People who qualify for Medicaid long-term care could choose services at home or in the community. States could get full federal funding if they expand access and meet new care, workforce, and reporting rules.
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HCBS Access Act is a House bill in committee. The latest recorded action: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Oversight and Government Reform, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Latest action on H.R. 8540: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Oversight and Government Reform, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Who this affects: This bill mainly affects older adults and people with disabilities who need long-term help with daily life. It also affects state Medicaid agencies, direct care workers, family caregivers, service providers, and families who could face Medicaid estate recovery after a loved one dies.
Why this matters: Many people who need long-term care want to stay at home, but Medicaid home and community care can be limited or waitlisted. This bill would make that care a standard Medicaid benefit for people who qualify. It could shift long-term care away from institutions and toward community living. It could also raise federal costs and require states to build stronger systems, workers, and data reporting.
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