Bill > SF1127

This bill, named the Damon Leivestad Direct Care Sustainability Act, makes several significant changes to medical assistance and community first services and supports (CFSS) in Minnesota. The bill eliminates medical assistance asset limits for former recipients of medical assistance for employed persons with disabilities who are 65 and older, and removes medical assistance premiums for employed persons with disabilities. It establishes a new enhanced rate structure for CFSS, with different rate increases based on the number of hours of service per day (ranging from 7.5% to 17.5%) and for services provided by specific healthcare professionals (25% increase), during weekends (10% increase), and overnight (10% increase). The bill requires that these additional revenues be used specifically for support workers' wages and related costs. The legislation also modifies payment rate calculations for CFSS, introduces a worker retention component that increases rates based on cumulative hours worked, and seeks to allow CFSS reimbursement during acute care hospital stays under certain conditions. Most provisions are set to take effect on January 1, 2026, or upon federal approval, with the goal of improving support and compensation for direct care workers while maintaining flexibility for individuals with disabilities.

Government Affairs

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF1127&ssn=0&y=2025