The Care is an Economic Development Strategy (CEDS) Act amends the Public Works and Economic Development Act of 1965 to require that local economic development plans include strategies for increasing access to affordable, quality care-based services. These services specifically include child care, early childhood education, disability and long-term care, and elder care. The bill directs the Secretary of Commerce to issue implementation guidance within one year of enactment to help grant recipients integrate these requirements into their existing plans. To minimize administrative burden, communities with previously approved development strategies are only required to update their plans for compliance during their next regularly scheduled revision cycle.
The HCBS Access Act would require states to cover home and community-based services (HCBS) as a mandatory benefit under Medicaid, effectively eliminating waiting lists for individuals with disabilities and older adults who need support to live in their communities rather than institutions. To fund this expansion, the bill provides a 100% federal matching rate for these services if states meet specific requirements, such as improving workforce wages, removing access barriers, and establishing infrastructure to support self-directed care models. Additionally, the legislation creates a national technical assistance center and authorizes grants to recruit, train, and retain direct care workers, while also prohibiting states from placing liens on the assets of Medicaid recipients for medical assistance correctly paid.
The Medicare at Home Act would add a new benefit to Medicare Part B that covers up to 20 hours per week of in-home personal care for beneficiaries who require assistance with daily living activities. To qualify, individuals must be certified by a physician as needing help with at least two basic or instrumental tasks, such as bathing, dressing, or meal preparation. The bill mandates that payment rates for these services reflect a reasonable wage floor for home care workers and requires the Centers for Medicare & Medicaid Services to adjust monthly premiums to cover the cost of the new benefit. Implementation is scheduled to begin more than two years after enactment, following the development of regulations regarding worker qualifications and agency enrollment.
The Increasing Mental Health Options Act of 2026 expands Medicare coverage for clinical psychologists by introducing financial incentives and removing certain administrative barriers. Starting in 2028, clinical psychologists working in designated rural and underserved areas will receive an additional 10 percent payment for services provided to Medicare beneficiaries. The bill also allows clinical psychologists to provide care or supervision in various settings, including outpatient rehabilitation, skilled nursing facilities, and home health services, as long as state laws permit it. These changes aim to increase access to mental health services by formally recognizing the role of clinical psychologists in Medicare-covered care.
The Medicare at Home Act would expand Medicare coverage to include up to 20 hours per week of personal care services for seniors and people with disabilities in their own homes. To qualify, individuals must be enrolled in Medicare and certified by a doctor as needing assistance with at least two daily living tasks, such as bathing or dressing, while not already receiving duplicate long-term care from state programs. The bill requires a physician to create a care plan that includes help with activities like meal preparation and medication reminders, and it mandates a wage floor for home care workers. Financing for this new benefit would come through adjustments to monthly Medicare premiums, with specific rules set for how payments are made to agencies and individuals providing the care.
The Increasing Mental Health Options Act of 2026 expands Medicare coverage and oversight rules to include clinical psychologists in rural and underserved areas. Starting in 2026, clinical psychologists working in designated health professional shortage areas will receive an additional 10 percent payment for services provided to Medicare beneficiaries. The bill also removes certain federal restrictions that previously limited the types of care clinical psychologists could provide in outpatient rehabilitation, skilled nursing, partial hospitalization, home health, and inpatient psychiatric settings. These changes allow psychologists to supervise or provide care directly in these facilities as long as state laws permit it, while maintaining existing requirements for consultation with physicians.
The Protecting Home-Based Care for Rural Veterans Act of 2026 aims to maintain and stabilize funding for home health services for veterans, particularly in rural areas. It requires the Department of Veterans Affairs to restore any reimbursement rates for home care services that were lowered after December 31, 2025, and prevents future rate cuts without notifying Congress at least 90 days in advance. Additionally, the bill mandates annual reports to Congress on whether there are enough care providers to meet veteran demand and identifies any regions with shortages. The legislation also requires an initial report within 90 days detailing how the VA calculates these payment rates, including the data sources and methods used.
The CHARTS Act authorizes $5 million over two years to provide grants to long-term care and post-acute care providers, such as nursing facilities and home health agencies, for implementing specific health information technology systems. These funds, capped at $500,000 per provider, must be used to develop tools that enable real-time data sharing among doctors, insurers, and government programs while improving care coordination and reducing duplicate services. The Department of Health and Human Services will prioritize grants for facilities serving Medicare and Medicaid beneficiaries and will ensure recipients represent a diverse range of geographic and demographic populations. Additionally, the bill requires the agency to submit reports evaluating how these technologies impact patient outcomes, costs, and care transitions over a six-year period.
The Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.
The Latonya Reeves Freedom Act of 2026 strengthens the Americans with Disabilities Act to ensure individuals with long-term care needs have a federally protected right to live in their own homes or integrated community settings rather than institutions. It mandates that states and insurance providers offer community-based services, provide maximum control over care choices to individuals, and establish enforceable plans to transition people out of institutional facilities. The bill also creates new enforcement mechanisms, including a task force to study barriers to community living, requirements for public participation in planning, and the ability for individuals to sue for damages if they are denied these community-based options.
