Bills · HR 4029
IN COMMITTEE· 119TH CONGRESS
House BillHR 4029Health
To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.
INTRO JUN 17· LAST ACTION JUN 17
READING
9MIN
COSPONSORS
3
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it addresses a critical need for accessible and high-quality home and community-based services, which most individuals prefer over institutional care. If passed, it could significantly improve the lives of many vulnerable Americans by allowing them to live more independently at home, rather than being forced into nursing facilities. It also tackles the severe workforce shortages in the direct care sector by mandating better pay and benefits for essential caregivers.
Without this bill, states might continue to struggle financially to expand or even maintain their HCBS programs, leading to longer waiting lists and potentially lower quality of care. It could also perpetuate the challenges faced by the direct care workforce, such as low wages and high turnover, which in turn impacts the availability of care. By providing temporary financial relief and requiring specific improvements, the bill aims to strengthen a vital part of the healthcare system for both care recipients and providers.
KEY PROVISIONS
5AI-extractedPROVISION 01
Provides a 10 percentage point increase in federal Medicaid funding for home and community-based services (HCBS) to eligible states for fiscal years 2026 and 2027.
This significantly boosts the federal share of costs, encouraging states to invest more in these services.
PROVISION 02
Requires states to use the increased funding to enhance compensation for home health workers and direct support professionals, including wages, paid leave, hazard pay, and improved job stability.
This aims to address critical workforce shortages by making caregiving jobs more attractive and sustainable.
PROVISION 03
Mandates that states must use the additional federal funds to supplement, not replace, existing state spending on HCBS.
This ensures the new federal money genuinely expands resources rather than simply offsetting current state expenditures.
PROVISION 04
Requires states to utilize funds to reduce waiting lists for HCBS and implement other activities that improve service delivery and access.
This directly targets a major barrier to care for many individuals, enhancing access to needed support.
PROVISION 05
Stipulates that all federal funds from this increase must be spent by September 30, 2029, and states must submit an application detailing their planned activities.
This sets a clear deadline for accountability and ensures states have a concrete plan for utilizing the temporary funding.
SPONSORSHIP
1 + 3
D· Michigan
YRS IN OFFICE
11
BILLS LED
79
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 3 REP 0 IND 0
ACTION TIMELINE
2 EVENTSJUN 17
Introduced in House
JUN 17
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 4029
Congress119th
StatusIn Committee
IntroducedJun 17, 2025
Last actionJun 17, 2025
READER REACTIONS
OVERALL SENTIMENT
No reactions yet. Be the first to weigh in.
Discussion
Loading comments...
IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED JUN 17, 2025
House BillHR 4029Health
To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.
INTRODUCED JUN 17, 2025· LAST ACTION JUN 17, 2025
PASSAGE CHANCES
—%
READING
9 min
COSPONSORS
3
COMPLEXITY
Moderate
