity to choose where they live in

the community is affirmed. The choice of service options

shall be supported by State policy. The choice of community-

integrated service options is to be ensured to individuals

with intellectual and developmental disabilities, encouraging

that they stay THE GENERAL ASSEMBLY ENCOURAGES INDIVIDUALS

WITH INTELLECTUAL DISABILITIES OR AUTISM TO REMAIN in their

homes or community to the maximum extent possible.

(7) Services must ensure accountability, credibility,

responsiveness and quality assurance, whether the funding is

Federal, State, local or community.

(8) As of March 31, 2015, there are approximately 13,971

individuals in this Commonwealth with intellectual

disabilities who are waiting for home-based and community-

based services and programs. There are more than 10,323

people with emergency and critical needs. APRIL 30, 2015,

THERE ARE APPROXIMATELY 10,234 PEOPLE WITH INTELLECTUAL

DISABILITIES OR AUTISM WITH EMERGENCY AND CRITICAL NEEDS

WAITING FOR HOME-BASED AND COMMUNITY-BASED SERVICES. As of

January 31 JUNE 3, 2015, there are more than 1,400

APPROXIMATELY 1,675 individuals on the autism home-based and

community-based services waiting list, or interest list. The

waiting list LISTS for these persons is ARE expected to grow

substantially into the foreseeable future.

(9) The Department of Human Services needs to develop an

adequate plan to address the needs and services for the

individuals on the waiting list for intellectual disability

services, for the individuals on the waiting list, OR

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INTEREST LIST, for autism services, and for all individuals

with disabilities to prevent unnecessary

institutionalization.

(10) For true choice to exist, individuals with

intellectual and developmental disabilities OR AUTISM and

their families or legal guardians must be provided with

information about their INDIVIDUALS' options for community-

integrated SUPPORTS AND services.

(11) The goals of the Commonwealth GENERAL ASSEMBLY

properly include the goal of providing individuals with

intellectual and developmental disabilities and their

families or legal guardians DISABILITIES OR AUTISM with the

opportunities and support to:

(i) Make informed choices and decisions.

(ii) Pursue meaningful and productive lives.

(iii) Live in a home and community of their choice.

(iv) Achieve full integration and inclusion in

society, in an individualized manner, consistent with the

unique strengths, resources, priorities, concerns,

abilities and capabilities of the individual.

(12) The purpose of this act is to reflect the United

States Supreme Court decision of Olmstead v. L.C., 119 S.Ct.

2176 (1999) (No.98-536 U.S. 1999) and the Commonwealth

obligation to assure individuals with intellectual and

developmental disabilities and, if chosen by the individual,

their families or legal guardians, full and complete

participation in the design of and access to services,

supports and other assistance and opportunities which promote

independence, productivity and choice of community living

arrangement. INTEGRATION MANDATES OF THE AMERICANS WITH

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DISABILITIES ACT OF 1990 (PUBLIC LAW 101-336, 104 STAT. 327)

AND THE REHABILITATION ACT OF 1973 (PUBLIC LAW 93-112, 29

U.S.C § 701 ET SEQ.).

(13) It is the policy of the Commonwealth GENERAL

ASSEMBLY that all programs, projects and activities operating

in this Commonwealth be carried out in a manner consistent

with the following principles:

(i) Individuals with intellectual and developmental

disabilities OR AUTISM are capable of pursuing

independence, productivity and integration and inclusion

into the community and often require the provision of

services, supports and other assistance to achieve

independence, productivity and integration and inclusion.

(ii) Individuals with intellectual and developmental

disabilities OR AUTISM have competencies, capabilities

and personal goals which shall be recognized, supported

and encouraged; and any assistance to such individuals

shall be provided in an individualized manner, consistent

with the unique strengths, resources, priorities,

concerns, abilities and capabilities of the individuals.

(iii) Individuals with intellectual and

developmental disabilities OR AUTISM and, if chosen by

the individual, their families or legal guardians are the

primary INSTRUMENTAL decision makers regarding the

services and supports such individuals and their families

receive and play significant decision-making roles in

INFORM policies and programs which affect the lives of

such individuals and their families.

(iv) Individuals with intellectual and developmental

disabilities and their families or legal guardians have

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varying goals and needs, and therefore, this act does not

support one specific service system or setting over

another so long as the choice as to how and where to

receive services remains with the individual.

