HCBS Relief Act of 2025

Section 2(a)(1) increases federal medical assistance percentages for participating states by 10 percentage points for home and community-based services during fiscal years 2026 and 2027. This brings more federal dollars to states to support care programs for people who need assistance at home.

Section 2(d)(2)(A) and Section 2(d)(2)(B) allow states to increase reimbursement rates for home health agencies and direct support professionals, provided that the workers receive increased compensation, paid sick leave, paid family leave, and paid medical leave. This directly benefits frontline workers by boosting their pay and job benefits.

Section 2(d)(2)(E) allows states to provide home and community-based services to eligible individuals who are currently stuck on waiting lists for approved programs. This helps individuals gain timely access to the care they need.

Section 2(d)(2)(Q) assists eligible individuals who had to move into nursing facilities or institutional settings by paying for moving costs, first month's rent, and other start-up expenses so they can move back to their homes. This supports personal independence and community living.

Section 2(d)(2)(I) supports family care providers by funding needed supplies, equipment, family caregiver pay, and respite services. This gives much-needed relief and financial backing to family members caring for their loved ones.