The "Quality Self-Directed Supports Act of 2026" establishes a new chapter, Chapter 22.2, aimed at enhancing the self-directed supports program for adults with developmental disabilities. This legislation outlines the rights of participants to control their services, including the ability to hire, supervise, and terminate their direct support professionals (DSPs). It ensures that participants can opt for services through provider agencies if they choose not to employ a self-directed professional. The act introduces wage ranges for self-directed DSPs that are subject to collective bargaining, while ensuring that any negotiated wage increases or benefits do not diminish participants' service budgets. It emphasizes participant input during the collective bargaining process, allowing individuals and their advocates to provide meaningful contributions to negotiations.

Additionally, the bill introduces Chapter 22.3, which details the rights and responsibilities of self-directed DSPs and their participants. It establishes a framework for DSPs to select a provider organization to serve as their representative for collective bargaining, while affirming that participants retain authority over their services. The legislation clarifies that participants and their families are not considered employers for collective bargaining purposes and prohibits strikes by DSPs. It ensures compliance with federal disability laws and protects participants' rights under Medicaid waiver programs. The act includes provisions for certifying provider organizations, mandates good faith negotiations, and outlines procedures for addressing unresolved issues, ultimately aiming to enhance the autonomy and rights of individuals with disabilities while ensuring fair representation for DSPs.