HCBS Access Act

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Introduced 2026-04-28Topic: health care

Summary

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This bill would require state Medicaid programs to cover home and community-based services, such as personal care, respite, transportation, and home modifications, for people who need help with daily activities, starting about 5 years after it becomes law. The federal government would pay 100 percent of the cost of these services if states take steps such as reviewing worker pay rates every 2 years and supporting family caregivers. States would have to submit implementation plans, report on service quality, and create an independent ombudsman office. The bill would also end Medicaid estate recovery, require states to withdraw certain liens on beneficiaries' property, make some existing programs permanent, and fund grants and metrics related to the direct care workforce.

Full text and official record on Congress.gov

Action history

Date	Chamber	Action	Status effect
2026-04-28	House	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.	refer
2026-04-28	House	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.	refer
2026-04-28	House	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.	refer
2026-04-28	House	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.	refer
2026-04-28		Introduced in House	introduce
2026-04-28		Introduced in House	introduce

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