This bill mandates the Health Care Authority to submit an application to the federal Centers for Medicare and Medicaid Services by August 1, 2025, to establish a Medicaid waiver program aimed at providing home-based health care services for individuals aged sixty-five and older who are diagnosed with a chronic debilitating disease. The bill defines "chronic debilitating disease" and "home-based health care," outlining the various services included, such as skilled nursing, personal care, and therapy services. Upon approval of the waiver, the authority is required to create rules for the program, developed in consultation with affected individuals and health care providers.

Additionally, the bill appropriates $2 million from the general fund for the Health Care Authority to develop the waiver application during fiscal years 2025 and 2026, with any unspent funds reverting to the general fund at the end of that period. The bill emphasizes the urgency of its implementation for public health and safety, declaring an emergency for immediate effect.