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Bills › 91st General Assembly

HF 2641Died when the session ended · February 26, 2026

Relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services

Sponsored by the House Health and Human Services Committee

Topics:Health care

Same legislation: HSB 739

Also covers HSB 739.

Official bill pageLobbyist declarations

Progress

  1. Introduced
    February 12, 2026
  2. Subcommittee
    March 11, 2026
  3. Committee
    February 17, 2026
  4. Passed House
    February 26, 2026 · 90–0
  5. Passed Senate
    —
  6. Signed
    —

Became HF 2641 → Its progress continues under the new number. Go to HF 2641 What’s a funnel?

What’s in it

This bill relates to the Medicaid home and community-based services elderly waiver program (elderly waiver), including transition planning and assisted living services. The bill directs the department of health and human services (HHS) to adopt rules to allow case managers and care coordination team members to work with a resident of a skilled nursing facility, family members of the resident, and other skilled nursing facility staff to initiate transition planning from the skilled nursing facility to the elderly waiver program prior to the discharge of the resident.

Read the full explanation

HHS must also adopt rules to include adults aged or older who are residents of a nursing facility in the definition of targeted population for purposes of case management services furnished to elderly waiver participants. The bill directs HHS to adopt rules to define “assisted living service” to mean personal care and supportive services that are furnished to waiver participants who reside in a homelike, noninstitutional setting. The service must include 24-hour on-site response capability to meet member needs as well as member safety and security through incidental supervision. Assisted living service is not reimbursable if performed at the same time as any service included in an approved consumer-directed attendant care agreement. The rules must also specify certain billing requirements.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text

History

All 17 actions
2026 session · second year of the 91st General Assembly
March 19, 2026
Committee report, recommending passage. S.J. 606. Journal
March 11, 2026
Subcommittee recommends passage.
March 4, 2026
Subcommittee: Sweeney, Donahue, and Webster. S.J. 477. Journal
March 2, 2026
Read first time, referred to Health and Human Services. S.J. 424. Journal
February 26, 2026
Passed House, yeas 90, nays 0. H.J. 443. Journal
February 19, 2026
Introduced, placed on calendar. H.J. 351. Journal
February 19, 2026
As HSB 739: Committee report approving bill, renumbered as HF 2641.
February 17, 2026
As HSB 739: Committee vote: Yeas, 21. Nays, 0. H.J. 336. Journal
February 17, 2026
As HSB 739: Committee report, recommending passage. H.J. 336. Journal
February 12, 2026
As HSB 739: Subcommittee: Wilz, H., Bradley and Brown-Powers. H.J. 280. Journal
February 12, 2026
As HSB 739: Introduced, referred to Health and Human Services. H.J. 277. Journal

Meetings

Votes

Committee · February 17, 202621–0

Select a floor vote to see how each legislator voted.

Lobbyist declarations

For · 2Against · 0Undecided · 12

Grouped by organization. Lobbying overview →