The 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 legislation 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, 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 over the fiscal years 2025 and 2026. Any remaining funds at the end of fiscal year 2026 will revert to the general fund. The bill is declared an emergency measure, necessitating immediate effect for the public's health and safety.