Medicaid home- and community-based services; modifying certain definition. Effective date.

The definition of 'individual with intellectual disability' was modified to explicitly require that the person's work meets the criteria for intellectual disorder listed in the Social Security Administration's Listing of Impairments.

A new criterion was added to the definition of 'developmental disability' stating that the disability must be likely to continue indefinitely.

The definition of 'developmental disability' was modified to explicitly exclude mentally ill incompetent persons whose sole disability is mental illness.

The document was updated from a Senate floor substitute to an engrossed House version, including renumbering of sections and the addition of a committee report.

Removed redundant 'An Act' and 'ENROLLED SENATE' headers that were present in the previous version.

Added 'Floor Substitute' designation to indicate this is a revised version of the bill.

Reorganized page numbering and line breaks to align with the new 'Floor Substitute' format.

Inserted a footer with document tracking information (Req. No. 3796) and timestamp.

The document status changed from 'Engrossed' to 'Enrolled', adding standard certification blocks for the House, Governor, and Secretary of State to indicate the bill has completed the legislative process.

The age threshold for qualifying as having a developmental disability was increased from 18 to 22 years old.

The definition of 'individual with intellectual disability' was updated to require an IQ below 70 manifested before age 18, removing the previous provision that allowed for IQ scores between 71 and 75.

The criteria for intellectual disorder were changed to strictly follow the Social Security Administration Listing of Impairments, which includes understanding information, interacting with others, concentrating/persisting, and adapting/managing oneself.

The definition of 'developmental disability' was updated to require functional limitations in three or more major life activities (such as self-care, learning, or mobility) instead of the previous adaptive skill areas.