summary
Introduced
01/08/2026
01/08/2026
In Committee
02/18/2026
02/18/2026
Crossed Over
01/29/2026
01/29/2026
Passed
02/25/2026
02/25/2026
Dead
Introduced Session
2026 Regular Session
Bill Summary
FSSA fiscal matters. Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Creates an exemption for presumptive eligibility standards. Provides reimbursement exemptions under certain Medicaid programs when operating under a value based health care reimbursement agreement. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Provides that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.
AI Summary
This bill makes several changes related to fiscal matters for the Office of the Secretary of Family and Social Services (FSSA), particularly concerning home and community-based services waivers, which are programs designed to provide care outside of institutional settings. Key provisions include requiring waiver service providers to give recipients documentation of services, with recipients needing to review it for errors and their case managers assisting them in this process. The bill also establishes a timeframe for the Bureau of Disabilities Services to approve or deny requests for increased service units for individuals with disabilities, creates an exemption for presumptive eligibility standards (a process to quickly determine if someone is likely eligible for Medicaid), and provides reimbursement exemptions under certain Medicaid programs when using value-based healthcare agreements, which focus on quality of care over quantity. Additionally, a provision prohibiting the FSSA from reducing reimbursement for home health services will expire on June 30, 2027, and the FSSA is required to collaborate with relevant entities to develop a new reimbursement method for these services. The public notice period required before changing health facility service reimbursements that would reduce payments is shortened from one year to six months. Finally, claims by the estate recovery unit, which seeks to recoup Medicaid costs from a deceased person's estate, must now be filed in court within nine months of the decedent's death, rather than 120 days, to avoid being permanently barred.
Committee Categories
Budget and Finance
Sponsors (5)
Last Action
Senate advisors appointed: Garten, Niezgodski (on 02/25/2026)
Official Document
bill text
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