Medicaid Empowerment Act of 2025
Sponsored By: Representative Rulli
Introduced
Summary
Extends renewal periods for certain Medicaid home and community-based services waivers and related State plan amendments from five years to ten years. This change would apply to extensions and renewals that begin on or after enactment and updates three subsections of Section 1915 of the Social Security Act to set 10-year terms where 5-year terms now apply.
Show full summary
- States: State Medicaid agencies would move some waiver and State plan amendment renewal cycles from 5-year to 10-year schedules for the specified extensions and renewals. This shifts the timing of required renewals for those specific authorities.
- Families and HCBS recipients: People who receive home and community-based services under the affected waivers would see those specific waivers renewed every 10 years instead of every 5, which reduces how often those renewals occur.
- Providers and programs: Programs and providers operating under the covered waivers would operate under longer renewal terms for the listed extensions and elections, changing the cadence of approvals and renewals.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Longer Medicaid home care waivers
If enacted, this would make Medicaid home care waivers last 10 years instead of 5. It would apply only to renewals or extensions that start on or after enactment. States would seek federal approvals less often, which could mean steadier services for people and caregivers.
Sponsors & CoSponsors
Sponsor
Rulli
OH • R
Cosponsors
Veasey
TX • D
Sponsored 4/29/2025
Carey
OH • R
Sponsored 4/29/2025
Bentz
OR • R
Sponsored 4/30/2025
Vindman
VA • D
Sponsored 12/9/2025
Roll Call Votes
No roll call votes available for this bill.
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