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 home-based health care Medicaid waiver program specifically 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 that would be included in the program, such as skilled nursing, personal care services, and physical therapy. Upon approval of the waiver application, the authority is required to create rules for the program 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. Any remaining funds at the end of fiscal year 2026 will revert to the general fund. The bill emphasizes the urgency of its implementation by declaring an emergency, allowing it to take effect immediately for the public's health and safety.