HCBS Relief Act of 2025

Summary#

The bill would increase federal Medicaid funding to states by 10 percentage points for certain home and community-based services provided during fiscal years 2026 and 2027. The increased federal share could not exceed 95 percent. States would need to apply and use the funds by September 30, 2029, to support listed activities, including raising worker pay, providing leave and training, serving people on waiting lists, and helping people move back home from institutions. States would also report on how the money was used, and the Department of Health and Human Services would evaluate the program.

What it means for you#

If you are eligible for Medicaid, your state could use the additional funds to support home and community-based services. The bill does not guarantee a specific service or payment to any individual; states would choose activities from the options listed in the bill.

Expenses#

The bill would increase the federal share of qualifying state Medicaid spending by 10 percentage points, up to a 95 percent federal share. It does not specify a total dollar amount.

Proponents' View#

The bill's stated purpose is to provide emergency federal funding for Medicaid home and community-based services. No publicly available information.

Opponents' View#

No publicly available information.