CONGRESS FOR VOTERS

DemocratBill · H.R. 4029· House(119-HR-4029)

To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.

Rep. Dingell
Age: 73 years
Michigan
Introduced
6/17/2025
Last activity
6/17/2025 — Referred to the House Committee on Energy and Commerce.
Sponsored by
Debbie Dingell
Cosponsors
Democrat - 5Republican - 0
Health
  1. Introduced
  2. In Committee

What this bill would do

This bill provides an emergency increase in Federal funding to State Medicaid programs specifically for home and community-based services during fiscal years 2026 and 2027. To get this funding, states must submit an application to the Secretary of Health and Human Services detailing their implementation plans and providing specific assurances. The provided funds must be used to supplement, and not replace, existing state funds spent on these services, and to boost worker reimbursement rates. States are required to work with community partners to focus on improving worker compensation, benefits, job stability, and service availability. Additionally, states must submit a final report by December 2029 detailing how the funds were used and how many individuals were served. Finally, the Secretary must arrange for an external evaluation of the program and share the findings publicly and with Congress.

Yes· 3 of 14

  • Does this put more money into Medicaid, the health coverage for people on low incomes?+8

    The bill increases the federal matching rate for State Medicaid home and community-based services.

  • Does this make health care easier to get in general?+8

    The bill increases access to home and community-based services and reduces waiting lists.

  • Does this expand the rights of people with disabilities?+8

    The bill enhances community integration and support for individuals with disabilities through HCBS.

The opposite

  • Does this reduce what the federal government owes?-2

    The bill increases federal spending through a higher Medicaid matching rate.

  • Does this reduce what the federal government spends?-2

    The bill increases federal spending through a higher Medicaid matching rate.