HB4209 HH&HR AM                                           NT

    The Committee on Health and Human Resources moves to amend the bill on page two, section one, line three, following the word “authorized”, by striking out the period and inserting a comma and the following:

“with the amendment set forth below:

    On page one, subsection 1.4, line 6, by striking out the words ‘July 1, 2012’ and inserting in lieu thereof the words ‘This rule is effective upon the date specified in an emergency rule promulgated by the Department of Health and Human Resources as being the date funding for implementation of the Child Care Quality Rating and Improvement System will become available pursuant to a duly enacted appropriation bill authorizing the expenditure of funds for that purpose.


    On page one, beginning on line 13, by striking out subsection 2.3 in its entirety and inserting in lieu thereof a new subsection 2.3, to read as follows:

    ‘2.3 Pursuant to Chapter §49-2E-4, no provision of this rule may be construed to require implementation of a quality rating and improvement system unless funds are appropriated therefor. The “Quality Rating and Improvement System Cost Implementation Study” dated July 31, 2011, prepared and published by the Marshall University Center for Business and Economic Research for the Department of Health and Human Resources and accessible on-line at

http://www.marshall.edu/cber/research/QualityRatingImprovementSystemFINAL.pdf, is the financial plan submitted by the Secretary of the Department of Health and Human Resources pursuant to Chapter §49-2E-3, and is hereby attached by reference and incorporated into this rule as if fully set forth herein. The financial plan prioritizes the components of the system for implementation and provides for gradual implementation over a period of several years in the event that funding is not sufficient to implement all requirements in code.’”