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Committee rejects bill directing DHS to redesign home‑and‑community waiver to favor aging in place
Summary
Senate Bill 306 sought to direct DHS to redesign long‑term care waivers to narrow the cost gap between home‑and‑community‑based services and skilled nursing facilities and to prioritize aging in place while requiring budget neutrality; the committee voted the bill down after fiscal uncertainty and opposition from nursing‑facility groups.
Senate Bill 306, which would have directed the Arkansas Department of Human Services to redesign Medicaid home‑and‑community‑based services (HCBS) waivers to enable more people to age in place subject to budget neutrality, failed in committee after a lengthy debate over fiscal impacts and program comparability.
Sponsor testimony framed SB306 as implementing recommendations from the consultant GoodHouse (Guidehouse) Medicaid sustainability report, which found Arkansas relies more on institutional care…
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