The proposed bill, if enacted, would amend current statutes by appropriating a total of $50,000,000 from the state General Fund and $84,201,000 in Medicaid Expenditure Authority to the Department of Economic Security (DES) for reimbursement rate increases related to home and community-based services (HCBS) and room and board services for individuals with intellectual and developmental disabilities for fiscal years 2026 through 2030. Specifically, it would allocate $46,000,000 for HCBS and $4,000,000 for room and board services. Additionally, the bill mandates that DES must ensure each service receives a reimbursement rate increase and engage community stakeholders before implementing these increases.

Furthermore, the bill requires DES to report the increased provider rates to the Joint Legislative Budget Committee (JLBC) by September 1 each year and to implement these rates by October 1. It also directs DES to conduct a nationally recognized survey to gather data on the direct support professional workforce for HCBS, with findings reported to the JLBC after three years. The JLBC is tasked with reviewing this data to assess improvements in workforce metrics, and it may recommend withholding future appropriations if no improvements are observed. Lastly, the bill expresses the legislature's intent for these appropriations to be considered ongoing funding in subsequent years.