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HCBS Access Act

USA118th CongressHR-1493| House 
| Updated: 3/17/2023
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (12)
Barbara Lee (Democratic)Ritchie Torres (Democratic)Ted Lieu (Democratic)Jill N. Tokuda (Democratic)Dean Phillips (Democratic)Salud O. Carbajal (Democratic)Seth Magaziner (Democratic)Deborah K. Ross (Democratic)Zoe Lofgren (Democratic)Nanette Diaz Barragán (Democratic)Rashida Tlaib (Democratic)Jamaal Bowman (Democratic)

Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee, Oversight and Government Reform Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
HCBS Access Act This bill expands coverage of home- and community-based services (HCBS) under Medicaid. It also establishes programs and requirements to support providers who furnish HCBS. Specifically, the bill requires state Medicaid programs to cover HCBS for individuals who (1) are determined to have a functional impairment that affects daily living and that is expected to last at least 90 days, (2) during the five-year period after the bill is enacted, are already receiving HCBS through Medicaid under a demonstration waiver or other state option, or (3) are under the age of 21 and are otherwise eligible. Covered services include home health care services, private nursing services, homemaking assistance, non-emergency and non-medical transportation, and caregiver support. The bill also requires the Office of Management and Budget to revise the Standard Occupational Classification system so that the occupation of direct support professional (i.e., a professional who provides services for individuals with disabilities) is classified under a separate code as a healthcare support occupation. Additionally, the Administration for Community Living must establish a technical assistance center and award grants to government, nonprofit, educational entities, and relevant employers to support training, recruitment, and retention of direct support professionals. The Centers for Medicare & Medicaid Services must study the effects of the bill's implementation on HCBS beneficiaries and the direct care workforce.
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Timeline
Mar 9, 2023

Latest Companion Bill Action

S 118-762
Introduced in Senate
Mar 9, 2023
Introduced in House
Mar 9, 2023
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, 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.
Mar 17, 2023
Referred to the Subcommittee on Health.
  • March 9, 2023

    Latest Companion Bill Action

    S 118-762
    Introduced in Senate


  • March 9, 2023
    Introduced in House


  • March 9, 2023
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, 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.


  • March 17, 2023
    Referred to the Subcommittee on Health.

Health

Related Bills

  • S 118-762: HCBS Access Act
  • S 118-1298: Supporting Our Direct Care Workforce and Family Caregivers Act
  • S 118-1332: Recognizing the Role of Direct Support Professionals Act
  • HR 118-2941: Recognizing the Role of Direct Support Professionals Act

HCBS Access Act

USA118th CongressHR-1493| House 
| Updated: 3/17/2023
HCBS Access Act This bill expands coverage of home- and community-based services (HCBS) under Medicaid. It also establishes programs and requirements to support providers who furnish HCBS. Specifically, the bill requires state Medicaid programs to cover HCBS for individuals who (1) are determined to have a functional impairment that affects daily living and that is expected to last at least 90 days, (2) during the five-year period after the bill is enacted, are already receiving HCBS through Medicaid under a demonstration waiver or other state option, or (3) are under the age of 21 and are otherwise eligible. Covered services include home health care services, private nursing services, homemaking assistance, non-emergency and non-medical transportation, and caregiver support. The bill also requires the Office of Management and Budget to revise the Standard Occupational Classification system so that the occupation of direct support professional (i.e., a professional who provides services for individuals with disabilities) is classified under a separate code as a healthcare support occupation. Additionally, the Administration for Community Living must establish a technical assistance center and award grants to government, nonprofit, educational entities, and relevant employers to support training, recruitment, and retention of direct support professionals. The Centers for Medicare & Medicaid Services must study the effects of the bill's implementation on HCBS beneficiaries and the direct care workforce.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Mar 9, 2023

Latest Companion Bill Action

S 118-762
Introduced in Senate
Mar 9, 2023
Introduced in House
Mar 9, 2023
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, 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.
Mar 17, 2023
Referred to the Subcommittee on Health.
  • March 9, 2023

    Latest Companion Bill Action

    S 118-762
    Introduced in Senate


  • March 9, 2023
    Introduced in House


  • March 9, 2023
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, 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.


  • March 17, 2023
    Referred to the Subcommittee on Health.
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (12)
Barbara Lee (Democratic)Ritchie Torres (Democratic)Ted Lieu (Democratic)Jill N. Tokuda (Democratic)Dean Phillips (Democratic)Salud O. Carbajal (Democratic)Seth Magaziner (Democratic)Deborah K. Ross (Democratic)Zoe Lofgren (Democratic)Nanette Diaz Barragán (Democratic)Rashida Tlaib (Democratic)Jamaal Bowman (Democratic)

Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee, Oversight and Government Reform Committee

Health

Related Bills

  • S 118-762: HCBS Access Act
  • S 118-1298: Supporting Our Direct Care Workforce and Family Caregivers Act
  • S 118-1332: Recognizing the Role of Direct Support Professionals Act
  • HR 118-2941: Recognizing the Role of Direct Support Professionals Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted