PA SB657

Amends the Human Services Code to require the Department of Human Services to maximize the types of settings where individuals can receive residential services, day programming, adult day care, and vocational services funded through home- and community-based waivers

Requires the department to prioritize individual choice in selecting residential and service settings

Prohibits the department from imposing requirements on waiver-funded settings beyond those required by federal law (42 U.S.C. § 1396n), including restrictions based on location, size, service type, or number of individuals served

Mandates the department amend all inconsistent regulations within 180 days, specifically citing 55 Pa. Code §§ 6100.444 (size of service location) and 6100.445 (locality of service location), and submit corresponding amendments to CMS

Takes effect 60 days after enactment