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 for home and community-based services (HCBS) and room and board services for individuals with intellectual and developmental disabilities over the fiscal years 2026 through 2030. Specifically, it would allocate $46,000,000 for HCBS and $4,000,000 for room and board services each fiscal year. Additionally, the bill mandates that DES engage with community stakeholders before implementing any rate increases and requires the department to report these increases to the Joint Legislative Budget Committee (JLBC) by September 1 each year.

Furthermore, the bill introduces new requirements for DES to conduct a nationally recognized survey of the direct support professional workforce for HCBS, collecting data on employment metrics and reporting findings to the JLBC after three years. The JLBC is tasked with reviewing this data to assess improvements in workforce conditions, with the authority to recommend withholding future appropriations if no improvements are observed. The bill also expresses the legislature's intent for these appropriations to be considered ongoing funding in subsequent years.