,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cbbj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #ba1  
#bjbj,mr4 ,portman introduced the       
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to clarify that  
the provision of home and               
community-based services is not         
prohibited in an acute care hospital1   
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,ensuring ,access to ,direct ,support   
,professionals ,act4  #b4 ,providing    
home and community-based services in    
acute care hospitals ,section #aijb7;h7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acif;a7h77 is amended--  7#a7
 by inserting 7#a7 after 7h72  7#b7 by  
inserting 1 home and community-based    
services provided under subsection 7c71 
7d71 or 7i7 of section #aiae or under a 
waiver under section #aaae1             
self-directed personal assistance       

services provided pursuant to a written 
plan of care under section #aiae7;j71   
and home and community-based attendant  
services and supports under section     
#aiae7k7 before the period2 and  7#c7 by
 adding at the end the following3  7#b7 
,nothing in this title1 title ,,xviii1  
or title ,,xi shall be construed as     
prohibiting receipt of any care or      
services specified in paragraph 7#a7 in 
an acute care hospital that are--  7,a7 
identified in an individual's           
person-centered plan of services and    
supports 7or comparable plan of care72  
7,b7 provided to meet needs of the      
individual that are not met through the 
provision of hospital services2  7,c7   
not a substitute for services that the  
hospital is obligated to provide through
 its conditions of participation or     
under ,federal or ,state law2 and  7,d7 
designed to ensure smooth transitions   
between acute care settings and home and
 community-based settings1 and to       
preserve the individual's functions4  4