Expand access to home and community-based care for older adults and people with disabilities.

Janice D. Schakowsky · Illinois · Democratic

policy impact 3.00 specificity 3.00 extraction confidence 97%

Occurrences

introduced the Home and Community-Based Services (HCBS) Access Act, legislation to expand access to home and community-based care for older adults and people with disabilities while strengthening the caregiving workforce nationwide.

Schakowsky backed legislation to expand home and community-based services for older adults and people with disabilities.

Schakowsky, Dingell Introduce Legislation to Expand Home Care, Strengthen Care Workforce
primary · press_release · model gpt-5.4-mini

...introducing this legislation to strengthen our nation’s care infrastructure by expanding access to Medicaid home care, investing in the direct care workforce, and supporting family caregivers.

Schakowsky says the legislation will expand Medicaid home care access for older adults and people with disabilities.

Schakowsky, Dingell Introduce Legislation to Expand Home Care, Strengthen Care Workforce | Congresswoman Jan Schakowsky
primary · press_release · model gpt-5.4-mini

This legislation is designed to increase access to health care in underserved areas and diversify the health care providers to meet the needs of different populations.

Schakowsky reintroduced legislation aimed at increasing access to care in underserved areas.

Schakowsky Introduces Legislation to Increase Access to Health Care | Congresswoman Jan Schakowsky
secondary · other · model gpt-5.4-mini

Schakowsky is sponsoring legislation to expand HCBS care access and strengthen the caregiving workforce.

Press Releases | Congresswoman Jan Schakowsky
secondary · other · model gpt-5.4-mini

Evidence

Section 9817 increased Medicaid FMAP by 10 percentage points for qualifying home and community-based services and required states to implement activities to enhance, expand, or strengthen HCBS.

Congress enacted a temporary Medicaid HCBS funding increase. This expanded access in practice, but it was time-limited and did not create a permanent universal HCBS entitlement.

partial unknown

Text - H.R.1319 - American Rescue Plan Act of 2021
secondary · model gpt-5.5 · confidence 93%

The House vote on final concurrence in H.R.1319 passed 220-211; Janice Schakowsky of Illinois is recorded as voting Yea.

Schakowsky voted for the final House action on the American Rescue Plan Act, which included the temporary HCBS FMAP expansion.

partial unknown A for effort

Roll Call 72, H.R.1319 American Rescue Plan Act, Motion to Concur in Senate Amendment
secondary · model gpt-5.5 · confidence 95%

CMS states Section 9817 gave qualifying states a temporary 10-point FMAP increase for HCBS, all 50 states and DC were approved, and states expected to spend nearly $37 billion to enhance, expand, or strengthen HCBS.

Federal implementation records show the enacted ARP provision was used nationwide and included activities such as expanding coverage for people on HCBS waitlists.

partial unknown

Strengthening and Investing in Home and Community Based Services for Medicaid Beneficiaries: American Rescue Plan Act of 2021 Section 9817
secondary · model gpt-5.5 · confidence 92%

CMS described ARP Section 9817 as an estimated $12.7 billion HCBS FMAP increase and extended states' spending deadline to March 31, 2025 to expand and strengthen home- and community-based services.

The agency record supports that ARP funding continued beyond the initial period and was explicitly directed at expanding Medicaid HCBS access, but remained a temporary funding stream.

partial unknown

HHS Extends American Rescue Plan Spending Deadline for States to Expand and Enhance Home- and Community-Based Services for People with Medicaid
secondary · model gpt-5.5 · confidence 88%

The Congressional Record lists H.R.8540 by Dingell for herself and Schakowsky to require coverage of, and expand access to, Medicaid home and community-based services and support the direct care workforce and family caregivers.

Schakowsky co-introduced new direct HCBS expansion legislation in the 119th Congress. As an introduced and referred bill rather than enacted law as of 2026-06-01, it shows concrete effort but not fulfillment.

never unknown A for effort

CREC-2026-04-28.pdf
secondary · model gpt-5.5 · confidence 90%

Assessments

partial same_term A for effort

Schakowsky materially supported enacted federal HCBS expansion by voting for the American Rescue Plan Act in March 2021, whose Section 9817 temporarily increased Medicaid HCBS funding and required states to enhance, expand, or strengthen services. That produced real nationwide access gains, but it was temporary funding rather than a permanent or comprehensive expansion of home and community-based care. Her later co-introduction of HCBS expansion legislation shows continued serious effort, but that bill had not been enacted as of June 1, 2026.

provider codex_cli · model gpt-5.5 · confidence 90%