This bill aims to provide an emergency increase in federal funding to State Medicaid programs specifically for expenditures on home and community-based services (HCBS) . For fiscal years 2026 and 2027, states that qualify can receive a 10 percentage point increase in their Federal Medical Assistance Percentage (FMAP) for these services. To receive this increased funding, a state must submit an application to the Secretary of Health and Human Services, detailing how it plans to implement activities to improve HCBS and assuring that the federal funds will supplement, not supplant, existing state expenditures. The increased federal funds must be expended by September 30, 2029, and are intended to support a range of activities designed to enhance HCBS. These activities include increasing reimbursement rates for HCBS providers to support recruitment and retention of a sufficient workforce , providing paid leave and hazard pay for home health workers, and addressing waiting lists for services. Funds can also be used for purchasing emergency supplies, supporting family caregivers, and training for professionals. States are required to submit a report by December 31, 2029, detailing how the funds were used and the number of individuals served, and an external evaluator will assess the program's overall impact on HCBS access, availability, and quality.