S. 5321 · Where this bill is now
In committee
Introduced in the Senate, Aug 6, 2026
119th Congress
2nd SessionS. 5321
2nd SessionS. 5321
A BILL
HCBS Access Act
In the SenateNo vote yet
Sponsor: Sen. Ben Ray Luján (D-NM) · Introduced Aug 6, 2026 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Aug 6, 2026: “Read twice and referred to the Committee on Finance.”
Sections
Title I — Requiring and Expanding Access to HCBS Coverage Under Medicaid · 12
- 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 extended 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. 112Medicare 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