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 in the remodeled facility or move into the community in state-operated living arrangements.

Requires building to be started on a comprehensive community health center on the grounds of Fircrest School residential habilitation center.

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