Bill > SB657

This bill amends the Human Services Code to provide more flexibility and choice in home- and community-based waiver services. Specifically, the bill requires the state department to develop regulations that maximize the types of settings where individuals can receive residential, day programming, adult day care, and vocational services, while prioritizing individual choice in selecting those settings. The bill prohibits the department from imposing additional requirements on service settings beyond those mandated by federal law under the Medicare and Medicaid statutes, and prevents the department from excluding settings from waiver funding based solely on location, service type, size, or number of individuals served. Within 180 days of the bill's effective date, the department must update its existing rules and regulations to align with these new provisions, including specific sections related to service location size and locality. The bill also requires the department to submit amendments to the State plan and home- and community-based waivers to ensure compliance with these new requirements. The legislation will take effect 60 days after its passage, aiming to provide more options and autonomy for individuals receiving home and community-based services.

Government Affairs

https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=S&type=B&bn=657