This bill amends existing legislation regarding the waiver reimagine program for home and community-based services in Minnesota. It mandates the implementation of a two-home and community-based services waiver program structure by the commissioner of human services, effective January 1, 2027, or upon federal approval. A significant change introduced in the bill is the requirement that the individualized budget methodology must be based solely on the assessed needs of individuals, rather than their living situation. Additionally, the bill outlines the criteria for budget exceptions to support access to self-directed home care nursing services, which must be ordered by a qualified medical professional.

Furthermore, the bill emphasizes the importance of ensuring that the new waiver service menu and individual budgets facilitate individuals' ability to live in their preferred home and community-based settings. It also requires the development of an online support planning and tracking tool by July 1, 2026, to provide accessible information about available budgets and services for individuals using disability waiver services. The bill includes provisions for seeking federal authority necessary for implementation and ensures that the changes do not lead to unintended service disruptions. The effective date of the new provisions is the day following final enactment.