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Increased Transparency and Access to Home and Community-Based Services

This act aims to increase transparency and expand access to home and community-based services for those in need. It introduces new rules for disclosing information about waiting lists and wait times for services, and allows a broader group of individuals to benefit from these services, provided it does not negatively impact current beneficiaries.
Key points
More Public Information: Starting in 2028, detailed data on waiting lists for home and community-based services, including wait times and list management, will be publicly available on the Centers for Medicare & Medicaid Services website.
Broader Service Access: The act allows states to expand access to home and community-based services for individuals with disabilities not previously covered, provided it does not worsen the situation for current beneficiaries.
Faster Care Start: By 2026, guidelines will be issued to enable quicker initiation of home and community-based services (up to 60 days) after eligibility is determined, even before a full care plan is finalized.
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Status:
Introduced
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Additional Information
Helping Communities with Better Support Act
Print number: S 1989
Sponsor: Sen. Schmitt, Eric [R-MO]
Process start date: 2025-06-09