The bill outlines the establishment of an implementation plan by the Executive Office of Health and Human Services to ensure the long-term sustainability and cost containment of the Personal Care Attendant (PCA) program. This plan will include a detailed description of actions taken and future actions needed to implement recommendations from previous reports, anticipated savings, a timeline for implementation, and any necessary changes to the program. The plan is required to be submitted to the Secretary of Administration and Finance and the House and Senate Committees on Ways and Means by January 1, 2026. Additionally, an update on the progress of these implementations is due by March 7, 2026.

The PCA Working Group has made several recommendations aimed at improving the program, including enforcing an overtime cap, addressing fraudulent activities, and eliminating unnecessary paperwork for certain members. The bill also includes specific recommendations from reports submitted on February 28, 2025, and November 28, 2025, which suggest reducing the overtime cap from 66 to 60 hours and establishing a limit for meal preparation support. The bill emphasizes the importance of reconvening the PCA Working Group to identify further savings and ensure compliance with budgetary constraints.