AN ACT EXCLUDING SPOUSAL INCOME FROM CERTAIN RENT, FEE AND COST-SHARING CALCULATIONS RELATING TO HOME AND COMMUNITY-BASED SERVICES.

HB 5301 excludes income earned by a spouse who provides over 25% of daily care for their partner from income calculations when determining eligibility for home and community-based Medicaid services. It directly affects spouses caring for a partner receiving such services under Medicaid waiver programs. The bill requires the Social Services Commissioner to seek a federal Medicaid waiver or amend the state plan to disregard this spousal income, effective October 1, 2026. This change modifies how income is assessed for Medicaid eligibility under specific home and community-based service programs.