H.R. 8540 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Oversight and Government Reform, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned, Apr 28, 2026
2nd SessionH. R. 8540
A BILL
HCBS Access Act
Sponsor: Rep. Debbie Dingell (D-MI-6) · Introduced Apr 28, 2026 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Apr 28, 2026: “Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Oversight and Government Reform, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.”
Sections
Title I — Requiring and Expanding Access to HCBS Coverage Under Medicaid · 13
- Sec. 101PurposeNo change
- Sec. 102Requiring coverage of home and community-based services under the Medicaid programNo change
- Sec. 103Medicaid eligibility modificationsNo change
- Sec. 104Home and community-based services implementation planNo change
- Sec. 105Quality of servicesNo change
- Sec. 106Reports; technical assistance; other administrative requirementsNo change
- Sec. 107Quality measurement and improvementNo change
- Sec. 108Making permanent the State option to extend protection under medicaid for recipients of home and community-based services against spousal impoverishmentNo change
- Sec. 109Permanent extension of money follows the person rebalancing demonstrationNo change
- Sec. 110Liens, adjustments, and recoveries for medical assistanceNo change
- Sec. 111HCBS provider taxNo change
- Sec. 112Repealing the requirement that States establish a Medicaid estate recovery program and limit the circumstances in which a State may place a lien on a Medicaid beneficiary’s propertyNo change
- Sec. 113Medicare amendmentNo change
Title II — Recognizing the Role of Direct Support Professionals · 2
Title III — Support for the Direct Care Workforce · 6
- Sec. 301DefinitionsNo change
- Sec. 302Authority to establish a technical assistance center for building the direct care workforceNo change
- Sec. 303Authority to award grantsNo change
- Sec. 304Project plansNo change
- Sec. 305Evaluations and reports; technical assistanceNo change
- Sec. 306Authorization of appropriationsNo change