The proposed legislation, General Assembly Substitute Bill No. 5353, aims to enhance data transparency for self-directed home care programs funded by Medicaid. Effective July 1, 2026, the bill defines key terms such as "self-directed home care programs," "consumer," "personal care attendants," and "fiscal intermediary." It mandates that the Commissioner of Social Services submit quarterly reports to relevant legislative committees, detailing various metrics related to the fiscal intermediary's performance. These reports will include audited financial statements, personal care attendant timesheet data, customer service metrics, and penalties incurred for contract violations.

The bill specifies that the reports must cover a range of performance indicators, including the number of timesheets submitted and processed, payroll error rates, customer service response times, and the volume of communications received from consumers and personal care attendants. The legislation emphasizes accountability by requiring the fiscal intermediary to report on penalties levied for failing to meet contractual obligations. Overall, this act seeks to improve oversight and transparency in the management of self-directed home care programs, ensuring better service delivery for consumers.