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HCBS Access Act

USA118th CongressS-762| Senate 
| Updated: 3/9/2023
Robert P. Casey

Robert P. Casey

Democratic Senator

Pennsylvania

Cosponsors (20)
Jeanne Shaheen (Democratic)Tammy Duckworth (Democratic)Margaret Wood Hassan (Democratic)Edward J. Markey (Democratic)Jack Reed (Democratic)Kirsten E. Gillibrand (Democratic)Elizabeth Warren (Democratic)Christopher A. Coons (Democratic)Tim Kaine (Democratic)Sheldon Whitehouse (Democratic)Patty Murray (Democratic)John Fetterman (Democratic)Tina Smith (Democratic)Sherrod Brown (Democratic)Bernard Sanders (Independent)Tammy Baldwin (Democratic)Peter Welch (Democratic)Benjamin L. Cardin (Democratic)Jeff Merkley (Democratic)Richard Blumenthal (Democratic)

Finance 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
Introduced in Senate
Mar 9, 2023
Read twice and referred to the Committee on Finance.
Mar 17, 2023

Latest Companion Bill Action

HR 118-1493
Referred to the Subcommittee on Health.
  • March 9, 2023
    Introduced in Senate


  • March 9, 2023
    Read twice and referred to the Committee on Finance.


  • March 17, 2023

    Latest Companion Bill Action

    HR 118-1493
    Referred to the Subcommittee on Health.

Health

Related Bills

  • 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
  • HR 118-1493: HCBS Access Act

HCBS Access Act

USA118th CongressS-762| Senate 
| Updated: 3/9/2023
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
Introduced in Senate
Mar 9, 2023
Read twice and referred to the Committee on Finance.
Mar 17, 2023

Latest Companion Bill Action

HR 118-1493
Referred to the Subcommittee on Health.
  • March 9, 2023
    Introduced in Senate


  • March 9, 2023
    Read twice and referred to the Committee on Finance.


  • March 17, 2023

    Latest Companion Bill Action

    HR 118-1493
    Referred to the Subcommittee on Health.
Robert P. Casey

Robert P. Casey

Democratic Senator

Pennsylvania

Cosponsors (20)
Jeanne Shaheen (Democratic)Tammy Duckworth (Democratic)Margaret Wood Hassan (Democratic)Edward J. Markey (Democratic)Jack Reed (Democratic)Kirsten E. Gillibrand (Democratic)Elizabeth Warren (Democratic)Christopher A. Coons (Democratic)Tim Kaine (Democratic)Sheldon Whitehouse (Democratic)Patty Murray (Democratic)John Fetterman (Democratic)Tina Smith (Democratic)Sherrod Brown (Democratic)Bernard Sanders (Independent)Tammy Baldwin (Democratic)Peter Welch (Democratic)Benjamin L. Cardin (Democratic)Jeff Merkley (Democratic)Richard Blumenthal (Democratic)

Finance Committee

Health

Related Bills

  • 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
  • HR 118-1493: HCBS Access Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted