The proposed bill would update current statutes related to the developmental disabilities Medicaid program by introducing new funding appropriations and implementing an electronic visit verification system. Specifically, it would allocate $122,300,300 from the Prescription Drug Rebate Fund and $403,000,000 in Medicaid Expenditure Authority for FY 2025. The bill would also establish new billing restrictions for parent caregivers, prohibiting them from charging for services when the child is not present or for tasks typically performed by a parent of a child without disabilities. Additionally, it mandates regular reporting to the Joint Legislative Budget Committee (JLBC) on the use of services under the Parents as Paid Caregivers Program (PPCG) and requires legislative authorization for any proposed changes to the Medicaid program that expand eligibility or services.

Moreover, the bill would introduce several new definitions and requirements, including the implementation of a standardized assessment tool for extraordinary care needs and limitations on the hours parents can provide care. It would cap care services at 40 hours per week per child starting June 30, 2025, and require parents to be state residents for at least six months to qualify as caregivers. The bill also outlines the process for submitting new amendment proposals for demonstration waivers, ensuring legislative oversight, and mandates a special audit of the PPCG with findings due by August 1, 2026. Overall, these updates aim to enhance accountability, oversight, and the quality of care provided under the PPCG.

Statutes affected:
Introduced Version: 36-2901.06, 41-723, 36-3312
Senate Engrossed Version: 41-723, 36-2970.02, 36-3311, 36-3312