To amend title XIX of the Social Security Act to increase transparency and expand coverage options with respect to home and community-based services under a Medicaid waiver.

HR 8106 amends Medicaid waiver rules to increase transparency and expand access to home and community-based services (HCBS) for eligible individuals. It requires states to publicly report detailed data on waitlists, service availability, and actual service delivery (like homemaker care hours) starting in 2028. The bill also allows states to cover more people under HCBS waivers - such as those without prior eligibility determinations - provided they prove it won’t increase wait times for existing waiver recipients and share specific usage data. This directly affects states administering Medicaid waivers and the elderly or disabled individuals seeking HCBS support. The law mandates new CMS guidance by 2025 to clarify interim coverage for up to 60 days while finalizing care plans.