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Proposed

Bill · 119th Congress · S 5321

HCBS Access Act

Refreshed 1 h ago

Introduced 2026-08-06Topic: health care

Summary

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This bill would make home and community-based services (HCBS) a required Medicaid benefit, starting about 5 years after it becomes law, for people who need help with daily activities. The federal government would pay 100 percent of the cost of these services for states that expand access, support family caregivers, and review payment rates for care workers at least every 2 years. States would have to submit implementation plans, report on service quality, and set up an independent HCBS ombudsman office. The bill would also end state recovery of correctly paid Medicaid costs from people's estates, make permanent the Money Follows the Person program, and ask federal officials to consider a separate job code for direct support professionals.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-08-06SenateRead twice and referred to the Committee on Finance.refer
2026-08-06Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-10-02. Provisions and opinion polling arrive in a later release.