CS/HB 1121: Aging and Disability Services
GENERAL BILL by Human Services Subcommittee ; Rizo ; Basabe
Aging and Disability Services ; Revises requirements for Medicaid recipients to receive long-term care enrollment offer; requires DOEA to maintain pre-enrollment list; authorizes certain individuals to enroll in long-term care managed care program; requires assessment of enrollee by Comprehensive Assessment & Review for Long-term Care Services program; revises provisions relating to intermediate measures taken against area agency on aging; provides requirements for procurement of commodities or contractual services by area agencies on aging; limits salary of CEO & executive director; requires DOEA to impose penalties; authorizes area agency on aging to directly provide core services; revises frequency of inservice training; requires aging resource centers to include services for adults with disabilities; authorizes centers to adjust pre-enrollment lists; requires center to receive waiver to provide other direct services; revises entity with which DOEA may consult to develop capitation rates; includes supplements to provide for food & nutritional supplements & certain care in subsidy payments; revises qualifications of executive director of Office of Public & Professional Guardians; revises continuing education requirements & disciplinary actions for guardians; provides certain authority for office in conducting investigations; requires clerk to disclose information to DOEA; requires DOEA to provide records to Legislature.
Last Action: 2/5/2026 House - Now in Health & Human Services Committee
Bill Text: PDF
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Bill History
Date Chamber Action 1/7/2026 House • Filed
1/12/2026 House • Referred to Human Services Subcommittee
• Referred to Health Care Budget Subcommittee
• Referred to Health & Human Services Committee
• Now in Human Services Subcommittee
1/13/2026 House • 1st Reading (Original Filed Version)
1/26/2026 House • PCS added to Human Services Subcommittee agenda
1/28/2026 House • Favorable with CS by Human Services Subcommittee
1/30/2026 House • Reported out of Human Services Subcommittee
• Laid on Table under Rule 7.18(a)
• CS Filed
2/2/2026 House • Referred to Health Care Budget Subcommittee
• Referred to Health & Human Services Committee
• Now in Health Care Budget Subcommittee
• 1st Reading (Committee Substitute 1)
2/3/2026 House • Added to Health Care Budget Subcommittee agenda
2/5/2026 House • Favorable by Health Care Budget Subcommittee
• Reported out of Health Care Budget Subcommittee
• Now in Health & Human Services Committee
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CS/HB 1121, Committee Substitute 1 (Current Bill Version) Posted 1/30/2026 at 5:09 PM
Bill Text: PDF Analyses: Health Care Budget Subcommittee (Post-Meeting) 2/5/2026 (pdf)
Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1630 (c1) Aging and Disability Services Grall Compare Last Action: 1/29/2026 S CS by Children, Families, and Elder Affairs read 1st time 
Citations - Statutes (16)
Citation Catchline Location in Bill Location In Bill Help 409.979 Eligibility. Page 3 (pdf) 409.983 Long-term care managed care plan payment. Page 9 (pdf) 430.04 Duties and responsibilities of the Department of Elderly Affairs. Page 10 (pdf) 430.09 Page 12 (pdf) 430.203 Community care for the elderly; definitions. Page 14 (pdf) 430.204 Community-care-for-the-elderly core services; departmental powers and duties. Page 15 (pdf) 430.205 Community care service system. Page 15 (pdf) 430.2053 Aging resource centers. Page 17 (pdf) 430.605 Subsidy payments. Page 27 (pdf) 430.901 Multiservice senior center; definition; purpose. Page 28 (pdf) 744.2001 Office of Public and Professional Guardians. Page 28 (pdf) 744.2003 Regulation of professional guardians; application; bond required; educational requirements. Page 29 (pdf) 744.2004 Complaints; disciplinary proceedings; penalties; enforcement. Page 30 (pdf) 744.20041 Grounds for discipline; penalties; enforcement. Page 31 (pdf) 744.2104 Access to records by the Office of Public and Professional Guardians; confidentiality. Page 31 (pdf) 744.3701 Confidentiality. Page 32 (pdf) -
HB 1121, Original Filed Version Posted 1/7/2026 at 11:43 AM
Bill Text: PDF Analyses: Human Services Subcommittee (Post-Meeting) 1/30/2026 (pdf)
Related Bills (3)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1630 (c1) Aging and Disability Services Grall Similar Last Action: 1/29/2026 S CS by Children, Families, and Elder Affairs read 1st time
H 1295 Memory Care Health Care Facilities & Systems Subcommittee Compare Last Action: 2/6/2026 H Now in Health Care Budget Subcommittee
S 1404 Memory Care Burton Compare Last Action: 2/4/2026 S Now in Appropriations Committee on Health and Human Services
Citations - Statutes (27)
Citation Catchline Location in Bill Location In Bill Help 400.0060 Definitions. Page 43 (pdf) 400.0065 State Long-Term Care Ombudsman Program; duties and responsibilities. Page 43 (pdf) 400.0067 State Long-Term Care Ombudsman Council; duties; membership. Page 4 (pdf) 400.0073 State and local ombudsman council investigations. Page 45 (pdf) 400.0075 Complaint notification and resolution procedures. Page 45 (pdf) 400.0087 Department oversight; funding. Page 46 (pdf) 409.979 Eligibility. Page 4 (pdf) 409.983 Long-term care managed care plan payment. Page 10 (pdf) 430.03 Purposes. Page 11 (pdf) 430.04 Duties and responsibilities of the Department of Elderly Affairs. Page 11 (pdf) 430.071 Respite for elders living in everyday families. Page 13 (pdf) 430.09 Page 16 (pdf) 430.203 Community care for the elderly; definitions. Page 17 (pdf) 430.204 Community-care-for-the-elderly core services; departmental powers and duties. Page 19 (pdf) 430.205 Community care service system. Page 21 (pdf) 430.2053 Aging resource centers. Page 23 (pdf) 430.503 Alzheimer’s Disease Initiative; fees and administrative expense. Page 34 (pdf) 430.504 Confidentiality of information. Page 46 (pdf) 430.602 Home care for the elderly; definitions. Page 35 (pdf) 430.605 Subsidy payments. Page 35 (pdf) 430.71 Page 36 (pdf) 430.901 Multiservice senior center; definition; purpose. Page 39 (pdf) 744.2001 Office of Public and Professional Guardians. Page 39 (pdf) 744.2003 Regulation of professional guardians; application; bond required; educational requirements. Page 40 (pdf) 744.2004 Complaints; disciplinary proceedings; penalties; enforcement. Page 41 (pdf) 744.20041 Grounds for discipline; penalties; enforcement. Page 42 (pdf) 744.2104 Access to records by the Office of Public and Professional Guardians; confidentiality. Page 42 (pdf)