Abstract
The Biden–Harris administration has proposed a $400 billion investment in Medicaid
Home- and Community-Based Services, or HCBS, which would allow more people with
disabilities and older adults to receive services at home—and strengthen the direct-care
workforce by increasing wages, benefits, and training opportunities.1 This investment
builds on the roughly $12.7 billion in dedicated funding for HCBS provided through the
American Rescue Plan, which was enacted in March 2021. The Better Care Better Jobs Act
(S.2210/H.R.4131) led by Senator Casey (D-PA) and Representative Dingell (D-MI-12)
provides a foundation for realizing this historic investment. In this brief, we will highlight
why people with disabilities and older adults need HCBS—and how the Better Care Better
Jobs Act will help people stay in the community and out of nursing homes and other
institutions.