Implementing the recommendations of the long-term services and supports trust commission.

The definition of covered services was updated to replace 'Nursing home services' with 'Long-term services and supports provided in nursing homes'.

A new requirement was added to establish by rule the scope of covered services and identify covered and non-covered goods and services to prevent benefit duplication.

The pilot project timeline was adjusted, and the list of agencies authorized to conduct the pilot was changed from the department of health to the health care authority.

The effective dates for various sections of the act were updated to reflect the inclusion of new sections and the removal of others.

The bill number was changed from S-0135.3 to S-1010.2, and the title was updated to 'Substitute Senate Bill 5291' to reflect its status as an amended version of the original bill.

The sponsor list was updated to include 'Senate Labor & Commerce' as a co-sponsor, indicating the bill was referred to and potentially amended by that committee.

The effective date for the first reading was updated from January 15, 2025, to February 3, 2025, reflecting the bill's movement in the legislative calendar.

The effective date for the premium rate cap was changed from 'no greater than .58 percent' to 'no greater than .58 percent' (no change in value, but the text was slightly rephrased for clarity in the substitute version).

Section numbers for new chapters were renumbered (e.g., Section 16 became Section 17, Section 38 became Section 39) to accommodate the addition of new sections earlier in the bill.

References to new chapters in the text were updated to match the new section numbers (e.g., references to the new chapter changed from 'section 40' to 'section 41' and 'section 18' to 'section 19').