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

HR 4029 increases federal Medicaid funding for home and community-based services (HCBS) by raising the Federal Medical Assistance Percentage (FMAP) by 10 points for eligible states during 2026-2027, capping at 95%. It directly affects states that submit approved applications and their Medicaid beneficiaries receiving HCBS, requiring funds to boost pay for home health workers (including hazard pay and paid leave), reduce waiting lists, and support family caregivers. States must use funds to supplement, not replace, existing state spending, improve worker retention, and expand services for those on waiting lists or relocated from homes to institutions. All states must report outcomes by December 2029, including service access metrics and workforce improvements.