Relates to licensure requirements for fiscal intermediaries; repealer

This bill establishes a mandatory licensing system for fiscal intermediaries, which are organizations that manage payments and services for individuals receiving state medical assistance. Effective April 1, 2026, these entities must obtain a license from the state commissioner to operate, with a one-time application fee of $10,000 and a review process that evaluates the applicant's character, competence, and compliance history. The legislation also requires licensed intermediaries to submit detailed annual reports on costs, service areas, and personal assistant employment, while creating a confidential registry to track personal assistants for oversight purposes. Additionally, the bill repeals previous definitions and provisions related to fiscal intermediaries to align the law with these new requirements.