Medicaid waivers; consumer-directed services, employer of record.
Summary
Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 12, 2025
Last action Feb 5, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
SEH Sub: Health Substitute
→
Education and Health Substitute
·
3 edits
MINOR
The bill text was reformatted and reorganized with new header information, including a committee attribution and bill number, while the core legislative content regarding Medicaid consumer-directed services remains substantively unchanged.
TECHNICAL
Header information was updated to reflect the Senate Committee on Education and Health as the proposing committee, dated January 30, 2025, and includes a new bill number (25105466D) and session identifier.
The original offer date of 1/24/2025 was removed from the document header.
Additional spacing and formatting elements were added throughout the document, including repeated header lines and a timestamp at the end (1/30/25 17:05).
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
8
Key actions
1
Committee
3
Jan 30, 2025
Upper · Passed
Reported from Education and Health with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
upper
Jan 28, 2025
Committee
Assigned Education sub: Health
upper
Jan 12, 2025
Committee
Referred to Committee on Education and Health
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Tara Durant
RRepublican
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