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    <number>1493</number>
    <updateDate>2025-12-05T08:06:30Z</updateDate>
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    <introducedDate>2023-03-09</introducedDate>
    <congress>118</congress>
    <legislationUrl>https://www.congress.gov/bill/118th-congress/house-bill/1493</legislationUrl>
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      <constitutionalAuthorityStatementText>&lt;pre&gt;[Congressional Record Volume 169, Number 45 (Thursday, March 9, 2023)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Mrs. DINGELL:H.R. 1493.Congress has the power to enact this legislation pursuantto the following:The Constitutional authority of Congress to enact thislegislation is provided by Article I, Section 8 of the UnitedStates Constitution.The single subject of this legislation is:To expand access to HCBS coverage under Medicaid.[Page H1250]&lt;/pre&gt;</constitutionalAuthorityStatementText>
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        <title>Recognizing the Role of Direct Support Professionals Act</title>
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          <text>Held at the desk.</text>
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          <actionDate>2024-09-19</actionDate>
          <text>Placed on the Union Calendar, Calendar No. 587.</text>
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        <number>1298</number>
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          <actionDate>2023-04-26</actionDate>
          <text>Read twice and referred to the Committee on Health, Education, Labor, and Pensions.</text>
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        <actionDate>2023-03-09</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Oversight and Accountability, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <fullName>Rep. Dingell, Debbie [D-MI-6]</fullName>
        <firstName>Debbie</firstName>
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        <fullName>Rep. Bowman, Jamaal [D-NY-16]</fullName>
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        <bioguideId>R000305</bioguideId>
        <fullName>Rep. Ross, Deborah K. [D-NC-2]</fullName>
        <firstName>Deborah</firstName>
        <lastName>Ross</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>K.</middleName>
        <district>2</district>
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        <fullName>Rep. Magaziner, Seth [D-RI-2]</fullName>
        <firstName>Seth</firstName>
        <lastName>Magaziner</lastName>
        <party>D</party>
        <state>RI</state>
        <district>2</district>
        <sponsorshipDate>2023-06-12</sponsorshipDate>
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        <bioguideId>B001300</bioguideId>
        <fullName>Rep. Barragan, Nanette Diaz [D-CA-44]</fullName>
        <firstName>Nanette</firstName>
        <lastName>Barragan</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>Diaz</middleName>
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        <sponsorshipDate>2023-07-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>T000481</bioguideId>
        <fullName>Rep. Tlaib, Rashida [D-MI-12]</fullName>
        <firstName>Rashida</firstName>
        <lastName>Tlaib</lastName>
        <party>D</party>
        <state>MI</state>
        <district>12</district>
        <sponsorshipDate>2023-08-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>L000582</bioguideId>
        <fullName>Rep. Lieu, Ted [D-CA-36]</fullName>
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        <state>CA</state>
        <district>12</district>
        <sponsorshipDate>2024-03-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>T000487</bioguideId>
        <fullName>Rep. Tokuda, Jill N. [D-HI-2]</fullName>
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        <state>HI</state>
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        <fullName>Rep. Torres, Ritchie [D-NY-15]</fullName>
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        <fullName>Rep. Lofgren, Zoe [D-CA-18]</fullName>
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        <fullName>Rep. Phillips, Dean [D-MN-3]</fullName>
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        <fullName>Rep. Carbajal, Salud O. [D-CA-24]</fullName>
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    <policyArea>
      <name>Health</name>
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        <actionDate>2023-03-09</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2023-10-23T17:38:43Z</updateDate>
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          <text>&lt;p&gt;&lt;b&gt;HCBS Access Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill expands coverage of home- and community-based services (HCBS) under Medicaid. It also establishes programs and requirements to support providers who furnish HCBS. &lt;/p&gt; &lt;p&gt;Specifically, the bill requires state Medicaid programs to cover HCBS for individuals who (1) are determined to have a functional impairment that affects daily living and that is expected to last at least 90 days, (2) during the five-year period after the bill is enacted, are already receiving HCBS through Medicaid under a demonstration waiver or other state option, or (3) are under the age of 21 and are otherwise eligible. Covered services include home health care services, private nursing services, homemaking assistance, non-emergency and non-medical transportation, and caregiver support. &lt;/p&gt; &lt;p&gt;The bill also requires the Office of Management and Budget to revise the Standard Occupational Classification system so that the occupation of direct support professional (i.e., a professional who provides services for individuals with disabilities) is classified under a separate code as a healthcare support occupation. Additionally, the Administration for Community Living must establish a technical assistance center and award grants to government, nonprofit, educational entities, and relevant employers to support training, recruitment, and retention of direct support professionals.&lt;/p&gt; &lt;p&gt;The Centers for Medicare &amp;amp; Medicaid Services must study the effects of the bill's implementation on HCBS beneficiaries and the direct care workforce.&lt;/p&gt;</text>
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    <title>HCBS Access Act</title>
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        <title>HCBS Access Act</title>
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        <title>HCBS Access Act</title>
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        <title>To amend title XIX of the Social Security Act to require coverage of, and expand access to, home and community-based services under the Medicaid program; to award grants for the creation, recruitment, training and education, retention, and advancement of the direct care workforce and to award grants to support family caregivers; and for other purposes.</title>
        <updateDate>2024-03-18T20:26:51Z</updateDate>
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      <actionDate>2023-03-17</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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