This bill amends existing legislation related to the Waiver Reimagine Phase II program, which is set to be implemented by the Minnesota Commissioner of Human Services on January 1, 2027, or upon federal approval. Key provisions include the establishment of a limit on individual authorized budget reductions, stipulating that no recipient's budget can be reduced by more than ten percent unless a decrease in need is documented in their MnCHOICES assessment. Additionally, the bill mandates that the commissioner must incorporate a cost-of-living adjustment into the budget methodology for all waiver recipients.

Further, the bill outlines specific criteria for budget exceptions to support access to self-directed home care nursing services, ensuring that these services are ordered by qualified medical professionals. It also emphasizes the importance of developing an online support planning and tracking tool to enhance accessibility and informed choice for individuals using disability waiver services. The commissioner is tasked with ensuring that the new waiver service menu and individual budgets facilitate living in preferred home and community-based settings while preventing unintended service disruptions.