Bill > HR4029

This bill provides for an emergency increase in federal funding to state Medicaid programs specifically for home and community-based services (HCBS) during fiscal years 2026 and 2027. The bill increases the Federal Medical Assistance Percentage (FMAP) by 10 percentage points for states that apply and meet certain conditions, with a maximum federal contribution of 95%. To receive the additional funding, states must submit an application detailing how they will use the funds to improve HCBS, which includes activities like increasing worker compensation, providing paid leave, offering hazard pay, recruiting new workers, supporting family caregivers, purchasing emergency supplies, and helping individuals on waiting lists for services. States must ensure the funds supplement, not replace, existing state HCBS funding and must spend the funds by September 30, 2029. The bill requires states to report on their use of the funds, and the Department of Health and Human Services will conduct an external evaluation of the program's impact on access, availability, and quality of home and community-based services. The goal is to strengthen the HCBS workforce and expand services for eligible Medicaid recipients who need home-based care.

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https://www.congress.gov/bill/119th-congress/house-bill/4029/all-info