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HR 1493 118th Congress House Health

HCBS Access Act

Introduced: August 20, 2024 Introduced by: Dingell, Debbie Democratic · Michigan See on congress.gov
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 17, 2023
Referred to the Subcommittee on Health.
Mar 9, 2023
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, 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.
Mar 9, 2023
Introduced in House
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 Plain-English summary Congressional Research Service

HCBS Access Act

This bill expands coverage of home- and community-based services (HCBS) under Medicaid. It also establishes programs and requirements to support providers who furnish HCBS.

Specifically, the bill requires state Medicaid programs to cover HCBS for individuals who (1) are determined to have a functional impairment that affects daily living and that is expected to last at least 90 days, (2) during the five-year period after the bill is enacted, are already receiving HCBS through Medicaid under a demonstration waiver or other state option, or (3) are under the age of 21 and are otherwise eligible. Covered services include home health care services, private nursing services, homemaking assistance, non-emergency and non-medical transportation, and caregiver support.

The bill also requires the Office of Management and Budget to revise the Standard Occupational Classification system so that the occupation of direct support professional (i.e., a professional who provides services for individuals with disabilities) is classified under a separate code as a healthcare support occupation. Additionally, the Administration for Community Living must establish a technical assistance center and award grants to government, nonprofit, educational entities, and relevant employers to support training, recruitment, and retention of direct support professionals.

The Centers for Medicare & Medicaid Services must study the effects of the bill's implementation on HCBS beneficiaries and the direct care workforce.

What's happening now March 17, 2023

Referred to the Subcommittee on Health.

 Related & companion bills 4
  • S 762 Identical bill HCBS Access Act
  • S 1332 Related bill Recognizing the Role of Direct Support Professionals Act
  • HR 2941 Related bill Recognizing the Role of Direct Support Professionals Act
  • S 1298 Related bill Supporting Our Direct Care Workforce and Family Caregivers Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Lobbying activity 2

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

 Cosponsors 12
All 12 Democratic 9
D
Carbajal, Salud O.
California · Sep 10, 2024
Phillips, Dean
· Aug 20, 2024
 D
Lofgren, Zoe
California · Jun 27, 2024
 D
Torres, Ritchie
New York · Jun 13, 2024
 D
Tokuda, Jill N.
Hawaii · May 6, 2024
Lee, Barbara
· Mar 26, 2024
 D
Lieu, Ted
California · Nov 8, 2023
 D
Tlaib, Rashida
Michigan · Aug 11, 2023
 D
Barragán, Nanette Diaz
California · Jul 11, 2023
 D
Magaziner, Seth
Rhode Island · Jun 12, 2023
 D
Ross, Deborah K.
North Carolina · May 15, 2023
Bowman, Jamaal
· Mar 9, 2023
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1493: HCBS Access Act. 118th Congress. Open America. https://openamerica.io/bill/118-HR-1493/
MLA
"H.R. 1493: HCBS Access Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-1493/.
Bluebook (legal)
H.R. 1493, 118th Cong. (2026), https://openamerica.io/bill/118-HR-1493/.
Markdown link
[H.R. 1493: HCBS Access Act](https://openamerica.io/bill/118-HR-1493/)
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