United States · Bill · HR
H.R. 1493 (118th)
HCBS Access Act
Introduced
9 March 2023
Last action
17 March 2023 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Dingell, Debbie [D-MI-6], Rep. Bowman, Jamaal [D-NY-16], Rep. Ross, Deborah K. [D-NC-2], Rep. Magaziner, Seth [D-RI-2], Rep. Barragán, Nanette Diaz [D-CA-44], Rep. Tlaib, Rashida [D-MI-12], Rep. Lieu, Ted [D-CA-36], Rep. Lee, Barbara [D-CA-12], Rep. Tokuda, Jill N. [D-HI-2], Rep. Torres, Ritchie [D-NY-15], Rep. Lofgren, Zoe [D-CA-18], Rep. Phillips, Dean [D-MN-3], Rep. Carbajal, Salud O. [D-CA-24]
Subjects
Healthcare, Budget
Source updated
5 December 2025
Summary
HCBS Access Act This bill expands coverage of home- and community-based services (HCBS) under Medicaid. It also establishes programs and requirements to support providers who furnish HCBS. Specifically, the bill requires state Medicaid programs to cover HCBS for individuals who (1) are determined to have a functional impairment that affects daily living and that is expected to last at least 90 days, (2) during the five-year period after the bill is enacted, are already receiving HCBS through Medicaid under a demonstration waiver or other state option, or (3) are under the age of 21 and are otherwise eligible. Covered services include home health care services, private nursing services, homemaking assistance, non-emergency and non-medical transportation, and caregiver support. The bill also requires the Office of Management and Budget to revise the Standard Occupational Classification system so that the occupation of direct support professional (i.e., a professional who provides services for individuals with disabilities) is classified under a separate code as a healthcare support occupation. Additionally, the Administration for Community Living must establish a technical assistance center and award grants to government, nonprofit, educational entities, and relevant employers to support training, recruitment, and retention of direct support professionals. The Centers for Medicare & Medicaid Services must study the effects of the bill's implementation on HCBS beneficiaries and the direct care workforce.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
9 March 2023
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
9 March 2023
Introduced
Introduced in House
Source: IntroReferral
9 March 2023
Introduced
Introduced in House
Source: IntroReferral
17 March 2023
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 9 March 2023 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 9 March 2023
Introduced in House (PDF)
Introduced in House · EN · 9 March 2023
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Introduced in House
summary · EN · 9 March 2023
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Sponsors
- Rep. Dingell, Debbie [D-MI-6] · D · Sponsor
- Rep. Bowman, Jamaal [D-NY-16] · D · Sponsor
- Rep. Ross, Deborah K. [D-NC-2] · D · Cosponsor
- Rep. Magaziner, Seth [D-RI-2] · D · Cosponsor
- Rep. Barragán, Nanette Diaz [D-CA-44] · D · Cosponsor
- Rep. Tlaib, Rashida [D-MI-12] · D · Cosponsor
- Rep. Lieu, Ted [D-CA-36] · D · Cosponsor
- Rep. Lee, Barbara [D-CA-12] · D · Cosponsor
- Rep. Tokuda, Jill N. [D-HI-2] · D · Cosponsor
- Rep. Torres, Ritchie [D-NY-15] · D · Cosponsor
- Rep. Lofgren, Zoe [D-CA-18] · D · Cosponsor
- Rep. Phillips, Dean [D-MN-3] · D · Cosponsor
- Rep. Carbajal, Salud O. [D-CA-24] · D · Cosponsor
- · hsif00 · Standing
- · hsgo00 · Standing
- · hsed00 · Standing
Related records
- related to → HCBS Access Act
- related to ← Supporting Our Direct Care Workforce and Family Caregivers Act
- related to ← Recognizing the Role of Direct Support Professionals Act
- related to ← Recognizing the Role of Direct Support Professionals Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/house-bill/1493
- Open data entity: https://api.congress.gov/v3/bill/118/hr/1493
- us · 118-hr-1493 · source updated 5 December 2025