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Budget panel backs phased cap on caregiver hours, raises concerns about single-parent and rural impacts
Summary
The Joint Budget Committee and Joint Technology Committee approved a comeback request to implement a phased 'soft cap' on certain long-term services caregiver hours, with an exceptions process and a term-limited FTE to manage appeals. Members raised concerns about single parents, rural access and the depth of provider analysis.
The Joint Budget Committee, meeting jointly with the Joint Technology Committee, approved a comeback request from the Office of State Planning and Budgeting to implement a phased soft cap on caregiver hours for home-and-community-based services, designed to bring a new standard to caregiver-authorized hours and reduce a rapidly growing cost driver in Medicaid.
OSPB officials told the committee the proposal would phase in a 56-hour-per-week cap for a single caregiver across eligible services, and that the administration is proposing a stair-step implementation (beginning in July and reaching the target by November 1, 2026) to avoid…
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