Requires a remodel and update of a building at Fircrest School residential habilitation center to serve as a nursing home for nursing home patients living at Fircrest School and to provide respite as funds are made available.

Requires the department of social and health services to take steps necessary to consolidate other buildings and ensure residents are provided the opportunity to remain at Fircrest School or move into the community in state-operated living arrangements.

Prohibits former Fircrest School residents from returning to Fircrest School, however, after repeated failures, they can remain in the community or choose to move to another residential habilitation center.

Requires building to be started on a federally qualified health center located on property sold or leased by Fircrest School residential habilitation center.

Requires revenue generated from Fircrest School properties and revenue generated with the next phase of the Fircrest School master plan process identified in the 2017-2019 omnibus capital appropriations act, to be deposited into the developmental disabilities community trust account.

Requires expenditures from the developmental disabilities community trust account to be used to provide supported living, state-operated living alternatives, and other community-based residential services supporting people with developmental disabilities.