Increases cap on personal care assistant services from 40 hours to 91 hours per week for Medicaid beneficiary determined clinically eligible for nursing facility level of care.

This bill increases the weekly cap for Medicaid-covered personal care assistant (PCA) services from 40 to 91 hours for beneficiaries clinically eligible for nursing facility-level care. It directly affects vulnerable Medicaid recipients who rely on PCA services - such as help with daily living tasks (e.g., bathing, dressing) under a nurse’s supervision - to remain safely in their homes or communities. The key provision removes the previous hour limit, requiring the Department of Human Services to update its assessment tool and secure federal approval for rate adjustments to cover the expanded hours. This change ensures medically necessary PCA services align with individual care plans without case-by-case exceptions.