The bill establishes a Personal Care Attendant (PCA) Working Group under Chapter 140 of the Acts of 2024, which is tasked with reviewing the PCA program's scope of services and eligibility criteria. This group will include stakeholders from health and human services, labor unions, and advocacy organizations, and is required to evaluate program oversight, workforce supply, cost growth, and structural changes related to pre-admission counseling and care coordination. The working group has already identified three consensus recommendations aimed at reducing PCA program spending by approximately $7.4 million, including enforcing an overtime cap, addressing fraudulent activities, and eliminating unnecessary paperwork for certain members. A report with further recommendations is due by March 7, 2025.

The bill emphasizes the importance of the PCA program in supporting individuals with disabilities and aging adults, advocating for its sustainability and cost-effectiveness compared to institutional care models. It calls for the implementation of efficiency, quality, and transparency standards to improve service delivery and stresses the need for collaboration among stakeholders to develop targeted reforms. Key recommendations include enforcing a cap on PCA overtime at 66 hours and discussing the establishment of an Activities of Daily Living (ADL) hours requirement for program participation. The bill expresses concern over proposed spending growth caps that may not be suitable for the unique needs of the PCA program and underscores the importance of maintaining competitive wages for PCA workers while ensuring that changes do not disproportionately affect vulnerable populations.