Section 111 PCA Working Group Extension

(a) The working group established pursuant to item 4000-0601 of section 2 of chapter 140 of the acts of 2024 shall continue to develop recommendations, in addition to those filed in the personal care attendant working group report finalized on February 28, 2025, for the long-term sustainability of the personal care attendant program, including, but not limited to, cost growth targets and how to achieve those targets for the program. Said recommendations shall be filed with the secretary of administration and finance and the house and senate committees on ways and means not later than November 28, 2025.
(b)(1) The executive office of health and human services shall establish an implementation plan to preserve and allow for the long-term sustainability and cost containment of the personal care attendant program. The implementation plan shall include, but shall not be limited to: (i) a detailed description of how the recommendations from the February 28, 2025 report and the report required pursuant to subsection (a) will be implemented, including, but not limited to: (A) any actions already taken to implement the recommendations and the dates on which said actions were taken; and (B) future actions needed to implement the recommendations; (ii) savings realized and anticipated from the implementation of the recommendations from the reports with a detailed description of any changes or adjustments from projected savings included in said reports; (iii) a timeline for the implementation of said recommendations; (iv) the program's growth rate in fiscal year 2026 as of December 15, 2025; (v) any additional changes to the program necessary to contain the program costs consistent with the goals of the working group and the cost growth targets determined by the working group pursuant to subsection (a); and (vi) any other information necessary to explain cost containment measures to be implemented for the program. Said implementation plan shall be filed with the secretary of administration and finance and the house and senate committees on ways and means not later than January 1, 2026.
(2) Not later than March 7, 2026, the executive office of health and human services shall submit an update on the progress of the implementation of the recommendations of the reports pursuant to subsection (a) and said report finalized February 28, 2025 and any other actions taken to preserve and allow for the long-term sustainability and cost containment of the personal care attendant program. The update on the progress of the implementation shall outline the impact of the cost growth targets and how those targets are being achieved. The report shall be submitted to the secretary of administration and finance and the house and senate committees on ways and means.