The bill amends Chapter 22, Title 56 of the Idaho Code by adding a new section, 56-2208, which establishes legislative approval for certain state plan amendments and waivers related to family personal care services. It authorizes the Department of Health and Welfare to submit necessary state plan and waiver authorities to the Centers for Medicare and Medicaid Services, allowing legally responsible individuals to provide personal care services. The bill specifies that these services are limited to 25 hours per week, subject to oversight by the department, and clarifies that individuals requiring more than 25 hours can receive additional care from non-legally responsible individuals.

Additionally, the bill sets a cap on the number of legally responsible individuals providing personal care services at any one time, not to exceed 1,000. It also grants the Department of Health and Welfare the authority to create rules, pending legislative approval, for managing a waitlist and implementing the provisions of this section. The bill declares an emergency, ensuring it takes effect immediately upon passage and approval.