HI SB1474

Appropriates funds to the Department of Human Services for fiscal years 2023-2024 and 2024-2025 to achieve full funding and payment increases for Medicaid home- and community-based services (specific dollar amount left blank in bill text).

Requires the Department of Human Services to obtain maximum available federal matching funds and pursue all other funding sources, including private grants, before expending any state general revenues.

Directs funding focus on providers serving high-utilization populations without recent rate updates, including case management agencies, community care foster family homes, and adult day health and day care centers.

Responds to pandemic-driven changes in long-term care delivery and patient preferences shifting toward home- and community-based services rather than institutional settings.

Takes effect July 1, 2050.