HCBS Legislative Updates

    From the desk of Katy Dodd, Principal and VP of Business Development


    Many exciting things are happening in Medicaid and the legislative space. At LifewiseCHM, we understand the importance of keeping a pulse on HCBS focused legislation that could impact our clients and their members. Continue reading to access the latest legislative highlights.

    State Supreme Court Rules in Favor of Missouri Medicaid Expansion, Reversing Lower Court Decision (Springfield News-Leader) – Recently, the Missouri Supreme Court ruled in favor of  Medicaid expansion. In a unanimous decision, the court determined that a circuit court judge was incorrect in ruling that Amendment 2, the 2020 ballot initiative passed by 53 percent of Missouri voters, was unconstitutional. The decision will likely set the state on a path to expand its low-income health care program, MO HealthNet, to include roughly 275,000 additional Missourians.

    For more information about the ruling, click here.

    ‘Better Care Better Jobs Act’ Seeks Permanent FMAP Bump, Higher Wages for HCBS Workers (Home Health Care News) – The Better Care Better Jobs Act was recently introduced as a means to strengthen the HCBS landscape by giving states more money to expand their home-based care programs while also making certain popular policies permanent. (source)

    Generally speaking, the Act looks to:

    • Enhance Medicaid funding for HCBS
    • Encourage innovative models that benefit direct care workers and care recipients
    • Support quality and accountability
    • Facilitate state planning
    • Permanent spousal impoverishment protections
    • Make Permanent Money Follows the Person

    For more information about the Act, follow the links below:

    Better Care Better Jobs Act Pager

    ‘How States Could Expand Medicaid HCBS Programs’

    State Options to Expand Medicaid HCBS: Examples & Evaluations of Section 1115 Waivers


    Other legislative highlights:
    Texas Awaits Approval of Enhanced FMAP HCBS Spending Plan (State of Reform) – The Texas Health and Human Services Commission (HHSC) submitted its $287 million Home and Community-Based Services (HCBS) spending plan to the Centers for Medicare and Medicaid Services (CMS) on Monday, taking advantage of a temporary increase in Federal Matching Assistance Percentages (FMAP) provided through the American Rescue Plan Act. Read More >

    Our focus at LifewiseCHM, is to provide solutions that support your members and their path to safer and more independent living. Contact us for more information about our work and how we can support you.