Increases Medicaid reimbursement rates for private duty nursing services by $4.

This bill increases Medicaid reimbursement rates for private duty nursing (PDN) services by $4 per hour. It sets a minimum rate of $65 per hour for registered nurses (up from $61) and $53 per hour for licensed practical nurses (up from $49), applying to both fee-for-service and managed care Medicaid delivery systems. The change directly affects nurses providing in-home PDN services and requires the state to seek federal approval for the rate adjustment. The policy change takes effect immediately upon enactment.