HCBS Access Act

Source of recordUS Congress · congress.govLast synced Aug 27, 2026

Chamber

House

Progress

Where this bill stands in the legislative process.

Introduced
Passed House
Passed Senate
To President
Became Law

Overview

The HCBS Access Act aims to expand access to home and community-based services (HCBS) under Medicaid. It requires states to cover HCBS, establishes a process for determining eligible individuals and their needs, and allocates funds for a technical assistance center to support the direct care workforce. The bill also addresses issues like workforce shortages, caregiver support, and ensuring equitable access to services, particularly for underserved populations. It seeks to eliminate waiting lists for HCBS and streamline the process for states to provide these services.

Key provisions

Requires states to cover HCBS under Medicaid.
Establishes a process for determining eligible individuals and their needs through individualized assessments and person-centered care plans.
Creates a technical assistance center to support the direct care workforce.
Allocates funding for family caregiver support services.
Mandates states to develop and implement HCBS implementation plans.
Establishes a process for the Secretary to recommend additional HCBS services through an advisory panel.
Requires states to track and report on HCBS quality measures.
Addresses issues related to workforce compensation and training.

Who is affected

Individuals with disabilities
Older adults
Family caregivers
Direct care workers
State Medicaid programs

Notable changes

Bill text

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Apr 28, 2026XMLView source

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Legislative history

2 recorded actions

Apr 28, 2026House

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.

Apr 28, 2026

Introduced in House

Geography

Recorded positions across the country.

No public positions recorded for this legislation.

Arguments

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HCBS Access Act

Progress