HCBS Relief Act of 2023

This bill increases federal funding for Medicaid home and community-based services (HCBS) by raising the federal share (FMAP) by 10 percentage points for states during 2024-2025, capped at 95%. States must apply with plans to use these funds to increase wages and benefits for home care workers (like paid leave and hazard pay), reduce waiting lists for services, help people return from institutional settings, and cover related costs like equipment or training. Funds must supplement, not replace, existing state spending and be reported on by states by 2027. It directly affects states administering Medicaid HCBS programs, home care workers, and people receiving community-based care.