FSSA fiscal matters.
Summary
Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Creates an exemption for presumptive eligibility standards. Provides reimbursement exemptions under certain Medicaid programs when operating under a value based health care reimbursement agreement. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Provides that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.
Bill status
passed both
4 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Jan 2026
House Passage
Feb 2026
Governor
Introduced Jan 8, 2026
Last action Feb 25, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
Senate Bill (S)
→
Senate Bill (H)
·
4 edits
MODERATE
This bill updates the legislative text from the Senate version to the House version, changing the bill number from SB to ES and updating the dates to reflect House action. Substantively, the bill extends the deadline for estate recovery claims from 180 days to 365 days after death, sets an expiration date for a temporary ban on reducing home health reimbursement, and requires providers of home and community-based services to give recipients detailed billing statements.
Scope change
The bill's scope was expanded by adding new requirements for home and community-based services providers to provide financial transparency to recipients.
TIMELINE
The deadline for estate recovery units to file claims against a decedent's estate was extended from 180 days to 365 days after the date of death.
A provision prohibiting the reduction of home health service reimbursement was given a specific expiration date of June 30, 2027, and the office is now required to collaborate on developing a new reimbursement methodology.
REQUIREMENT
Providers of home and community-based services waivers must now provide recipients with accounting records of service delivery and itemized billing statements upon request.
TECHNICAL
The bill text was updated to reflect House action, changing the designation from Senate Bill (SB) to Engrossed Senate Bill (ES) and updating associated dates and digest information.
Floor votes · Senate Jan 29, 2026 · House Feb 24, 2026
How they voted
39–8
Passed · 1 other
Total votes 48
Jan 29, 2026
D
Democratic9
77% Nay
R
Republican39
94% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
25
Key actions
8
Committee
2
Amendments
6
Feb 25, 2026
Introduced
Senate dissented from House amendments
upper
Feb 24, 2026
Lower · Passed
Third reading: passed; Roll Call 355: yeas 68, nays 27
lower
Feb 23, 2026
Lower · Passed
Amendment #3 (Steuerwald) prevailed; voice vote
lower
Feb 23, 2026
Lower · Passed
Amendment #4 (Meltzer) prevailed; voice vote
lower
Feb 23, 2026
Amended
Amendment #1 (Porter) failed; Roll Call 322: yeas 31, nays 63
lower
Feb 23, 2026
Lower · Passed
Amendment #2 (Lopez) prevailed; voice vote
lower
Feb 18, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
Jan 29, 2026
Upper · Passed
Third reading: passed; Roll Call 140: yeas 39, nays 9
upper
Jan 28, 2026
Upper · Passed
Amendment #8 (Mishler) prevailed; voice vote
upper
Jan 20, 2026
Upper · Passed
Committee report: amend do pass, adopted
upper
3 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Chris Garten
RRepublican
P
Danny Lopez
RRepublican
P
Ryan Mishler
RRepublican
Co
Jack Jordan
RRepublican
Co
Lonnie Randolph
DDemocratic
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