House Bill No. 5252 mandates the Auditors of Public Accounts, in collaboration with the Office of Policy and Management, to conduct a comprehensive review of the funding system for residential and day programs for individuals with intellectual disabilities who receive 24-hour residential services. The review will include a comparison of costs between private and state providers, an examination of costs based on clients' levels of need, an assessment of the quality of care in various residential settings, and recommendations for a cost-effective, quality-driven system. The findings are to be reported to the General Assembly's government oversight committee by February 15, 2027.

The bill introduces new legal language that establishes this review process and specifies the responsibilities of the auditors and the secretary. It also outlines the expected fiscal impact, estimating a one-time cost to the state of $50,000 to $100,000 in FY 27 for hiring a consultant to assist with the review. There are no deletions from current law noted in the text of the bill.