PA HR10

Joint State Government Commission directed to study Home and Community-Based Services (HCBS) waivers administered by the Office of Long-Term Living and Office of Developmental Programs, with a report due within 24 months of adoption

Study must examine payment rates, service menus, employment outcomes, and direct care worker compensation across different waiver programs including Community HealthChoices, OBRA, and Adult Autism Waiver

Analysis required on barriers to accessing medical care, nursing services, medical supplies, and direct care for waiver recipients, including circumstances that lead individuals to seek institutional care instead

26-member advisory committee to be convened, including state agency representatives, disability advocacy groups, service providers, waiver recipients, family members, union representatives, and four legislative members

Only 16% of Office of Developmental Programs waiver participants ages 18-64 were employed in integrated settings earning minimum wage or higher in 2022; study must examine root causes of employment disparities between programs