PA HB2164

Creates a Medical Assistance program allowing family members to become certified "complex care assistants" to provide home health care to relatives under 21 who qualify for private duty nursing services, with services delivered under registered nurse direction through home health agencies.

Requires 75 hours of training and competency evaluation per federal home health aide standards; home health agencies must pay certification costs for family members without requiring repayment.

Sets minimum reimbursement rate of $45 per hour for complex care assistant services and requires registered nurse home visits every 30 days.

Program must be established within one year of the effective date, subject to federal approval; an advisory working group of stakeholders must convene within 60 days to guide implementation.

Participation is voluntary for both families and home health providers; income earned as a complex care assistant would be excluded from the family's countable income for Medicaid eligibility purposes pending federal waiver approval.