reimbursement rate increases; appropriations

SB 1072 appropriates $46 million from the state general fund and $84.2 million in Medicaid funds for fiscal years 2026-2027 through 2030-2031 to increase reimbursement rates for home and community-based services (HCBS) and room and board provided to individuals with intellectual and developmental disabilities (IDD). The Department of Economic Security must engage community stakeholders before implementing rate changes and report updated rates to the legislature by September 1, with changes taking effect by October 1 each year. Additionally, the department must conduct a workforce survey on direct support professionals in HCBS and report findings after three years, allowing the legislature to withhold funding for 2029-2030 and 2030-2031 if workforce improvements (like reduced turnover) are not observed.