The proposed bill, titled the "Senior Care Facility Access and Stabilization Act," aims to establish new procedures for calculating room and board costs for assisted living facility services in Montana. It mandates that the Department of Public Health and Human Services (DPHHS) annually adjust the payment amounts for individuals enrolled in the Montana Medicaid program, ensuring that these payments align with their supplemental security income or countable gross income, minus allowances for personal needs. Additionally, the bill requires DPHHS to apply for necessary waivers and amendments to transition Medicaid-covered assisted living services from the Big Sky Waiver Program to the Community First Choice Option Program, with the intent to transfer funding accordingly.

The bill also includes reporting requirements for DPHHS to provide quarterly updates on the number of individuals served, waiting lists, provider participation, expenditures, and service utilization rates for both the Big Sky Waiver and Community First Choice Option programs. Notably, the bill introduces a provision for contingent voidness, stating that if the Centers for Medicare and Medicaid Services do not approve the necessary changes, certain sections of the bill will become void. The effective date of the act is set for July 1, 2025.