Provides temporary extra federal funding to help states expand and improve Medicaid home and community-based services (HCBS). For fiscal years 2026 and 2027, the federal share for qualifying HCBS spending is increased by 10 percentage points (but no higher than 95%), contingent on a state application that describes how the funds will be used.

States must meet conditions about permitted uses (such as wage increases for direct care workers, recruitment/retention, expanded services, provider capacity, and infrastructure), follow spending and reporting deadlines, and submit evaluations. The Department of Health and Human Services must review applications, monitor compliance, evaluate results, and share findings with states.