Better Care Better Jobs Act

The Better Care Better Jobs Act (S 100) aims to improve access to home and community-based services (HCBS) for Medicaid beneficiaries by providing federal funding to states for developing improvement plans and implementing an HCBS Infrastructure Improvement Program. The bill offers enhanced federal funding (a 10 percentage point increase in Medicaid matching rates) to states that meet requirements including maintaining or expanding HCBS access, improving direct care worker wages and training, and implementing quality measurement systems. States must develop detailed plans assessing current HCBS availability, workforce conditions, and barriers to access, and then report annually on progress toward specific benchmarks. The bill also makes permanent certain Medicaid provisions related to spousal impoverishment protection and extends the Money Follows the Person program, directly affecting Medicaid beneficiaries and direct care workers.