AN ACT to direct the department of health and human services to review the CAP/DA program In response to issues identified in the medicaid institutional bias study, as recommended by the study commission on aging.

The General Assembly of North Carolina enacts:

SECTION 1.  The Department of Health and Human Services shall examine the Community Alternatives Program for Disabled Adults (CAP/DA) in response to issues identified in the Medicaid Institutional Bias Study. The Department shall make an interim report of its findings to the North Carolina Study Commission on Aging on or before August 30, 2006, and shall submit its final report to the North Carolina Study Commission on Aging on or before August 30, 2007.   The report shall include actions taken and planned by the Department in response to each bias identified in the study and shall include the following information:
(1)	Information on the utilization of CAP/DA slots, including a history of slots used per year over the last 10 years and the anticipated need during the next 10 years.
(2)	A description of the CAP/DA slot allocation formula; and a breakdown of slots by county, including the reallocation of any unused slots.
(3)	Strategies to ensure that the CAP/DA waiting list is managed as efficiently as possible, including consideration of whether there should be an expiration date tied to unused slots so that they may be reallocated in a timely manner to areas with waiting lists.
(4)	Implementation of a uniform screening/assessment tool and other strategies to ensure maximum operation efficiency and effectiveness for those individuals qualifying for CAP/DA services. This should include information on whether the lists should be prioritized by risk of institutionalization.
SECTION 2.  This act is effective when it becomes law.  
In the General Assembly read three times and ratified this the 6th day of July, 2006.

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		 Beverly E. Perdue
	 President of the Senate

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		 James B. Black
	 Speaker of the House of Representatives

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		 Michael F. Easley
	 Governor

Approved __________.m. this ______________ day of ___________________, 2006