SF 3246 Summary

• Commissioner of Human Services must prepare legislation by January 1, 2024 to allow reimbursement for up to 8 hours of overtime per week per worker beyond the maximum monthly reimbursable hours for personal care assistants and community-first services and supports workers.

• Commissioner must submit any necessary waiver changes or state plan amendments to the federal Centers for Medicare and Medicaid Services by July 1, 2024 to permit the overtime reimbursement expansion.

• Commissioner must prepare legislation by January 1, 2024 to permit asleep or awake overnight staffing reimbursement for personal care assistants and community-first workers in the same manner as direct support professionals under specified waivers (brain injury, community alternative care, community access for disability inclusion, and developmental disabilities).

• Commissioner must submit federal waiver or state plan amendments by July 1, 2024 to allow overnight staffing reimbursement for personal care assistants and community-first workers.

• Commissioner must prepare legislation by January 1, 2024 to permit reimbursement for shifts of up to 80 consecutive hours when compliant with federal and state labor laws, with corresponding federal submission required by July 1, 2024.