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(30)(a) $71,000 of the general fund—state appropriation for 1 fiscal year 2024, $68,000 of the general fund—state appropriation for 2 fiscal year 2025, and $141,000 of the general fund—federal 3 appropriation are provided solely for the department to develop a 4 plan for implementing an enhanced behavior support specialty contract 5 for community residential supported living, state-operated living 6 alternative, or a group training home to provide intensive behavioral 7 services and support to adults with intellectual and developmental 8 disabilities who require enhanced services and support due to 9 challenging behaviors that cannot be safely and holistically managed 10 in an exclusively community setting, and who are at risk of 11 institutionalization or out-of-state placement, or are transitioning 12 to the community from an intermediate care facility, hospital, or 13 other state-operated residential facility. The enhanced behavior 14 support specialty contract shall be designed to ensure that enhanced 15 behavior support specialty settings serve a maximum capacity of four 16 clients and that they have the adequate levels of staffing to provide 17 24-hour nonmedical care and supervision of residents. 18 (b) No later than June 30, 2025, the department must submit to 19 the governor and the appropriate committees of the legislature a 20 report that includes: 21 (i) A detailed description of the design of the enhanced behavior 22 support specialty contract and setting, including a description of 23 and the rationale for the number of staff required within each 24 behavior support specialty setting and the necessary qualifications 25 of these staff; 26 (ii) A detailed description of and the rationale for the number 27 of department staff required to manage the enhanced behavior support 28 specialty program; 29 (iii) A plan for implementing the enhanced behavior support 30 specialty contracts that includes: 31 (A) An analysis of areas of the state where enhanced behavior 32 support specialty settings are needed, including recommendations for 33 how to phase in the enhanced behavior support specialty settings in 34 these areas; and 35 (B) An analysis of the sufficiency of the provider network to 36 support a phase in of the enhanced behavior support specialty 37 settings, including recommendations for how to further develop this 38 network; and 39 p. 189 ESSB 5187.SL