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SF 4728

Nursing facility level of care modification for purposes of certain home and community-based waiver services

2025-2026 Regular Session Introduced by Jordan Rasmusson

The bill adjusts nursing facility level-of-care criteria to determine HCBS waiver eligibility, aiming to better align services for facility-connected individuals.

Referred to Human Services
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Bill Summary · SF 4728

Summary of SF 4728 (Minnesota, 2025-2026)

Title

Nursing facility level of care modification for purposes of certain home and community-based waiver services

Purpose andIntent

SF 4728 proposes changes to how certain home and community-based services (HCBS) waivers determine eligibility and service delivery by adjusting the level-of-care requirements related to nursing facilities. The bill aims to modify the criteria used to assess individuals’ needs so that individuals who reside in or transition through nursing facilities can more appropriately access HCBS waiver services, aligning level-of-care determinations with the realities of living in a nursing facility and the intended use of HCBS waivers.

Key Provisions (What the bill wouldDo)

  • Modify level of care criteria: Adjust the criteria used to determine an individual’s level of care for purposes of HCBS waivers. The change is targeted at how nursing facility level of care is applied within waiver determinations.
  • Impact on HCBS eligibility: By refining the level-of-care thresholds or assessment framework, the bill seeks to affect eligibility determinations for HCBS waiver services for people connected to or transitioning from nursing facility settings.
  • Alignment with nursing facility status: The modification is designed to better reflect the needs and service options appropriate for individuals in nursing facilities while still supporting the goals of home and community-based waivers.

Note: The exact technical adjustments (e.g., specific thresholds, assessment tools, or scoring changes) are not detailed in the available information. The bill is described as a modification to the nursing facility level of care for HCBS waiver purposes.

Who Would Be Affected

  • Individuals eligible for or receiving HCBS waivers: Particularly those with connections to nursing facility care or transitions between nursing facilities and community-based settings.
  • Nursing facility residents and prospective residents: Those impacted by how level-of-care determinations influence access to waiver services.
  • State agencies administering HCBS waivers: Agencies tasked with applying level-of-care criteria and determining waiver eligibility would implement the revised framework.

Procedural and Timeline Aspects

  • Introduced and first reading: March 23, 2026.
  • Referral: Referred to the Human Services committee on March 23, 2026.
  • Sponsors: Co-sponsor is Senator Jordan Rasmusson.

Potential Implications

  • If enacted, the bill could broaden or refine access to HCBS waivers for individuals connected to nursing facilities, potentially increasing flexibility in service planning and crossing the boundary between facility-based care and community-based supports.
  • The change may affect workflow for case managers and state administrators by altering assessment instruments, documentation requirements, and eligibility timelines.
  • Fiscal implications (e.g., cost of expanded eligibility or shifts in service utilization) would depend on the specific level-of-care adjustments and resulting changes in the number of individuals qualifying for HCBS waivers.

If you have access to the bill’s text, I can provide a more detailed breakdown of the exact amendments to the level-of-care language, thresholds, and any fiscal notes.

Compiled from official sources — confirm details with the bill’s official record.

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