HB 470: Medicaid waivers; consumer-directed services, employer of record.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.

Sponsors

Sponsors by party (alphabetical): Democratic 2

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. March 4, 2026Continued to next session in Finance and Appropriations (12-Y 3-N)
2. February 26, 2026Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)
3. February 16, 2026Referred to Committee on Education and Health
4. February 16, 2026Constitutional reading dispensed (on 1st reading)
5. February 13, 2026Read third time and passed House (93-Y 3-N 0-A)
6. February 12, 2026Read second time and engrossed
7. February 11, 2026Read first time
8. February 10, 2026Fiscal Impact Statement from Department of Planning and Budget (HB470)
9. February 9, 2026Reported from Appropriations (20-Y 0-N)
10. February 6, 2026Subcommittee recommends reporting (7-Y 0-N)
11. February 3, 2026Assigned HAPP sub: Health & Human Resources
12. February 3, 2026Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)

Showing 12 most recent of 17 actions. Full history