Should Medicaid Be Required to Cover Home and Community-Based Care?
The bill would make Medicaid home and community-based services a mandatory benefit. Supporters cite ending waitlists; opponents cite state cost. Where do you land?
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The case for
Mandatory HCBS coverage would eliminate waiting lists and let more people receive care at home.
Source: The Arc →The case against
Making HCBS mandatory imposes significant new costs on federal and state Medicaid budgets.
Source: KFF →My Democracy doesn’t take a side — you choose your position below, and your message carries it. Sources represent one organization on each side; they don’t reflect My Democracy’s position.
This campaign is about this bill
H.R. 8540: HCBS Access ActWhat it does
The HCBS Access Act would expand access to Medicaid-funded home and community-based services, which help people with disabilities and older adults receive care outside of institutional settings.
Latest action: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Oversight and Government Reform, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdi (Apr 28, 2026)
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What’s your position?
Both sides are laid out above. Your message will carry your position — My Democracy doesn’t take a side.