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?
Weigh in
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: National Association of Medicaid Directors →My Democracy does not 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 in their homes or communities rather than in institutions.
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)
Take Action
What’s your position?
Both sides are laid out above. Your message will carry your position. My Democracy does not take a side.