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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
HCBS Access Act
Print number: S 762
Sponsor: Sen. Casey, Robert P., Jr. [D-PA]
Process start date: 2023-03-09