Senate Bill No. 491
(By Senator Oliverio)
[Introduced February 19, 1996; referred to the Committee
Education; and then to the Committee on Finance.]
A BILL to amend chapter eighteen of the code of West Virginia,
one thousand nine hundred thirty-one, as amended, by adding
thereto a new article, designated article ten-j, relating to
creation of the personal assistance act; short title;
legislative policy; establishment of program; designating
the state board of education as agency responsible for
program; demonstration projects; rules; and reports.
Be it enacted by the Legislature of West Virginia:
That chapter eighteen of the code of West Virginia, one
thousand nine hundred thirty-one, as amended, be amended by
adding thereto a new article, designated article ten-j, to read
ARTICLE 10J. PERSONAL ASSISTANCE ACT.
§18-10J-1. Short title.
This article shall be known and may be cited as the
"Personal Assistance Services Act."
§18-10J-2. Declaration of policy.
It is hereby declared to be the public policy of this state
(a) The increased availability of personal assistance
services for adults will enable them to live in their own homes
(b) Priority recipients of personal assistance will be
those with severe disabilities, including mental and/or physical
impairments, and who are in danger of being moved from the living
arrangement of their choice to a restrictive setting;
(c) Recipients of personal assistance have the right to
make decisions about, direct the provision of and control their
personal assistant services. This includes, but is not limited
to, hiring, training, managing, paying and firing of an
(d) Any program receiving the allotted funds must have
within its framework the following five basic principles:
(1) Services are available where they are needed, either at
home or in the community;
(2) Services are available when they are needed, twenty-
four hours a day, seven days a week, as scheduled or needed in an
(3) People contribute to the cost of services based on
their ability to pay;
(4) Consumers choose how, when and by whom services are
(5) Eligibility is based on functional needs rather than on
a medical diagnosis.
(e) Subject to available funds, other personal assistance
projects will be developed to increase the availability of
services throughout the state to serve eligible individuals.
The following words and phrases when used in this article
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
(a) "Personal assistance services" means:
(1) Those basic and ancillary services which enable
eligible individuals to live in their homes and communities rather than in institutions and to carry out functions of daily
living, self-care, and mobility;
(2) Basic services shall include, but not be limited to:
(A) Getting in and out of a bed, wheelchair and/or motor
(B) Assistance with routine bodily functions, including,
but not limited to:
(i) Health maintenance activities;
(ii) Bathing and personal hygiene;
(iii) Dressing and grooming; and
(iv) Feeding, including preparation and cleanup.
(b) "Designated agency" means that the personal assistance
services program will be administered and overseen by a
centrally located independent living center within West Virginia.
The state board of education is hereby determined to be the
designated agency and shall be advised by a consumer board,
composed of individuals receiving personal assistance services
and others with disabilities.
(c) "Eligible individual" means any physically or mentally
disabled person eighteen years of age or older who meets all of
the following requirements: "Eligible individual" may also be referred to hereafter as a "consumer" who:
(1) Experiences any physical and/or mental impairment which
can be expected to recur or last for a period of not less than
twelve months as determined by the evaluation conducted by both
medical examination and functional assessment. The designated
agency has the responsibility of determining eligibility based on
the findings of these assessments;
(2) Is capable of selecting, supervising and, if needed,
firing an attendant. If needed, support shall be provided by the
(3) Is capable of managing his own financial and legal
affairs with or without the support of a designated agency;
(4) Because of physical or mental impairment, requires
assistance to complete functions of daily living, self-care and
mobility, including, but not limited to, those functions included
in the definition of personal assistance services.
(d) "Personal assistant" means an individual of the
consumer's choice who provides attendant care services for the
(a) Establishment. -- The designated agency shall establish and develop under this article programs of personal assistance
services for eligible individuals.
(b) Solicitation of proposals. -- The designated agency
shall solicit proposals to provide personal assistance services
under this article. Providers shall submit proposals in the form
and manner required by the designated agency.
(c) Proposal selection criteria. -- Proposals shall be
selected based on service priorities developed by the designated
agency; however, priority shall be given to proposals that will
serve the severely disabled and those at greatest risk of being
institutionalized as defined by the designated agency.
(d) Agreements with providers. -- In order to provide
personal assistance services, the designated agency may enter
into agreements with providers. Each agreement shall include, at
minimum, the number of consumers to be served, the types of
personal assistance services to be provided, the cost of
services, the method of payment, and the criteria to be used for
evaluating the provision of services.
(e) Participation of eligible individuals. -- Providers,
where appropriate, shall include consumers in the planning,
startup, delivery and administration of personal assistance services and training to the maximum extent.
(f) Consumer assessment reports. -- Determination of
eligibility and the need for personal assistance services shall
be supported by consumer assessment reports which will be
developed by the designated agency.
(g) Weekly hours of service. -- Each personal attendant
will work approximately twenty hours a week, or as needed, not to
exceed forty hours.
(h) Waiting list. -- The designated agency and providers
shall develop a waiting list, by service priority, for those
eligible individuals who cannot be served immediately.
(i) Individuals currently found on the waiting list of the
elderly and disabled and MR/DD Waiver will be given preference to
be included in the services provided by this or any other
(a) Use of funds. -- Funds made available under this
article shall be used only for the planning, designing,
delivering and administering of personal assistance services and
training of personal attendants.
(b) Program moneys. -- Programs for personal assistance services, under this article, shall use program funds from a
number of sources, including state and federal funds, program
fees and other allotted moneys. The designated agency shall
apply for and use all available funding sources to carry out a
program of personal assistance services under this article.
(c) Program fee schedule. -- The designated agency shall
develop, wherever practical, a sliding fee schedule for personal
attendant services for eligible consumers.
(d) Disbursement of funds. -- Funds shall be disbursed in
a manner which ensures a maximum consumer control with the
service of the program.
(e) Availability of services. -- Personal assistance
services shall be available only to the extent that they are
funded through annual appropriations of state and federal funds,
program fees, and other allotted moneys.
§18-10J-6. Demonstration projects.
The designated agency may initiate further demonstration
projects as funding becomes available. Funding may be derived
from a variety of sources, which may include, but not be limited
to, state and federal appropriations, program fees, and other
allotted moneys. These funds may be used to test new ways of providing personal assistance services, as well as conduct
specific research into ways to best provide personal assistance
services within the state of West Virginia.
The designated agency, as directed by consumers, shall
promulgate such rules as may be necessary for the effective
administration of any programs of personal assistance services
under this article.
The designated agency will appoint a consumer board to
oversee the project on an ongoing basis. One year after the
initiation of the demonstration project, the consumer board will
report to those legislative committees having jurisdiction over
appropriations and over human resource services. This report
shall include at least the following information regarding
personal assistance services:
(a) A summary of the personal assistance services provided
under this article, including, but not limited to, a description
of service model(s) utilized, cost by service model(s), unit of
service per consumer and consumer demographics.
(b) Recommendations regarding the direction of funding for the demonstration project(s) for upcoming fiscal years.
NOTE: The purpose of this bill is to create the "Personal
Assistance Services Act" to be administered by the State Board of
Education to provide those basic and ancillary services which
enable eligible individuals with severe disabilities, including
mental and physical impairments to live in their homes and
communities rather than in institutions and to carry out
functions of daily living, self-care, and mobility.
Article 10J is new; therefore, strike-throughs and
underscoring have been omitted.