(v) (IV) The Commonwealth shall, within budgetary

accountability, provide services, supports and other

assistance which reflect the principles of everyday life

and self-determination that have been the cornerstone of

the Commonwealth's human services for people with

intellectual and developmental disabilities OR AUTISM.

Section 3. Definitions.

The following words and phrases when used in this act shall

have the meanings given to them in this section unless the

context clearly indicates otherwise:

"AUTISM" OR "AUTISM SPECTRUM DISORDER." ANY OF THE PERVASIVE

DEVELOPMENTAL DISORDERS DEFINED BY THE MOST RECENT EDITION OF

THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (DSM),

OR ITS SUCCESSOR, INCLUDING AUTISTIC DISORDER, ASPERGER'S

DISORDER AND PERVASIVE DEVELOPMENTAL DISORDER NOT OTHERWISE

SPECIFIED.

"Community-integrated supports and services options," "home

and community-based services" or "supports and services."

Integrated services in the home and community, including the

integrated settings where such services are provided, as defined

by Federal regulations at 42 CFR §§ 440.180 (relating to home

and community-based waiver services) and 441.301(c)(4) and (5)

(relating to contents of request for a waiver), which are

developed in accordance with the person-centered planning

requirements of 42 CFR § 441.301(c)(1), (2) and (3).

"Department." The Department of Human Services of the

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Commonwealth.

"Developmental disability." A severe, chronic disability of

an individual that consists of the following:

(1) Is attributable to a mental or physical impairment

or combination of mental and physical impairments.

(2) Is manifested before the individual attains 22 years

of age.

(3) Is likely to continue indefinitely.

(4) Results in substantial functional limitations in

three or more of the following areas of major life activity:

(i) Self-care.

(ii) Receptive and expressive language.

(iii) Learning.

(iv) Mobility.

(v) Self-direction.

(vi) Capacity for independent living.

(vii) Economic self-sufficiency.

(5) Reflects the individual's need for a combination and

sequence of special, interdisciplinary or generic services,

individualized supports or other forms of assistance that are

of lifelong or extended duration and are individually planned

and coordinated, as defined by section 102(8) of the

Developmental Disabilities Assistance and Bill of Rights Act

of 2000 (Public Law 106-402, 42 U.S.C. § 15002(8)). The term

shall also include individuals diagnosed with autism spectrum

disorder.

"Intellectual disability." Significantly subaverage general

intellectual functioning that is accompanied by significant

limitations in adaptive functioning in at least two of the

following skill areas:

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(1) Communication.

(2) Self-care.

(3) Home living.

(4) Social and interpersonal skills.

(5) Use of community resources.

(6) Self-direction.

(7) Functional academic skills.

(8) Work.

(9) Health.

(10) Safety.

The onset must occur before the individual reaches 22 years of

age, as defined by the act of October 20, 1966 (3rd Sp.Sess.,

P.L.96, No.6), known as the Mental Health and Intellectual

Disability Act of 1966.

Section 4. Choice.

(a) Community-based services.--The Commonwealth shall, BASED

ON AVAILABLE FUNDING, provide individualized community-

integrated supports and services for an individual with AN

intellectual and developmental disabilities DISABILITY OR AUTISM

if all of the following apply:

(1) The individual has an intellectual or developmental

disability OR AUTISM.

(2) The individual chooses certain supports and services

or does not oppose the supports and services.

(3) The supports and services are included in an

APPROVED individualized services plan developed in accordance

with the person-centered planning requirements of 42 CFR §

441.301(c)(1), (2) and (3) (relating to contents of request

for a waiver) by an authorized State or county supports

coordinator with the input of the individual and, if chosen

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by the individual, the individual's guardian and advocate.

(b) Family.--If the individual so chooses, family members

and legal guardians of an individual with AN intellectual and

developmental disabilities DISABILITY OR AUTISM shall be

involved in meetings regarding the planning for and arrangement

of community-based services or other allowable services. Legal

guardians shall, under 20 Pa.C.S. § 5521(a) (relating to

provisions concerning powers, duties and liabilities):

(1) Assert the rights and interests of the individual.

(2) Respect the wishes and preferences of the individual

to the greatest extent possible.

(3) Encourage the individual to participate to the

maximum extent of his or her abilities in all decisions that

affect him or her, to act on his or her behalf when he or she

is able to do so and to develop or regain his or her capacity

to manage his or her personal affairs to the maximum extent

feasible.

prohibit an individual with AN intellectual and developmental

disabilities DISABILITY OR AUTISM from maintaining contact with

family and friends. The individual shall also have the choice

not to have contact with family and friends.

