Health and human services matters.
Summary
Amends the duties of the office of the secretary of family and social services (office) concerning Medicaid home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Requires certain Medicaid recipients to choose the recipient's provider of integrated health care coordination. Provides that integrated health care coordination provided by a provider of assisted living services is not duplicative of certain other services. Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Requires the office to apply to the federal government for: (1) a new Medicaid waiver to provide assisted living services; and (2) an amendment to a specific Medicaid home and community based services waiver to establish an individual cost limit of not more than the institutional cost of nursing facility services. Specifies that provisions concerning reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver apply to the new assisted living Medicaid waiver. Provides that, beginning July 1, 2027, an individual is no longer a member of the covered population upon receiving nursing facility services for 100 consecutive days. Provides that on the one hundredth day, the individual is not a member of the covered population and shall receive Medicaid services under a fee for service program. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Amends the definition of "bulk drug substance" for provisions concerning drug compounding. Provides that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 6, 2026
Signed Mar 12, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
House Bill (H)
→
House Bill (S)
·
4 edits
MODERATE
The bill number was updated to HB 1277.2, and the document dates were revised to January 27, 2026, reflecting recent amendments. A sponsor, Slager, was added to the list of supporters, and the affected legal citations were slightly adjusted to remove a reference to noncode sections. These changes indicate the bill has been amended and re-filed for further consideration.
Scope change
The bill's substantive scope regarding Medicaid home and community based services waivers remains unchanged; the modifications are administrative updates to the bill number, dates, and sponsor list.
TECHNICAL
The bill number was changed from HB 1277 to HB 1277.2 to reflect amendments.
Sponsor Slager was added to the list of bill supporters.
The list of affected legal citations was updated to remove a reference to noncode sections.
TIMELINE
All internal document dates were updated from January 13, 2026, to January 27, 2026.
Floor votes · Senate Feb 24, 2026 · House Feb 2, 2026
How they voted
46–0
Passed · 3 other
Total votes 49
Feb 24, 2026
D
Democratic9
88% Yea
R
Republican40
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
42
Key actions
13
Committee
7
Amendments
5
Mar 12, 2026
Signed into law
Signed by the Governor
executive
Mar 5, 2026
Upper · Passed
Signed by the President Pro Tempore
upper
Mar 2, 2026
Upper · Passed
Signed by the President of the Senate
upper
Feb 27, 2026
Upper · Passed
Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 325: yeas 46, nays 4
upper
Feb 27, 2026
Lower · Passed
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 416: yeas 96, nays 0
lower
Feb 27, 2026
Lower · Passed
Signed by the Speaker
lower
Feb 25, 2026
Introduced
House dissented from Senate amendments
lower
Feb 24, 2026
Upper · Passed
Third reading: passed; Roll Call 250: yeas 47, nays 0
upper
Feb 23, 2026
Amended
Amendment #2 (Ford J.D.) failed; voice vote
upper
Feb 23, 2026
Amended
Amendment #1 (Qaddoura) failed; voice vote
upper
Feb 23, 2026
Upper · Passed
Amendment #3 (Crider) prevailed; voice vote
upper
Feb 23, 2026
Upper · Passed
Amendment #8 (Brown L) prevailed; voice vote
upper
Feb 19, 2026
Upper · Passed
Committee report: amend do pass, adopted
upper
Feb 5, 2026
Committee
Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations
upper
Feb 2, 2026
Lower · Passed
Third reading: passed; Roll Call 180: yeas 93, nays 0
lower
Jan 27, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
Jan 13, 2026
Lower · Passed
Committee report: do pass, adopted
lower
Jan 13, 2026
Committee
Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
lower
3 primary · 7 co-sponsors
Sponsors
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