hold on there's just too much going on in Congress lmao...
Mandates home and community-based services in all state Medicaid plans.
Rep. Debbie Dingell (D-MI) and Jan Schakowsky (D-IL).
Introduced, referred to multiple committees.
This bill requires states to provide home and community-based services (HCBS) as a standard Medicaid benefit within 5 years. It also creates grants to recruit, train, and retain direct care workers and support family caregivers. The sponsors are Democrats; the bill is in early stages and has not had a vote.
Introduced Apr 28, 2026
This bill is under review by a committee. The committee holds hearings, gathers testimony from experts and stakeholders, and may propose amendments. If the committee votes to advance it, the bill moves to the full chamber for debate and a vote.
The bill eliminates most Medicaid estate recovery and liens on property, so families could keep their homes. It also requires states to raise payment rates for home care workers and pass through increases to workers' wages, which could reduce turnover and improve care consistency.
Supporters Say
Supporters say it upholds the right to live in the community and reduces costly institutional care.
Critics Say
Critics worry about high federal costs and state administrative burdens.
Disability rights groups and labor unions strongly support the bill. Opponents may argue the 100% federal match for HCBS could strain federal budgets, and states may struggle to meet the 5-year implementation deadline.