Provides additional support to medically fragile children

This bill requires health insurers to review coverage requests for medically fragile children differently, considering their unique medical needs rather than using standard adult guidelines. It mandates case-by-case decisions for services like skilled nursing, therapy, and home health care to help these children reach age-appropriate functional capacity. Insurers must pay for inpatient hospital or residential care days when specialized home services aren't available or when waiting for a residential facility bed. The law directly affects children with complex medical conditions requiring 24/7 care, their families, and health insurers managing Medicaid or private plans.