House Bill No. 6487 mandates that the Auditors of Public Accounts, in collaboration with the Office of Policy and Management, conduct a comprehensive review of the funding structure for residential and day programs provided to individuals with intellectual disabilities. This review will focus on clients of the Department of Developmental Services who receive twenty-four-hour residential services, both from public and private providers. The auditors and the secretary will compare costs between private and state providers, assess the quality of care in various residential settings, and recommend a cost-effective, quality-driven system for delivering these services. A report detailing the findings of this review is required to be submitted to the relevant legislative committee by February 15, 2026.

The bill introduces new legal language, specifically stating that the review will include an examination of costs based on clients' levels of need and the quality of care in sampled residential settings. It also establishes a new section in the law effective from the date of passage. The fiscal impact of the bill is estimated to require a one-time cost of $50,000 to $100,000 in FY 26 for the Auditors of Public Accounts to hire a consultant to assist with the review and report production. There are no anticipated municipal impacts associated with this bill.