Home and Community-Based Services (HCBS) Relief Act of 2025
Category:
Sub-topic:
Proposal Overview
Name: Home and Community-Based Services (HCBS) Relief Act of 2025
Congress: 119th
Year: 2025
Sponsor and Co-Sponsors
Sponsor:
Senator Ben Ray Luján (D-NM)
Co-Sponsors:
17 Democratic cosponsors
Companion Bill
Related Bills from Prior Congresses
Program Details
Overview: This bill temporarily increases the Federal Medical Assistance Percentage (FMAP) by 10 percentage points for Home and Community-Based Services (HCBS) provided during fiscal years 2026 and 2027.
This bill includes a number of provisions related to HCBS, but this analysis focuses on provisions related only to family caregivers.
Increase in FMAP Share
This bill allows for a 10% increase to the FMAP for eligible states.
State Application Process
States apply for the FMAP increase and outline how they will use the funds to improve the delivery of home and community-based care, and the expansion of supports for family caregivers.
New funds must supplement and not replace existing state spending.
Activities to Improve Support of Family Caregivers Through HCBS
States can use the additional federal funding to support family caregivers with supplies, equipment, and other services such as direct payments to family caregivers and respite care.
Financing & Implementation
Program Administration
Centers for Medicare and Medicaid Services and state Medicaid programs
Revenue Source(s)
Not specified
Program Cost Estimate
Not specified