This Minnesota Senate bill (S.F. No. 1810) proposes an amendment to the state's home and community-based services (HCBS) waiver plans. It directs the Commissioner of Human Services to submit proposed changes to the Centers for Medicare and Medicaid Services (CMS) by December 1, 2025. The amendment would clarify that certain disability waiver services—specifically, individualized home supports without training, respite, and night supervision—can be considered direct care staff services. These services could then be authorized and provided to waiver participants who are temporarily out of state or attending an out-of-state postsecondary institution.