H.R. 547 118th Congress House

Better Care Better Jobs Act

Official title: To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes.

Introduced: January 26, 2023 Introduced by: Debbie Dingell Democratic · Michigan See on congress.gov

Health Congressional oversightGovernment information and archivesGovernment studies and investigationsHealth care coverage and access

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Health care qualityHealth information and medical recordsHealth personnelHealth programs administration and fundingHome and outpatient careIntergovernmental relationsLong-term, rehabilitative, and terminal careMarriage and family statusMedicaidPerformance measurementState and local financeState and local government operations

Everywhere this bill has been 3 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Feb 3, 2023

Referred to the Subcommittee on Health.

Jan 26, 2023

Referred to the House Committee on Energy and Commerce.

Jan 26, 2023

Introduced in House

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Latest action February 3, 2023

Referred to the Subcommittee on Health.

Plain-English summary Congressional Research Service

Better Care Better Jobs Act

This bill establishes programs and provides funds for state Medicaid programs to improve home- and community-based services (HCBS), such as home health care, personal care, case management, and rehabilitative services.

Specifically, the bill provides funds for the Centers for Medicare & Medicaid Services to award planning grants, develop quality measures, and provide technical assistance to states regarding specified HCBS improvements, particularly with respect to access, utilization, and the associated workforce. The bill also increases the Federal Medical Assistance Percentage (i.e., federal matching rate) for HCBS in states that develop plans and meet specified benchmarks for improvements.

The bill also makes permanent (1) the Money Follows the Person Rebalancing Demonstration Program (a grant program to help states increase the use of HCBS for long-term care and decrease the use of institutional care), and (2) certain provisions regarding Medicaid eligibility that protect against spousal impoverishment for recipients of HCBS.

Related & companion bills 3

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 2

Energy and Commerce Committee
House of Representatives
Health Subcommittee
House of Representatives · subcommittee of Energy and Commerce Committee

Lobbying activity 2

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

SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
for SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · District of Columbia · 1st Quarter 2025 (Jan 1 - Mar 31)
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
for SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · District of Columbia · 1st Quarter 2025 (Jan 1 - Mar 31)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
2 filings
SENATE
2 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

Cosponsors 100

Carbajal, Salud O.

California · Aug 27, 2024

McGovern, James P.

Massachusetts · Jul 18, 2024

Lofgren, Zoe

California · Jun 27, 2024

Tlaib, Rashida

Michigan · Jun 25, 2024

Lee, Barbara

· Mar 26, 2024

Goldman, Daniel S.

New York · Jan 17, 2024

DeSaulnier, Mark

California · Nov 14, 2023

McClellan, Jennifer L.

Virginia · Nov 1, 2023

Wild, Susan

· Oct 19, 2023

Chu, Judy

California · Oct 10, 2023

Hoyle, Val T.

Oregon · Aug 1, 2023

Krishnamoorthi, Raja

Illinois · Jul 11, 2023

Levin, Mike

California · Jul 11, 2023

Sherrill, Mikie

New Jersey · Jun 13, 2023

Ryan, Patrick

New York · Jun 12, 2023

Higgins, Brian

· May 11, 2023

Thanedar, Shri

Michigan · May 11, 2023

Phillips, Dean

· May 10, 2023

Salinas, Andrea

Oregon · May 10, 2023

Cohen, Steve

Tennessee · Apr 27, 2023

Torres, Ritchie

New York · Apr 27, 2023

DeGette, Diana

Colorado · Apr 20, 2023

Budzinski, Nikki

Illinois · Apr 13, 2023

Craig, Angie

Minnesota · Apr 13, 2023

Magaziner, Seth

Rhode Island · Apr 13, 2023

Mfume, Kweisi

Maryland · Apr 13, 2023

DelBene, Suzan K.

Washington · Mar 22, 2023

Doggett, Lloyd

Texas · Mar 22, 2023

Balint, Becca

Vermont · Mar 10, 2023

Cherfilus-McCormick, Sheila

Florida · Mar 1, 2023

Correa, J. Luis

California · Mar 1, 2023

Frankel, Lois

Florida · Feb 24, 2023

Cleaver, Emanuel

Missouri · Feb 17, 2023

Espaillat, Adriano

New York · Feb 17, 2023

Gomez, Jimmy

California · Feb 17, 2023

Hayes, Jahana

Connecticut · Feb 17, 2023

Jacobs, Sara

California · Feb 17, 2023

Moulton, Seth

Massachusetts · Feb 17, 2023

Norton, Eleanor Holmes

District of Columbia · Feb 17, 2023

Scholten, Hillary J.

Michigan · Feb 17, 2023

Titus, Dina

Nevada · Feb 17, 2023

Tokuda, Jill N.

Hawaii · Feb 17, 2023

Trahan, Lori

Massachusetts · Feb 17, 2023

Veasey, Marc A.

Texas · Feb 17, 2023

Wilson, Frederica S.

Florida · Feb 17, 2023

Florida · Feb 14, 2023

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APA

U.S. Congress. (2026). H.R. 547: Better Care Better Jobs Act. 118th Congress. Open America. https://openamerica.io/bill/118-HR-547/

MLA

"H.R. 547: Better Care Better Jobs Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-547/.

Bluebook (legal)

H.R. 547, 118th Cong. (2026), https://openamerica.io/bill/118-HR-547/.

Markdown link

[H.R. 547: Better Care Better Jobs Act](https://openamerica.io/bill/118-HR-547/)