This bill directs the state to increase Medicaid funding for residential care services in community foster family homes and expanded adult residential care homes. The legislation appropriates $1.7 million for the 2026-2027 fiscal year to raise reimbursement rates to the "medium" level identified in a 2022 study, addressing previous funding gaps that hindered providers from offering employee benefits. The Department of Human Services must secure the maximum available federal matching funds and explore other private grants before spending the money. These changes are designed to help care providers operate sustainably and expand options for older Hawaiians who need long-term care closer to home.
This bill clarifies that individuals with intellectual and developmental disabilities who are enrolled in specific Medicaid waiver programs can live in community care foster family homes without losing their waiver benefits. It amends state statutes to ensure that residency in these homes is not denied solely based on a person's disability status or their participation in a particular Medicaid program. The legislation also updates regulations for these homes, including requirements for caregiver age, continuing education, and limits on how long primary caregivers can be absent while maintaining staffing standards.
This bill establishes a one-year pilot program called KupunAloha to provide in-home health care and support services to elderly individuals in Hawaii who cannot afford care and do not qualify for existing government assistance. The Department of Health will manage the program by creating care plans for eligible applicants, contracting with healthcare providers, and setting specific income and need criteria, while excluding those already covered by Medicaid or other aid. A total of $2 million is appropriated from state general revenues to fund the initiative, which is authorized to run from July 1, 2026, through June 30, 2027. Before the program ends, the Department of Health must submit a report to the legislature evaluating its effectiveness and offering recommendations on whether to make the program permanent.
This bill, titled the Ensuring Kids Have Access to Medically Necessary Dental Care Act, modifies the Children's Health Insurance Program to expand dental coverage for low-income children and pregnant women. It mandates that states remove any lifetime or annual dollar limits on dental benefits for eligible participants and requires states to offer dental-only supplemental coverage instead of allowing them to opt out. The changes take effect six months after the law is enacted, ensuring that these specific groups receive consistent access to necessary dental services without financial caps.
The Disability Community Act of 2026 updates federal Medicaid terminology to replace the outdated phrase "mentally retarded" with "intellectual or developmental disabilities" throughout relevant laws and regulations. This change affects how states and facilities are referred to in official documents, ensuring language aligns with current medical and social standards. Additionally, the bill increases federal funding for specific Medicaid services provided to individuals with intellectual and developmental disabilities during 2027, 2028, and 2029. These funds are intended to cover costs associated with complying with existing federal regulations regarding care and services.
Sub-Topics
Medicaid
Tags
People with Disabilities
The Improving CARE for Youth Act modifies Medicaid rules to allow payment for mental health, substance use disorder, and primary care services provided on the same day within the same clinic or health center. This change directly affects youth and adults receiving care by removing previous restrictions that often prevented billing for these combined visits. The bill defines "same-day qualifying services" to include scenarios where a patient sees both a primary care provider and a mental health specialist in one visit, or vice versa, at facilities like Federally qualified health centers or physician offices. By updating the Social Security Act, the legislation aims to streamline access to coordinated care without imposing new limitations on how these services are billed.
This bill establishes federal protections and funding to expand access to in vitro fertilization and intrauterine insemination for individuals, military service members, and veterans. It requires most private health plans, Medicaid programs, and Medicare to cover these fertility treatments without imposing higher cost-sharing than other medical services. Additionally, the legislation mandates that the Department of Defense and the Department of Veterans Affairs provide specific fertility preservation and treatment benefits to uniformed service members and eligible veterans. The bill also includes preemption clauses that override state laws restricting these procedures and prohibits discrimination based on marital status, sex, or sexual orientation in the provision of care.
The Lainie Jones Comprehensive Cancer Survivorship Act of 2026 establishes a new Office of Cancer Survivorship within the National Cancer Institute to coordinate research and education focused on the long-term health needs of the 18 million Americans living with or beyond a cancer diagnosis. The bill mandates that Medicare and Medicaid cover specific services, including the creation of personalized care plans to help patients transition from active treatment to ongoing follow-up care, as well as fertility preservation and storage services for cancer patients. Additionally, the legislation creates a grant program to support cancer survivors in maintaining or returning to the workforce and requires the development of a new payment model to improve the quality and coordination of survivorship care.
This Senate resolution recognizes the importance of independent living and economic self-sufficiency for individuals with disabilities, emphasizing their right to live in their own homes and communities. It calls on the Department of Justice to rescind a recent opinion that the Senate views as undermining the legal requirement to provide community-based services instead of institutional care. The document also urges various federal agencies to improve funding for home and community-based services, increase accessible housing and transportation, and promote competitive employment opportunities for people with disabilities. Additionally, the resolution pledges bipartisan efforts to address barriers faced by individuals with disabilities, including those of color, and opposes cuts to the Medicaid program that could limit access to essential support services.
Sub-Topics
Medicaid
Tags
People with Disabilities
The Alzheimer's Early Detection Act of 2026 requires private health insurance plans and Medicaid programs to cover specific tests that detect biological markers for Alzheimer's disease. These tests, which can be performed on blood or tissue samples, are intended to help with early detection, diagnosis, and treatment management of the condition. The law mandates that insurers treat these tests like other standard medical benefits, meaning patients cannot face higher costs, separate waiting periods, or step therapy hurdles specifically for this care. Additionally, the bill requires insurance companies to approve requests for these tests within 72 hours and directs the National Institutes of Health to study the value of such testing over three years.
