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Mandatory Medicaid Coverage and Workforce Support for Home and Community-Based Services.

This Act mandates Home and Community-Based Services (HCBS) as a core Medicaid benefit, aiming to eliminate waiting lists and prevent unnecessary institutionalization for older adults and people with disabilities. It provides 100% federal funding for states that expand these services and establishes grant programs to boost wages, training, and recruitment for the direct care workforce. The legislation also includes specific support measures for unpaid family caregivers.
Key points
HCBS become a mandatory Medicaid benefit, guaranteeing access to essential support services in home and community settings (effective after 5 years).
States receive 100% federal funding (FMAP) to expand HCBS, contingent on improving access and supporting family caregivers, including respite care.
Grant programs are established to increase wages, training, and career advancement opportunities for direct care professionals, addressing workforce shortages.
Medicaid eligibility is expanded for HCBS recipients by raising income thresholds (up to 150% of the poverty line or 300% of the SSI rate).
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Additional Information
Print number: 118_S_762
Sponsor: Sen. Casey, Robert P., Jr. [D-PA]
Process start date: 2023-03-09
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OFFICIAL LEGAL TITLE

HCBS Access Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_762.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-03-09.

What are the main provisions?

Key points include:

  • HCBS become a mandatory Medicaid benefit, guaranteeing access to essential support services in home and community settings (effective after 5 years).
  • States receive 100% federal funding (FMAP) to expand HCBS, contingent on improving access and supporting family caregivers, including respite care.
  • Grant programs are established to increase wages, training, and career advancement opportunities for direct care professionals, addressing workforce shortages.
  • Medicaid eligibility is expanded for HCBS recipients by raising income thresholds (up to 150% of the poverty line or 300% of the SSI rate).
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 Sen. Casey, Robert P., Jr. [D-PA].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-30.

CATEGORIES

Health Benefits Labor