To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

HR 8114 blocks the U.S. Department of Health and Human Services from finalizing a proposed rule that would have required states to spend at least 80% of Medicaid funds for home and community-based care services (like homemaker, home health aide, and personal care) on direct care worker wages. The bill directly affects Medicaid programs and the states administering them, preventing them from being required to meet this specific spending threshold. It prohibits the finalization, implementation, or enforcement of this rule or any substantially similar rule that would mandate a minimum percentage of payments for these services go toward worker compensation. This is a concrete policy change that maintains current Medicaid funding flexibility for states regarding home care worker wages.