The bill establishes a new mandate for the Personal Care Attendant (PCA) Working Group, as authorized under Section 111 of the FY2026 Final Budget. The group is responsible for developing recommendations to ensure the long-term sustainability of the PCA program, with a focus on managing cost growth. These recommendations, which include reducing the overtime cap from 66 to 60 hours and setting a 7-hour limit for meal preparation support, are to be submitted to the Secretary of Administration and Finance and the House and Senate Committees on Ways and Means by November 28, 2025. The group has reached consensus on various cost-saving measures, including capping Independent Activities of Daily Living (IADL) hours to align with Activities of Daily Living (ADL) hours and potentially eliminating overtime pay.

The bill also introduces several provisions aimed at curbing the rising costs of the PCA program, which has seen expenditures increase from $1.2 billion in SFY20 to an estimated $1.6 billion in SFY24. Key changes include establishing a cap on average weekly hours for PCA services and implementing a cap on overtime hours, which could yield savings between $6.7 million and $23.5 million. Additionally, the legislation anticipates annual savings of $89 million from both Fee-for-Service (FFS) and Integrated Care (IC) by addressing IADL support for members living with their PCA. Overall, the bill reflects a strategic approach to managing the financial implications of the PCA program's growth while ensuring that essential services remain available to consumers.