(d) Complaints.--An individual with AN intellectual and

developmental disabilities DISABILITY OR AUTISM, or a family

member or a legal guardian of such individual who believes that

the needs as identified or as detailed in the individualized

service plan are not being met may provide the State or county a

letter expressing concerns. The State or county shall, within 30

days, address the concerns and, if necessary, take corrective

action. All Federal and State due process rights, including, but

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not limited to, written notice and a fair hearing, also continue

to apply for each individual.

Section 5. Waiting list LISTS for intellectual disability OR

AUTISM services.

(a) GENERAL RULE.--THE DEPARTMENT SHALL, WITHIN FOUR MONTHS

OF THE EFFECTIVE DATE OF THIS ACT, REORGANIZE ITS WAITING LIST,

OR INTEREST LIST, FOR INDIVIDUALS WITH AUTISM INTO A WAITING

LIST THAT PRIORITIZES INDIVIDUALS ACCORDING TO THE CATEGORIES OF

EMERGENCY NEEDS, CRITICAL NEEDS AND PLANNING NEEDS. THIS DATA

SHALL BE COLLECTED USING A TOOL THAT MEASURES THE LEVEL OF CARE

NEEDED AND THAT DOES NOT LIMIT SUCH ASSESSMENT DATA COLLECTION

BASED ON THE GEOGRAPHIC AREA WHERE AUTISM SERVICES ARE PROVIDED

IN THIS COMMONWEALTH. ADDITIONALLY, THE PRIORITIZATION OF NEED

SHALL NOT INCLUDE CONSIDERATION OF SERVICES THE INDIVIDUAL WITH

AUTISM CURRENTLY RECEIVES.

(B) Waiting list plan.--Within one year of the effective

date of this section, the department shall, as part of a

stakeholder process with participation by individuals with

disabilities and their family members, develop a five-year plan

to eliminate the current as well as any future additions to the

critical and emergency waiting list for individuals with

intellectual disabilities who are in need of allowable home-

based and community-based supports and services. Within one year

of the effective date of this section, the department shall

develop a two-year plan to eliminate the current as well as any

future additions to the home-based and community-based services

waiting list for individuals with autism and to prevent future

home-based and community-based services waiting lists for all

other persons with disabilities, including those with physical

and developmental disabilities, including brain injury. The

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department shall submit the plans to the Governor, the General

Assembly and the county intellectual disability program

administrators.

(b) (C) Contents of plan.--The plan required by subsection

(a) shall include:

(1) Statistical information on the current and projected

annual increase in the waiting lists on a county basis. The

department shall develop a Statewide standardized form to

collect the information from the counties and the

department's Bureau of Autism Services.

(2) Budget projections taking into consideration the

department's current budget year, projected annual costs

associated with the elimination of the waiting lists,

financial information on the amount of additional Federal,

State or other funds in each county and with the department's

Bureau of Autism Services which may be required annually for

the operational costs associated with the elimination of the

waiting list in each county and of the waiting list with the

department's Bureau of Autism Services and the projected

annual waiting lists in each annual plan update.

the plan required by subsection (a), the department shall

conduct public hearings and obtain public comment from

individuals with disabilities, including those with intellectual

and developmental disabilities OR AUTISM, their families and

guardians and providers of services to the disability community,

including the intellectual and developmental disability

DISABILITIES AND AUTISM community.

(d) (E) Annual submission of updated plan.--The department

shall update the budget, statistical and financial data to the

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plan required by subsection (a) annually and submit an updated

plan to the Governor, the General Assembly and the county

intellectual disability program administrators on the

anniversary date of the department's original submission of the

plan.

Section 6. Funding.

Services under this act shall be made available across this

Commonwealth, taking into account the budget constraints and

financial resources available to the Commonwealth and the needs

of individuals with intellectual and developmental disabilities

OR AUTISM. NOTHING UNDER THIS ACT SHALL CONSTITUTE AN

ENTITLEMENT DERIVED FROM THE COMMONWEALTH OR A CLAIM ON ANY

FUNDS OF THE COMMONWEALTH.

SECTION 7. REPORT.

(A) GENERAL RULE.--THE DEPARTMENT SHALL SUBMIT A WRITTEN

REPORT BY SEPTEMBER 30, 2015, AND EVERY FOUR MONTHS THEREAFTER,

TO THE FOLLOWING:

(1) THE GOVERNOR.

