House Bill No. introduced by M. Caferro aims to create the "Senior and Long-Term Care Home and Community-Based Services Access and Stabilization Act." The bill mandates the Department of Public Health and Human Services to pursue the Community First Choice Option program for assisted living services, utilizing the savings generated to assist individuals on the waiting list for the Big Sky Waiver program. It establishes new procedures for calculating room and board costs for assisted living facility services, requiring annual adjustments based on individuals' income and providing a $200 allowance for personal needs. The bill also includes reporting requirements for the department to track the number of individuals served and those on waiting lists.

Additionally, the bill appropriates $56,000 for the fiscal year ending June 30, 2026, to support a contracted staff person responsible for drafting necessary waivers and updating administrative rules. It includes a transition provision for adjusting room and board payment levels starting January 1, 2026, and a contingent voidness clause that nullifies the bill's provisions if the Centers for Medicare and Medicaid Services deny the state plan amendment for assisted living services. The act is set to take effect on July 1, 2025.