Establishes regional minimum hourly base reimbursement rates for home care aides

This bill establishes regional minimum hourly payment rates that Medicaid must reimburse home care providers for services delivered to Medicaid patients. It directly affects home care agencies and providers employing aides covered by minimum wage laws, requiring rates to cover all direct care costs - including base wages, overtime, benefits, taxes, and mandated programs like COVID-19 sick pay. The commissioner must set these rates regionally based on cost factors, adjust them annually for labor law changes, and publish them publicly. Oversight includes comptroller reviews of managed care contracts to ensure rates meet the minimum standards.