The proposed bill, if enacted, would amend current statutes by appropriating a total of $46,000,000 from the state General Fund and $84,201,000 in Medicaid Expenditure Authority for each fiscal year from 2027 through 2031 to the Department of Economic Security (DES) for reimbursement rate increases for home and community-based services (HCBS) for individuals with intellectual and developmental disabilities. Additionally, it would allocate $4,000,000 from the state General Fund in the same fiscal years specifically for room and board services for these individuals. The bill mandates that DES provide reimbursement rate increases for all HCBS 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 and report findings to the JLBC after three years of data collection. The JLBC is tasked with reviewing this data to assess improvements in workforce metrics, with the authority to 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.