To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.
Sponsored By: Representative Dingell
Introduced
Summary
A temporary 10 percentage point boost to the Federal medical assistance percentage (FMAP) for Medicaid home and community-based services (HCBS). This change would target HCBS spending in fiscal years 2026 and 2027 and is capped so no State’s FMAP exceeds 95 percent. States must apply and agree to use the funding for specific workforce and service improvements.
Show full summary
- Families and people who need long-term supports could get faster access and more services. States may use funds to resume HCBS for people on waiting lists and to help eligible individuals move back home, including moving costs and first month’s rent.
- Workers who provide home care and direct support could see higher pay, paid sick and family leave, hazard or overtime pay, and more training. The law requires that rate increases be passed through to home health workers or direct support professionals.
- States must submit an application describing planned activities, promise to spend funds by September 30, 2029, and assure the federal funds will supplement state HCBS spending. The Department of Health and Human Services must certify applications, require reporting, and fund an external evaluation of access and quality by December 31, 2029.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Higher federal match for Medicaid home care
If enacted, the federal share for Medicaid home and community-based services would rise by 10 percentage points in FY 2026 and 2027, but not above 95% for any state. States would need to apply and be approved to get this money. The funds would have to add to current state spending, raise provider rates so workers are paid more, and be spent by September 30, 2029. If your state participates, you could see more access to services like home health and personal care, and shorter waitlists.
Sponsors & CoSponsors
Sponsor
Dingell
MI • D
Cosponsors
Davids (KS)
KS • D
Sponsored 10/3/2025
Riley (NY)
NY • D
Sponsored 10/10/2025
Roll Call Votes
No roll call votes available for this bill.
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