US Codex
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Title IV — Evaluation

S. 5321 · 119th Congress · Aug 6, 2026 · Lineage

IV Evaluation

Sec. 401 Evaluation of impact on access to HCBS

(a)
National survey on expanded HCBS access— The Administrator of the Centers for Medicare & Medicaid Services, in coordination with the National Academy of Medicine, shall, not later than 7 years after the date of enactment of this Act, conduct or contract for a national survey of States, direct care professionals, family caregivers, and providers and recipients of home and community-based services, to determine the effects of the implementation of this Act and the amendments made by this Act on—
(1)
the availability and access to home and community-based services under the Medicaid program nationally and in each State;
(2)
the capacity of the direct service workforce to provide home and community-based services and information on the demographics (as defined in section 2) of such workforce;
(3)
the compensation and working conditions, including scheduling and benefits, of direct care workers;
(4)
the economic effects on beneficiaries and on families with a member receiving home and community-based services through Medicaid;
(5)
the availability of direct care workers and services for people needing long-term services and supports who are not Medicaid eligible;
(6)
family caregivers; and
(7)
recommendations for measures to further expand and enhance access home and community-based services.
(b)
Report— Not later than 9 years after the date of enactment of this Act, the Administrator of the Centers for Medicare & Medicaid Services shall publish a report containing the results of the survey conducted under subsection (a).
(c)
American community survey addition— The Secretary of Commerce, acting through the Bureau of the Census, shall add to the American Community Survey a question designed to identify the need for long-term services and supports by residents of the United States.
(d)
Authorization of appropriations— There are authorized to be appropriated to the Secretary such sums as are necessary to carry out this section.