The Home and Community-Based Services (HCBS) landscape in the United States is facing a critical shortage, with all states reporting deficiencies in HCBS workers, particularly among direct support professionals, personal care attendants, nursing staff, and home health aides. The situation is exacerbated by the permanent closures of HCBS providers in most states over the past year.
This crisis adversely affects workers, individuals receiving services, and their families. In response, U.S. Senator Bob Casey (D-PA) has introduced the Home and Community-Based Services (HCBS) Relief Act (S.3118), aiming to provide states with two years of dedicated Medicaid funds. This financial support is intended to stabilize HCBS service delivery networks, recruit and retain direct care workers, and meet the long-term service and support needs of Medicaid-eligible individuals.
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