S.1989 - Helping Communities with Better Support Act (119th Congress)
Summary
S.1989, the "Helping Communities with Better Support Act," aims to amend Title XIX of the Social Security Act, focusing on enhancing transparency and broadening coverage options for home and community-based services (HCBS). The bill mandates more frequent reporting and public availability of data related to HCBS waivers, including information on waiting lists and service delivery. It also allows states to extend HCBS coverage to individuals who meet the Americans with Disabilities Act definition of disability, even without a formal determination of need typically required for Medicaid waivers.
Expected Effects
The likely effect of this bill is improved access to HCBS for individuals with disabilities and increased transparency in the administration of Medicaid waivers. States may be incentivized to expand their HCBS programs to serve a broader population. The increased reporting requirements could lead to better oversight and accountability in the provision of these services.
Potential Benefits
- Expanded access to home and community-based services for individuals with disabilities.
- Increased transparency in the administration of HCBS waivers, allowing for better public oversight.
- Improved data collection and reporting on waiting lists and service delivery.
- Potential for more efficient allocation of resources for HCBS.
- Clarification of coverage options for individuals awaiting formal care plans.
Potential Disadvantages
- Increased administrative burden on states due to enhanced reporting requirements.
- Potential for increased costs associated with expanding HCBS coverage.
- Possible strain on existing HCBS resources if demand significantly increases.
- Risk of uneven implementation across states, leading to disparities in access to services.
- The bill's effectiveness depends on the Secretary of Health and Human Services' guidance, which may be subject to interpretation.
Constitutional Alignment
The bill aligns with the Constitution's general welfare clause (Preamble) by promoting the well-being of individuals with disabilities. Congress has the power to legislate regarding federal spending programs like Medicaid under Article I, Section 8, which provides for the general welfare of the United States. The amendments to the Social Security Act fall under this purview.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).