HF4461 Summary

• Establishes a long-term services and supports trust fund and program funded by new payroll taxes on employers and employees, a self-employment tax, and an investment income tax, with specific tax rates to be determined.

• Creates a 16-member Long-Term Services and Supports Advisory Council to advise the commissioners of human services and revenue on program administration, community outreach, and fund solvency.

• Provides eligible individuals age 18+ who were not disabled before age 18 with a lifetime limit of 365 benefit units (approximately $36,500 at $100 per unit) to pay for approved long-term services including home care, assisted living, nursing homes, and related supports.

• Authorizes data-sharing between the Department of Revenue and Department of Human Services to determine qualified individuals and eligible beneficiaries for the program.

• Directs the commissioner of human services to apply for a federal Medicaid demonstration waiver by January 1, 2022, and requests the Office of Legislative Auditor conduct a comprehensive program evaluation by December 1, 2033.