H546 - Medicaid Modernization. (SL 2025-64)

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Session Year 2025

Overview: Part VII of S.L. 2025-64 (House Bill 546) requires the Department of Health and Human Services, Division of Health Benefits, to consult with stakeholders and submit a request for federal approval to provide Medicaid personal care services to individuals who reside in adult care homes or special care units and who have income that is above the threshold for eligibility for the State-County Special Assistance program but below a specified level. The request must ensure that the cost of the new coverage is offset by savings or cost avoidance and complies with applicable legal requirements, and the request will only be implemented if all criteria are met and federal approval is received.

This Part became effective July, 7, 2025.