(2) THE CHAIRMAN AND MINORITY CHAIRMAN OF THE PUBLIC

HEALTH AND WELFARE COMMITTEE OF THE SENATE.

(3) THE CHAIRMAN AND MINORITY CHAIRMAN OF THE

APPROPRIATIONS COMMITTEE OF THE SENATE.

(4) THE CHAIRMAN AND MINORITY CHAIRMAN OF THE HEALTH

COMMITTEE OF THE HOUSE OF REPRESENTATIVES.

(5) THE CHAIRMAN AND MINORITY CHAIRMAN OF THE HUMAN

SERVICES COMMITTEE OF THE HOUSE OF REPRESENTATIVES.

(6) THE CHAIRMAN AND MINORITY CHAIRMAN OF THE

APPROPRIATIONS COMMITTEE OF THE HOUSE OF REPRESENTATIVES.

(7) THE DEPARTMENT'S MEDICAL ASSISTANCE ADVISORY

COMMITTEE.

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(B) POSTING OF REPORT.--THE REPORT SHALL BE POSTED ON THE

DEPARTMENT'S INTERNET WEBSITE IN AN ACCESSIBLE FORMAT.

FOLLOWING:

(1) THE TOTAL NUMBER AND AGE RANGES, INCLUDING UNDER 18

YEARS OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST FOR

HOME-BASED AND COMMUNITY-BASED SERVICES FOR INDIVIDUALS WITH

INTELLECTUAL DISABILITIES.

(2) THE NUMBER AND AGE RANGES, INCLUDING UNDER 18 YEARS

OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST FOR

HOME-BASED AND COMMUNITY-BASED SERVICES FOR INDIVIDUALS WITH

INTELLECTUAL DISABILITIES:

(I) WITH EMERGENCY NEEDS;

(II) WITH CRITICAL NEEDS; AND

(III) THE COMBINED NUMBER OF THOSE WITH EMERGENCY

NEEDS AND CRITICAL NEEDS.

(3) THE NUMBER OF INDIVIDUALS ADDED TO THE DEPARTMENT'S

WAITING LIST FOR HOME-BASED AND COMMUNITY-BASED SERVICES FOR

INDIVIDUALS WITH INTELLECTUAL DISABILITIES IN THE LAST FOUR

MONTHS AND THE REASONS THEY WERE ADDED TO THE WAITING LIST.

(4) THE NUMBER OF INDIVIDUALS REMOVED FROM THE

DEPARTMENT'S WAITING LIST FOR HOME-BASED AND COMMUNITY-BASED

SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES IN

THE LAST FOUR MONTHS AND THE REASONS THEY WERE REMOVED FROM

THE WAITING LIST.

(5) THE NUMBER OF MONTHS OR YEARS THAT INDIVIDUALS WITH

EMERGENCY NEEDS CURRENTLY ON THE DEPARTMENT'S WAITING LIST

FOR HOME-BASED AND COMMUNITY-BASED SERVICES FOR INDIVIDUALS

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WITH INTELLECTUAL DISABILITIES HAVE BEEN ON THE WAITING LIST.

(6) THE NUMBER OF MONTHS OR YEARS THAT INDIVIDUALS WITH

CRITICAL NEEDS CURRENTLY ON THE DEPARTMENT'S WAITING LIST FOR

HOME-BASED AND COMMUNITY-BASED SERVICES FOR INDIVIDUALS WITH

INTELLECTUAL DISABILITIES HAVE BEEN ON THE WAITING LIST.

(7) THE NUMBER AND AGE RANGES, INCLUDING UNDER 18 YEARS

OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST FOR

HOME-BASED AND COMMUNITY-BASED SERVICES FOR INDIVIDUALS WITH

INTELLECTUAL DISABILITIES WHO ARE IN:

(I) A STATE CENTER;

(II) A PRIVATE INTERMEDIATE CARE FACILITY FOR

INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) OR

PERSONS WITH OTHER RELATED CONDITIONS (ICF/ORC);

(III) A STATE HOSPITAL;

(IV) A PRIVATE PSYCHIATRIC HOSPITAL;

(V) A RESIDENTIAL TREATMENT FACILITY; OR

(VI) ANY OTHER PUBLIC OR PRIVATE FACILITY OR OTHER

INSTITUTIONAL SETTING.

(8) THE TOTAL NUMBER AND AGE RANGES, INCLUDING UNDER 18

YEARS OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST, OR

INTEREST LIST, FOR THE ADULT COMMUNITY AUTISM PROGRAM AND THE

ADULT AUTISM WAIVER.

