Community Living and Family and Individual Supports Waiver; program rule amendments.
<p class=ldtitle>A BILL to direct the Department of Medical Assistance Services to seek the necessary approvals to amend the program rules for the Community Living and Family and Individual Supports Waivers to provide for compensation of a direct support professional for a waiver recipient in an acute care hospital under certain circumstances.</p>
Healthcare
Enacted
This bill passed the Legislature and reached final enactment based on the latest official action.
Sponsor
Carr
Last action
2026-02-18
Official status
Failed
Effective date
Not listed
Plain English Breakdown
The official source material does not provide specific details about compensation amounts or implementation timelines.
Compensation for Direct Support Professionals
This bill directs the Department of Medical Assistance Services to seek approval to change rules so that direct support professionals can be paid when they help waiver recipients who are in acute care hospitals.
What This Bill Does
Requires DMAS to ask for permission to update program rules.
Updates rules to allow payment for direct support professionals while a waiver recipient is in an acute care hospital.
Who It Names or Affects
Direct support professionals who help people with disabilities or medical needs.
People receiving services through Community Living and Family and Individual Supports Waivers.
Terms To Know
Direct Support Professional
A person trained to provide care and support for individuals with disabilities or special healthcare needs.
Waiver Recipient
Someone who receives services through a waiver program, which allows them to get help at home instead of in a hospital or institution.
Limits and Unknowns
The bill does not specify how much compensation direct support professionals will receive.
It is unclear when the changes to the rules will be implemented after approval.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: The amendment changes the rules for compensating direct support professionals when a waiver recipient is admitted to or stays in an acute care hospital.
Adds that DMAS (Department of Medical Assistance Services) will reimburse personal care during an inpatient stay at a hospital.
Specifies that personal care services can be provided before and during the time a person is admitted as an inpatient.
The exact details on how reimbursement will work are not fully explained in the amendment text.
Plain English: The amendment changes the rules for compensating direct support professionals when a waiver recipient is admitted to or stays in an acute care hospital.
Adds that DMAS (Department of Medical Assistance Services) will reimburse personal care during an inpatient stay.
Removes the phrase 'shall be available' and replaces it with 'during an inpatient stay'.
Inserts 'prior to an inpatient admission' before mentioning support services.
The exact details of how reimbursement will work are not fully explained in the amendment text.
It is unclear what specific circumstances would trigger this compensation during or prior to hospital stays.
Plain English: The amendment changes the rules for compensating direct support professionals when a waiver recipient is admitted to or stays in an acute care hospital.
Adds that DMAS (Department of Medical Assistance Services) will reimburse personal care services during an inpatient stay.
Specifies that these services can be provided prior to an inpatient admission.
The exact details and conditions for reimbursement are not fully explained in the amendment text.
Bill History
2026-02-18House
Left in Committee Appropriations
2026-02-06Health & Human Resources
Subcommittee recommends laying on the table (7-Y 0-N)
2026-02-03Health & Human Resources
Assigned HAPP sub: Health & Human Resources
2026-02-03Health and Human Services
Reported from Health and Human Services with amendment(s) and referred to Appropriations (22-Y 0-N)
2026-01-29Social Services
Subcommittee recommends reporting with amendment(s) and referring to Appropriations (8-Y 0-N)
2026-01-29Social Services
House subcommittee offered
2026-01-26House
Fiscal Impact Statement from Department of Planning and Budget (HB823)
2026-01-23Social Services
Assigned sub: Social Services
2026-01-13House
Prefiled and ordered printed; Offered 01-14-2026 26103338D
2026-01-13Health and Human Services
Referred to Committee on Health and Human Services
Official Summary Text
Department of Medical Assistance Services; 1915(c) Home and Community Based Waivers; program rule amendments; direct support professionals.
Directs the Department of Medical Assistance Services to seek the necessary approvals to amend the program rules for the Community Living and Family and Individual Supports Waivers to provide for compensation of a direct support professional for a waiver recipient in an acute care hospital under certain circumstances.
Current Bill Text
Read the full stored bill text
HB 823
HEALTH AND HUMAN SERVICES
1. Line 20, introduced, after
that
insert
DMAS shall reimburse for personal care
HEALTH AND HUMAN SERVICES
2. Line 21, introduced, after
professional
strike
shall be available
insert
during an inpatient stay
HEALTH AND HUMAN SERVICES
3. Line 23, introduced, after
support services
insert
prior to an inpatient admission