A BILL TO BE ENTITLED
AN ACT DIRECTING THE STATE AUDITOR TO PERFORM AN AUDIT OF THE COMMUNITY ALTERNATIVES PROGRAM FOR DISABLED ADULTS (cap/da) AND TO DIRECT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO CONTINUE ITS EXAMINATION OF CAP/DA AND REPORT TO THE NORTH CAROLINA STUDY COMMISSION ON AGING.
The General Assembly of North Carolina enacts:
SECTION 1.(a) The State Auditor shall perform an audit of the Community Alternatives Program for Disabled Adults (CAP/DA).  The audit shall build upon the results of the study conducted in accordance with S.L. 2002-126, Section 10.16(c), by the North Carolina Institute of Medicine and shall provide information necessary to determine whether CAP/DA is operating within waiver guidelines and program goals. The State Auditor shall report the results of the audit to the North Carolina Study Commission on Aging by January 1, 2004.
SECTION 1.(b)  There is appropriated to the Office of State Auditor the sum of one hundred fifty thousand dollars ($150,000) for the 2003-2004 fiscal year to fund the CAP/DA audit prescribed in this section.
SECTION 2.  The Department of Health and Human Services shall continue to examine CAP/DA and shall make a report of its findings to the North Carolina Study Commission on Aging by January 1, 2004.  The report shall include the following information:
(1)	A review of the current assessment process for CAP/DA clients, including an explanation of how assessments are conducted and a comparison of the assessment process for CAP/DA clients with the assessment process for nursing home and adult care home clients.
(2)	A description of total program costs to the State and counties for clients receiving CAP/DA payments and an analysis of per client costs in CAP/DA to per client costs in nursing homes and adult care homes.  This analysis shall include the costs of all forms of assistance received by CAP/DA clients, such as food stamps and housing assistance.
(3)	A description of the monitoring of quality of care for CAP/DA clients.
(4)	An evaluation of the current waiting list procedures.
SECTION 3.  This act becomes effective July 1, 2003.