(9) THE TOTAL NUMBER AND AGE RANGES, INCLUDING UNDER 18

YEARS OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST, OR

INTEREST LIST, FOR THE ADULT COMMUNITY AUTISM PROGRAM AND THE

ADULT AUTISM WAIVER:

(I) WITH EMERGENCY NEEDS;

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(II) WITH CRITICAL NEEDS; AND

(III) THE COMBINED NUMBER OF THOSE WITH EMERGENCY

NEEDS AND CRITICAL NEEDS.

(10) THE NUMBER OF INDIVIDUALS ADDED TO THE DEPARTMENT'S

WAITING LIST, OR INTEREST LIST, FOR THE ADULT COMMUNITY

AUTISM PROGRAM AND THE ADULT AUTISM WAIVER IN THE LAST FOUR

MONTHS AND THE REASONS THEY WERE ADDED TO THE WAITING LIST.

(11) THE NUMBER OF INDIVIDUALS REMOVED FROM THE

DEPARTMENT'S WAITING LIST, OR INTEREST LIST, FOR THE ADULT

COMMUNITY AUTISM PROGRAM AND THE ADULT AUTISM WAIVER IN THE

LAST FOUR MONTHS AND THE REASONS THEY WERE REMOVED FROM THE

WAITING LIST.

(12) THE NUMBER OF MONTHS OR YEARS THAT INDIVIDUALS WITH

EMERGENCY NEEDS CURRENTLY ON THE DEPARTMENT'S WAITING LIST,

OR INTEREST LIST, FOR THE ADULT COMMUNITY AUTISM PROGRAM AND

THE ADULT AUTISM WAIVER HAVE BEEN ON THE WAITING LIST.

(13) THE NUMBER OF MONTHS OR YEARS THAT INDIVIDUALS WITH

CRITICAL NEEDS CURRENTLY ON THE DEPARTMENT'S WAITING LIST, OR

INTEREST LIST, FOR THE ADULT COMMUNITY AUTISM PROGRAM AND THE

ADULT AUTISM WAIVER HAVE BEEN ON THE WAITING LIST.

(14) THE TOTAL NUMBER AND AGE RANGES, INCLUDING UNDER 18

YEARS OF AGE, AGES 18 TO 21 AND OVER 21 YEARS OF AGE, OF

INDIVIDUALS CURRENTLY ON THE DEPARTMENT'S WAITING LIST, OR

INTEREST LIST, FOR THE ADULT COMMUNITY AUTISM PROGRAM AND THE

ADULT AUTISM WAIVER WHO ARE IN:

(I) A STATE CENTER;

(II) A PRIVATE INTERMEDIATE CARE FACILITY FOR

INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) OR

PERSONS WITH OTHER RELATED CONDITIONS (ICF/ORC);

(III) A STATE HOSPITAL;

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(IV) A PRIVATE PSYCHIATRIC HOSPITAL;

(V) A RESIDENTIAL TREATMENT FACILITY; OR

(VI) ANY OTHER PUBLIC OR PRIVATE FACILITY OR OTHER

INSTITUTIONAL SETTING.

(15) THE ESTIMATED PER-PERSON COST TO SERVE AN ELIGIBLE

INDIVIDUAL ON THE WAITING LIST UNDER PARAGRAPH (1).

(16) THE ESTIMATED PER-PERSON COST TO SERVE AN ELIGIBLE

INDIVIDUAL ON THE WAITING LIST, OR INTEREST LIST, UNDER

PARAGRAPH (8).

(17) THE TOTAL ESTIMATED COST TO SERVE ALL ELIGIBLE

INDIVIDUALS ON THE WAITING LIST UNDER PARAGRAPH (1) AND THE

ESTIMATED COST TO SERVE ALL ELIGIBLE INDIVIDUALS IN EACH

CATEGORY LISTED UNDER PARAGRAPH (2).

(18) THE TOTAL ESTIMATED COST TO SERVE ALL ELIGIBLE

INDIVIDUALS ON THE WAITING LIST, OR INTEREST LIST, UNDER

PARAGRAPH (8) AND THE ESTIMATED COST TO SERVE ALL ELIGIBLE

INDIVIDUALS IN EACH CATEGORY LISTED UNDER PARAGRAPH (9).

Section 7 8. Effective date.

This act shall take effect in 60 days IMMEDIATELY.

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