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Expanding Home and Community-Based Care for Seniors and Individuals with Disabilities

This act aims to broaden access to home and community-based services under the Medicaid program, eliminating waiting lists and supporting independent living. It also introduces support programs for direct care workers and family caregivers, improving the quality and availability of long-term care services.
Key points
Mandatory Home and Community-Based Services under Medicaid: Ends waiting lists for in-home and community support.
Caregiver Support: Grant programs for training, recruitment, and retention of direct care workers, plus support for family caregivers.
Financial Protection: Permanent protection against spousal impoverishment for individuals receiving home-based care.
Service Quality Improvement: Development of quality standards and demographic data collection for better care tailoring.
Easier Access: Streamlined eligibility process for home and community-based services.
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Status:
Expired
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Additional Information
HCBS Access Act
Print number: HR 1493
Sponsor: Rep. Dingell, Debbie [D-MI-6]
Process start date: 2023-03-09
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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Summary & Status

Key Questions about Expanding Home and Community-Based Care for Seniors and Individuals with Disabilities

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is HR 1493.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2023-03-09.

What are the main provisions?

Key points include:

  • Mandatory Home and Community-Based Services under Medicaid: Ends waiting lists for in-home and community support.
  • Caregiver Support: Grant programs for training, recruitment, and retention of direct care workers, plus support for family caregivers.
  • Financial Protection: Permanent protection against spousal impoverishment for individuals receiving home-based care.
  • Service Quality Improvement: Development of quality standards and demographic data collection for better care tailoring.
  • Easier Access: Streamlined eligibility process for home and community-based services.

What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Dingell, Debbie [D-MI-6].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-24.

Analysis and Potential Impact of HR 1493

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

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