H.F. No. 2925 Summary

• Expands service termination protections for persons receiving home and community-based services by requiring 30-90 days' notice (depending on service type), documentation of mitigation efforts, and establishing appeal rights for terminations from own-home settings.

• Creates a new "shared services" option allowing up to three individuals to receive services simultaneously from one direct care worker for eligible home and community-based services, subject to lead agency authorization and a shared services agreement.

• Requires the Commissioner of Human Services to submit a waiver amendment to Centers for Medicare and Medicaid Services by September 30, 2022, to enable shared services under home and community-based services waivers.

• Appropriates $736,000 in fiscal year 2023 to develop and implement mandatory annual support coordination training and competency evaluations for all lead agency assessors and case managers serving individuals in own-home settings.

• Establishes detailed shared services agreement requirements including contingency plans, training specifications, documentation procedures, and provisions allowing individuals to withdraw from shared services at any time.