Bill > HB1053

This bill clarifies the conditions under which a parent, family member, or legal guardian can provide self-directed services for a recipient through the Developmental Disabilities Administration (DDA). Specifically, the bill modifies existing law to add a third requirement for such service provision: the services must be authorized by a waiver approved by the Centers for Medicare and Medicaid Services (CMS). Under the updated provisions, a parent or other authorized individual can provide services if the recipient (or their authorized decision-maker) chooses them to do so and the recipient also hires a support broker. The support broker helps manage and coordinate the self-directed services. The new requirements aim to provide more flexibility for individuals with developmental disabilities and their families while maintaining oversight through the support broker and CMS waiver approval. The bill is set to take effect on October 1, 2025, giving state agencies and service providers time to prepare for the implementation of these changes.

Budget and Finance, Health and Social Services

https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1053?ys=2025RS