---
title: "HCBS Access Act"
identifier: "118-S-762"
congress: 118
bill_number: 762
bill_type: "S"
version_code: "is"
version_type: "Introduced in Senate"
bill_url: "https://chamberzero.com/congresses/118/bills/s/762"
source: "https://www.congress.gov/bill/118th-congress/senate-bill/762"
site: "Chamber Zero"
site_url: "https://chamberzero.com"
rendered_at: "2026-06-03T23:36:04.613Z"
---
## SEC. 1 Short title; table of contents.

[Read Section 1 →](/congresses/118/bills/s/762/sections/1-section-one.md)

## SEC. 2 Definitions.

[Read Section 2 →](/congresses/118/bills/s/762/sections/2.md)

# TITLE I — Requiring and expanding access to HCBS coverage under Medicaid

## SEC. 101 Purpose.

[Read Section 101 →](/congresses/118/bills/s/762/sections/TI-101.md)

## SEC. 102 Requiring coverage of home and community-based services under the Medicaid program.

[Read Section 102 →](/congresses/118/bills/s/762/sections/TI-102.md)

## SEC. 103 Medicaid eligibility modifications.

[Read Section 103 →](/congresses/118/bills/s/762/sections/TI-103.md)

## SEC. 104 Home and community-based services implementation plan grant program.

[Read Section 104 →](/congresses/118/bills/s/762/sections/TI-104.md)

## SEC. 105 Quality of services.

[Read Section 105 →](/congresses/118/bills/s/762/sections/TI-105.md)

## SEC. 106 Reports; technical assistance; other administrative requirements.

[Read Section 106 →](/congresses/118/bills/s/762/sections/TI-106.md)

## SEC. 107 Quality measurement and improvement.

[Read Section 107 →](/congresses/118/bills/s/762/sections/TI-107.md)

## SEC. 108 Making permanent the State option to extend protection under Medicaid for recipients of home and community-based services against spousal impoverishment.

[Read Section 108 →](/congresses/118/bills/s/762/sections/TI-108.md)

## SEC. 109 Permanent extension of Money Follows the Person Rebalancing demonstration.

[Read Section 109 →](/congresses/118/bills/s/762/sections/TI-109.md)

# TITLE II — Recognizing the role of direct support professionals

## SEC. 201 Findings.

[Read Section 201 →](/congresses/118/bills/s/762/sections/TII-201.md)

## SEC. 202 Definition of direct support professional.

[Read Section 202 →](/congresses/118/bills/s/762/sections/TII-202.md)

## SEC. 203 Revision of Standard Occupational Classification System.

[Read Section 203 →](/congresses/118/bills/s/762/sections/TII-203.md)

# TITLE III — Support for the direct care workforce

## SEC. 301 Definitions.

[Read Section 301 →](/congresses/118/bills/s/762/sections/TIII-301.md)

## SEC. 302 Authority to establish a technical assistance center for building the direct care workforce.

[Read Section 302 →](/congresses/118/bills/s/762/sections/TIII-302.md)

## SEC. 303 Authority to award grants.

[Read Section 303 →](/congresses/118/bills/s/762/sections/TIII-303.md)

## SEC. 304 Project plans.

[Read Section 304 →](/congresses/118/bills/s/762/sections/TIII-304.md)

## SEC. 305 Evaluations and reports; technical assistance.

[Read Section 305 →](/congresses/118/bills/s/762/sections/TIII-305.md)

## SEC. 306 Authorization of appropriations.

[Read Section 306 →](/congresses/118/bills/s/762/sections/TIII-306.md)

# TITLE IV — Evaluation

## SEC. 401 Evaluation of impact on access to HCBS.

[Read Section 401 →](/congresses/118/bills/s/762/sections/TIV-401.md)