H485

Adult Care Home Medicaid PCS Coverage

Chamber Passed·4/28/25

Expands Medicaid coverage for personal care services to certain individuals in adult care homes.

The bill requires the Department of Health and Human Services, Division of Health Benefits (DHB) to request federal approval to extend Medicaid eligibility for personal care services to individuals in licensed adult care homes. This coverage applies to those whose income exceeds the limit for State-County Special Assistance but does not exceed 180% or 200% of the federal poverty level. The request must ensure cost offset by savings or cost avoidance and comply with legal requirements. The act becomes effective upon becoming law.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Last
Passed the House · 110–1 · Apr 28, 2025
Current
Health Care Committee
Next
Senate floor vote

Sponsors

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22
9
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Democratic CaucusRepublican Caucus

Roll Call Votes

Second Reading

110 Yea

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1 Nay

D

2 Not Voting

RR

7 Absent

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Calendar

Apr 15, 2025

12:00 PM

Judiciary 1 Hearing

Apr 15, 2025

12:00 PM

Judiciary 1 Hearing

History

May 27, 2025

Senate

Withdrawn From Com

May 27, 2025

Senate

Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate

Apr 28, 2025

Senate

Regular Message Received From House