The General Assembly Raised Bill No. 5353 aims to enhance data transparency for self-directed home care programs funded by Medicaid. Effective July 1, 2026, the bill mandates the Commissioner of Social Services to submit quarterly reports to relevant legislative committees. These reports will include detailed information such as audited financial statements of the fiscal intermediary, personal care attendant timesheet reports, customer service metrics, and penalties levied against the fiscal intermediary for contract violations. The bill defines key terms related to self-directed home care programs, including "consumer," "personal care attendant," and "fiscal intermediary."

The legislation emphasizes accountability by requiring the fiscal intermediary to report on various performance metrics, including timesheet processing and customer service response times. The intent is to ensure that consumers and personal care attendants receive timely and effective services while holding the fiscal intermediary accountable for any contractual shortcomings. The bill does not propose any deletions from existing law but introduces new legal language to establish these reporting requirements.