summary
Introduced
12/01/2025
12/01/2025
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Medicaid matters. Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Sets forth requirements for conducting an audit of a provider of waiver services. Requires: (1) a waiver recipient to review the recipient's monthly statement and report errors or inconsistencies; and (2) the recipient's case manager to provide assistance to the recipient in reviewing the statements and reporting any errors. Establishes the home and community based services waiver waiting list assistance fund (fund) to provide individuals on a waiver waiting list with access to certain supports. Provides that when the office determines an individual is ineligible for Medicaid, the office shall provide the specific reason for determining the individual is ineligible. Requires the office to review certain bank accounts in determining an individual's Medicaid eligibility. Requires a provider of waiver services to provide a recipient and the recipient's care coordinator with certain billing statements. Provides that appropriations in the budget bill for Medicaid assistance that are budgeted for a waiver that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall be deposited in the fund. Provides that, for the state fiscal year beginning July 1, 2026, and ending June 30, 2027, appropriations in the budget bill for Medicaid assistance in an amount sufficient to cover costs incurred by the office in carrying out specified duties that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall remain available to the office to cover these costs.
AI Summary
This bill, titled "Medicaid matters," aims to improve the administration and transparency of home and community-based services (HCBS) waivers, which are programs funded by Medicaid to provide support for individuals to live in their own homes rather than in institutions. Key provisions include requiring recipients of these waiver services to review their monthly statements for errors and report any inconsistencies, and mandating that providers of these services furnish recipients and their care coordinators with specific billing statements. The bill also establishes a new fund, the "home and community based services waiver waiting list assistance fund," to support individuals on waiting lists for these services with various needs like training, assistive technology, and short-term stabilization to prevent institutionalization. Furthermore, when an individual is found ineligible for Medicaid, the office of the secretary of family and social services must provide the specific reason for that determination, and any unspent appropriations for HCBS waivers that would normally revert to the state's general fund will instead be deposited into this new assistance fund, ensuring these funds remain dedicated to supporting waiver services.
Committee Categories
Health and Social Services
Sponsors (4)
Last Action
Recommitted to Committee on Ways and Means pursuant to House Rule 126.3 (on 01/13/2026)
Official Document
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