Make home and community-based services available for people with long-term care needs who are ineligible for Medicaid.

Making home and community-based services (HCBS) available for individuals with long-term care needs who are ineligible for Medicaid.

She commits to expanding HCBS access for people excluded from Medicaid.

Rep. McClain Delaney Unveils ‘Costs Down, Opportunity Up’ Affordability Agenda | Congresswoman April McClain Delaney
primary · press_release · model gpt-5.4-mini

Congress.gov lists H.R.1 as law, with latest action on 07/04/2025: Became Public Law No. 119-21. The tracker shows House passage, Senate passage, House agreement to the Senate amendment, and enactment.

A related federal law was enacted during McClain Delaney's first House term. This establishes that Congress passed a law containing an HCBS-related Medicaid provision, but does not by itself show that non-Medicaid long-term-care patients received services.

partial same_term

Congress.gov - H.R.1, 119th Congress, Public Law No. 119-21
secondary · model gpt-5.5 · confidence 86%

Section 71121 is titled "MAKING CERTAIN ADJUSTMENTS TO COVERAGE OF HOME OR COMMUNITY-BASED SERVICES UNDER MEDICAID." It says that beginning July 1, 2028, the Secretary may approve a waiver to include payment for home or community-based services under a Medicaid state plan, using state needs-based criteria and without requiring the institutional level-of-care determination described in existing section 1915(c).

The enacted provision creates a future, optional Medicaid waiver path for some people with care needs who do not meet the usual institutional level-of-care test. It is narrower than making HCBS available to people ineligible for Medicaid, and its operative date is after the 2026 as-of date.

partial same_term

Congress.gov - H.R.1 Public Law Text, Section 71121
secondary · model gpt-5.5 · confidence 83%

Roll Call 190 was the vote on the motion to concur in the Senate amendment to H.R.1. The vote passed 218-214. The Clerk's vote list records Rep. McClain Delaney, Democrat, Maryland, as voting No.

McClain Delaney voted against final House agreement to the bill that became Public Law 119-21, including the limited HCBS Medicaid waiver provision. This undercuts attributing the partial statutory change to her own affirmative effort.

never same_term

Office of the Clerk, U.S. House - Roll Call 190, H.R.1
secondary · model gpt-5.5 · confidence 92%

Roll Call 145 was the House vote on passage of H.R.1. The measure passed 215-214, with 1 present. The Clerk's vote list records Rep. McClain Delaney, Democrat, Maryland, as voting Nay.

McClain Delaney also voted against the initial House-passed version of H.R.1. The record shows no affirmative vote from her on the principal enacted vehicle containing the related HCBS provision.

never same_term

Office of the Clerk, U.S. House - Roll Call 145, H.R.1
secondary · model gpt-5.5 · confidence 90%