Establish the Senior and Long-Term Care Home and Community-Based Services Access and Stabilization Act

This bill creates the "Senior and Long-Term Care Home and Community-Based Services Access and Stabilization Act" to improve access to care for seniors and disabled Montanans. It requires Montana's Department of Public Health and Human Services to shift Medicaid-covered assisted living services from the Big Sky Waiver program to the lower-cost Community First Choice Option program by 2026, updating room and board payment rules (tying payments to SSI or income minus $200) to reflect current costs. The savings generated from this shift must be used to serve over 300 individuals currently waiting for services on the Big Sky Waiver program's waiting list. The bill also mandates quarterly reporting on program costs, waiting lists, and service usage to track progress.