S.F. No. 4043 Summary

• Commissioner of Human Services must prepare legislation by July 1, 2024, for introduction in the 2025 legislative session to permit reimbursement of up to eight hours of overtime per week per worker beyond maximum monthly reimbursable hours.

• Commissioner must submit federal waiver changes and state plan amendments to Centers for Medicare and Medicaid Services by January 1, 2025, to allow asleep or awake overnight staffing for personal care assistants and community-first services workers in the same manner as direct support professionals under four specified waivers.

• Commissioner must prepare legislation and submit federal amendments by the same deadlines to permit reimbursement for shifts of up to 80 consecutive hours when otherwise compliant with federal and state labor laws.

• All three sections become effective the day following final enactment.