HF32 Summary: Caregivers Stabilization Act of 2023

• Service Rate Increases and Adjustments: Modifies rates for disability waivers, elderly waivers, nursing facilities, intermediate care facilities, personal care assistance services, home care, and community first services and supports; establishes rate floors and periodic adjustment mechanisms based on wage data and inflation.

• Wage and Compensation Requirements: Requires that at least 80 percent of marginal revenue increases from rate adjustments be used for direct employee compensation-related costs including wages, taxes, benefits, and workforce retention incentives; applies to most covered services effective January 1, 2024.

• Shared Services and Family Participation: Permits expanded shared services at higher ratios (up to three recipients per provider in certain services); limits hours for parents and spouses providing consumer-directed services and establishes wage caps for family caregivers.

• Residential Setting Support: Establishes a $6.671 million biennial closure prevention grant program for facilities in financial distress; expands emergency staffing pool eligibility to include home- and community-based service providers and individual recipients.

• Program Expansions: Increases lifetime matching limits for family assets for independence accounts; directs development of lifesharing service recommendations; adds new permissible uses including emergency savings and 529 education savings plans.