US SB2076

Increases the Federal Medical Assistance Percentage (FMAP) by 10 percentage points for state Medicaid home and community-based services (HCBS) expenditures during fiscal years 2026 and 2027, with a maximum FMAP cap of 95 percent

Requires states to submit applications demonstrating how they will use funds for specified activities, with assurances that federal funds will supplement (not supplant) existing state HCBS spending and must be expended by September 30, 2029

Mandates that increased funding support workforce improvements including higher reimbursement rates tied to increased worker compensation, paid sick/family/medical leave, hazard pay, and job stability measures for home health workers and direct support professionals

Covers a broad range of HCBS including home health care, behavioral health services, personal care services, PACE services, and waiver programs under sections 1115 and 1915 of the Social Security Act

Requires states to report by December 31, 2029 on funded activities and individuals served, and directs HHS to conduct an external evaluation of program implementation and outcomes