Direct Support Worker Training Reimbursement Act

This bill (S 5179) adds a new Medicaid funding mechanism to reimburse states 75% of costs for approved direct support worker training programs starting in 2025. It directly affects states administering Medicaid and eligible homecare workers (including home health aides and nursing assistants) who serve Medicaid recipients. The key provision requires states to approve training programs that cover core competencies for homecare aides and provide career advancement opportunities, with reimbursement tied to workers having at least 30% of their client volume on Medicaid. The bill defines "eligible direct support worker" to include specific roles meeting this Medicaid client volume threshold.