Bills › 91st General Assembly
Relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services
Topics:Health careFamilies & human servicesMedicaid
Same legislation: HF 2641
Where it is now
- Done: IntroducedFebruary 12, 2026
- Done: SubcommitteeFebruary 12, 2026
- Done: House committeeFebruary 17, 2026
- Skipped: Passes the HouseContinued as HF 2641
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 2641 → Its progress continues under the new number. Go to HF 2641 What’s a funnel?
What’s in it
AI summary New rules would allow case managers to help nursing home residents and their families plan for moving back into the community earlier. The state would also include older adults living in nursing homes in the group of people eligible for case management services. Additionally, the bill defines assisted living services as personal care provided in a home-like setting that includes 24-hour supervision for safety.1
Read the official explanation
This bill relates to the Medicaid home and community-based services elderly waiver program (elderly waiver), including transition planning and assisted living services. _____ The bill directs the department of health and human services (HHS) to adopt rules to allow case managers and care coordination team members to work with a resident of a skilled nursing facility, family members of the resident, and other skilled nursing facility staff to initiate transition planning from the skilled nursing facility to the elderly waiver program prior to the discharge of the resident. HHS must also adopt rules to include adults aged or older who are residents of a nursing facility in the definition of targeted population for purposes of case management services furnished to elderly waiver participants. The bill directs HHS to adopt rules to define “assisted living service” to mean personal care and supportive services that are furnished to waiver participants who reside in a homelike, noninstitutional setting. The service must include 24-hour on-site response capability to meet member needs as well as member safety and security through incidental supervision. Assisted living service is not reimbursable if performed at the same time as any service included in an approved consumer-directed attendant care agreement. The rules must also specify certain billing requirements.
House subcommittee
Named February 12, 2026. It hasn’t reported yet.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Fiscal note
AI summary This bill allows case managers to work with nursing facility residents to plan their transition to the Elderly Waiver and permits Medicaid to pay a per diem for scheduled assisted living services. The total estimated cost is approximately $5.6 million in fiscal year 2027 and $5.4 million in fiscal year 2028. These costs are shared between the state and the federal government, with the state paying $2.1 million in fiscal year 2027 and $2.0 million in fiscal year 2028.3
From the note: 5 million. 4 million. Figure 1 shows the breakout of costs in FY 2027 to implement HF 2641. Figure 2 shows annual, ongoing costs for FY 2028.
- Medical Assistance, Elderly Waiver · February 25, 2026
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91st General Assembly