Sponsors (57)
Official title: To prohibit discrimination against individuals with disabilities who need long-term services and supports, and for other purposes.
Introduced June 23, 2026 by Stephen Cohen · Last progress June 23, 2026
The bill significantly expands enforceable rights and federal supports to move people with disabilities from institutions into community‑based LTSS—improving autonomy and access for many—while imposing substantial fiscal, administrative, housing, workforce, and litigation challenges that states, providers, and taxpayers will need to manage.
People with disabilities nationwide gain a federally protected right to receive community-based long‑term services and supports (LTSS) instead of being forced into institutions, increasing choice, autonomy, and integrated living.
Stronger enforcement and remedies: the Attorney General has investigatory/enforcement authority and individuals can sue in federal court (with damages and fee-shifting), making the right to community LTSS more actionable.
Medicaid and other public program enrollees (including hospital discharges) are more likely to get home- and community-based supports, coordinated discharge planning, and funding to return to community settings, reducing reliance on institutional care.
States, public programs, insurers and taxpayers will likely face substantial new costs for compliance, higher payment rates, expanded services, and potential litigation exposure, which could raise taxes, premiums, or reallocate budgets.
Expanding home- and community-based services may outstrip available provider capacity and workforce, producing short‑term service delays or reduced access as systems scale up.
Broader enforcement and a private right of action increase litigation risk and legal uncertainty for states, localities, and insurers, which may prompt defensive policy changes, service delays, or higher administrative burdens.
Based on analysis of 9 sections of legislative text.
Establishes a federal right to community-based LTSS, requires state and insurer plans and regulations, and creates enforcement tools including private suits and civil penalties.
Creates a federal right for people who need long-term services and supports (LTSS) to receive community-based services that let them live in the most integrated setting they choose, including their own home. It requires states and LTSS insurers to offer and provide community-based LTSS instead of institutional placements, sets planning and public-participation requirements, directs rulemaking and enforcement, and creates private and government enforcement tools including damages and civil penalties. Sets definitions for community-based settings and dwellings, lists prohibited forms of discrimination in LTSS access, directs the Attorney General and HHS to implement and enforce the law, and allows religious providers to give faith-based preference to recipients. Regulations must be issued within two years and agencies must prepare transition plans and public evaluations to reduce institutionalization and disparities in services.