Developmental Disabilities Administration - Self-Directed Services

HB 1053 clarifies that parents, other family members, or legal guardians may provide self-directed services to individuals with developmental disabilities under the Maryland Developmental Disabilities Administration, directly affecting recipients who choose this option. The bill amends Maryland's Health General Code (Section 7-409(a)(4)) to require two conditions: the recipient or their decision-maker must select the family provider, and the recipient must hire a support broker. This change expands existing self-directed service options without altering eligibility or funding mechanisms. The bill takes effect October 1, 2025, and applies to all current and future recipients of self-directed services under the Administration.