Consumer-directed community supports budget exception for persons with certain diagnoses established.

HF 1978 creates a budget exception for Minnesotans with both a developmental disability and type 1 diabetes, allowing them to access additional home care nursing support through existing community-based services programs. The bill requires the state human services commissioner to establish a process where individuals with both documented diagnoses can receive up to nine hours per day of registered nurse home care, at the current waiver program rate. This exception applies specifically to those enrolled in home and community-based services waivers under Minnesota law. The provision takes effect January 1, 2026, or after federal approval.