This bill modifies the structure and responsibilities of the county-state finance commission by updating its membership and duties. Key changes include the addition of the phrase "or designee" after the commissioner of the department of health and human services, and a shift in terminology from "elderly and adult services" to "long term supports and services." The bill also clarifies the terms of service for appointed members, stating they will serve for a term of two years and continue until their successors are appointed, replacing the previous provision that included initial one-year terms for some members. Additionally, it revises the composition of legislative members on the commission, specifying that one member must be a representative from the house finance committee and another must be a member of the house of representatives.

Furthermore, the bill outlines the commission's duties, emphasizing its role in overseeing the financial relationship between county and state governments regarding shared funding obligations. It mandates the commission to review and recommend changes to the state's long-term care Medicaid plan, rate setting for long-term care services, and county billing systems. The commission is also tasked with exploring funding options and managing individual county payment limits, ensuring that these limits do not affect the overall county obligations. The act is set to take effect 60 days after its passage, with an approval date of April 22, 2026, and an effective date of June 21, 2026.

Statutes affected:
Introduced: 28-B:1, 28-B:3
Version adopted by both bodies: 28-B:1, 28-B:3
CHAPTERED FINAL VERSION: 28-B:1, 28-B:3
HB1160 text: 28-B:1, 28-B:3