The proposed bill seeks the Council's approval for a contract with Liberty Healthcare Corporation, valued at a maximum of $1,490,974.42, to provide Long Term Care Support Services from November 17, 2024, through January 31, 2025. The services will include intake, assessment of programmatic eligibility, determination of care levels, and referrals to home and community-based services, with the aim of enhancing the quality and integrity of the assessment process while minimizing fraud, waste, and abuse. The contract is structured as an Indefinite Delivery Indefinite Quantity (IDIQ) agreement and includes a subcontracting plan that allocates 35% of the total contract amount to subcontractors. The Department of Health Care Finance has confirmed that the necessary funding is available within the District's budget for Fiscal Year 2025.

Additionally, the bill outlines various reforms to the delivery of Home and Community-Based Long Term Services and Supports (LTSS) through the DC Medicaid program, establishing requirements for contractors involved in the LTSS assessment process. It emphasizes the importance of quality improvement and integrity in service delivery, mandating the establishment of a Quality Improvement and Program Integrity plan. The bill also introduces provisions related to the hiring of District residents, compliance with wage determinations, and protections for pregnant workers and unemployed individuals, notably deleting the previous Article 35 regarding the 51% District Residents New Hires Requirements and replacing it with updated language emphasizing the necessity of a First Source Employment Agreement for contracts valued at $300,000 or more. Overall, the legislation aims to promote local employment, support small businesses, and ensure fair hiring practices while holding contractors accountable for their commitments.