o Historic legislation with historic investments on HCBS, including better rates, regular rate reviews, quality outcomes, seeking to address the workforce crisis.
o Expecting another Reconciliation bill which may or may not have hard infrastructure components.
o FMAP – it is not additive to the ARPA FMAP. Starts with an initial planning period and then making it “permanent” for 10 years. This is a key dial that may be adjusted as part of Reconciliation. Also, an additional 2% for Self-Directed Services, but states do not have to do that piece.