# 119-hr-10414: Community Health Worker Access Act

119-hr-10414, Community Health Worker Access Act, is a 119th Congress bill sponsored by Rep. Adams, Alma S. [D-NC-12] (D-NC); status introduced; PRIA reads it as touching household money (as of 2026-10-10).

- Canonical: https://policyrisk.com/legislation/119-hr-10414
- As of: 2026-10-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10414
- Congress: 119
- Title: Community Health Worker Access Act
- Status: introduced
- Introduced: 2026-09-16
- Sponsor: Rep. Adams, Alma S. [D-NC-12] (D-NC)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-10

## Summary

**Expands Medicare and Medicaid coverage and funding for community health workers.** The bill would create a new Medicare Part B benefit for "community health services" and give states an optional Medicaid pathway to pay community health workers for preventive and social-determinant services starting Jan. 1, 2027. - Medicare beneficiaries: People on Medicare could receive community health services like preventive care, care coordination, and social needs interventions. These services would be paid at 100% of the lesser of the actual charge or a fee schedule amount and would not trigger the Medicare Part B deductible. - States and Medicaid enrollees: States could use a new "Community Health Workforce Support" Medicaid state plan pathway to pay community health workers, promotoras, and community health representatives for preventive and SDOH services. Approved state plans would get a 6 percentage point FMAP increase for those expenditures and that boost is excluded from territorial cap calculations. - Community health workforce and agencies: The bill sets standards for community health agencies and CHW networks, including wages aligned with the market, professional development, manageable caseloads, supervision, worker safety, evaluation, and worker leadership. The Secretary must issue guidance to help states recruit agencies and reimburse organizations that do not bill insurance.

## Cosponsors (1)

- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2026-09-16T00:00:00.000Z

## Provisions PRIA read

- More Medicaid support for CHW services: benefit, medium. If enacted, states would be able to add Medicaid coverage for preventive and social‑determinant services that community health workers, promotoras, or community health representatives provide. For services paid under an approved State plan amendment or Secretary guidance, the federal share (FMAP) w…
- New Medicare community health services: benefit, medium. If enacted, Medicare Part B would cover a new category called "community health services" starting January 1, 2027 when provided by a certified community health agency under a supervising provider. Medicare would pay 100% of the lesser of the provider's actual charge or the fee schedule amount set…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7973: Momnibus Act
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025

## Sources
- [119-hr-10414 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10414)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025](https://policyrisk.com/legislation/119-hr-2045)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10414 (as of 2026-10-10).