To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.

# HR 4029 Summary **What the Bill Does** HR 4029 would temporarily increase federal funding to states for Medicaid services provided in people's homes and communities (rather than in institutions like nursing facilities) during 2026-2027. Medicaid is the joint federal-state health insurance program for low-income individuals. Currently, the federal government covers a percentage of these costs, and states cover the rest.

This bill would increase the federal share for a two-year period. **Key Conditions and Who It Affects** To receive the extra federal funding, states would need to agree to improve how these services are delivered. This includes offering better pay and benefits to home health workers and helping people move out of nursing facilities back into their homes or communities if they prefer. The bill would primarily affect seniors and people with disabilities who use Medicaid, state governments administering Medicaid programs, and home health workers. **Current Status** HR 4029 is currently in committee, meaning it has been introduced but not yet debated or voted on by the full House of Representatives.