To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill creates temporarily increases Federal Medical Assistance Percentage (FMAP) by 10 percentage points (up to 95% cap) for state Medicaid expenditures on home and community-based services during FY 2026-2027. It relies on appropriations, grants, reporting requirements, and compliance mandates. The main policy areas are Healthcare, Labor, Science & Space, and Social Welfare.
Who Benefits and How
State Medicaid programs could gain revenue opportunities, Home health workers and direct support professionals could gain revenue opportunities, and Medicaid beneficiaries receiving HCBS could see lower costs.
Who Bears the Burden and How
Federal taxpayers could face higher costs, State Medicaid administrators and oversight staff would take on compliance duties, and Nursing facilities and institutional care providers could lose revenue opportunities.
Key Provisions
- Creates temporarily increases Federal Medical Assistance Percentage (FMAP) by 10 percentage points (up to 95% cap) for state Medicaid expenditures on home and community-based services during FY 2026-2027.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill creates temporarily increases Federal Medical Assistance Percentage (FMAP) by 10 percentage points (up to 95% cap) for state Medicaid expenditures on home and community-based services during FY 2026-2027.
Key Policy Areas
Healthcare, Labor, Science & Space, Social Welfare
Primary Purpose
The bill creates temporarily increases Federal Medical Assistance Percentage (FMAP) by 10 percentage points (up to 95% cap) for state Medicaid expenditures on home and community-based services during FY 2026-2027.
Policy Domains
Section 2 - Additional support for Medicaid home and community-based services
Identified Gains
- State Medicaid programs
- Home health workers and direct support professionals
- Medicaid beneficiaries receiving HCBS
- Medicaid beneficiaries on HCBS waiting lists
- External evaluators with HCBS expertise
Identified Costs
- Federal taxpayers
- State Medicaid administrators and oversight staff
- Nursing facilities and institutional care providers
Sponsors
Legislative Progress
In CommitteeMrs. Dingell introduced the following bill; which was referred to …
Referred to the House Committee on Energy and Commerce.
Introduced in House
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Medicaid beneficiaries in nursing facilities seeking to return home, Medicaid beneficiaries on HCBS waiting lists, Medicaid beneficiaries receiving HCBS
Assistive technology providers, Personal protective equipment suppliers
Family caregivers of Medicaid HCBS beneficiaries
Day services providers transitioning to HCBS
Area Agencies on Aging and Centers for Independent Living
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology