Home-Based Care Advocates Celebrate Build Back Better Plan’s House Passage, Urge Senate to Follow Suit

Home Health Care News | By Andrew Donlan
The Biden administration’s Build Back Better plan – which includes an array of support for home-based care and senior services – took a significant step Friday.
A $1.9 trillion bill got the necessary amount of votes to make it through the U.S. House of Representatives. The next stop will be the Senate.
“Today’s historic vote of support for home care comes at a time when the country needs it more than ever,” National Association for Home Care & Hospice (NAHC) President William A. Dombi said in a statement shared with Home Health Care News. “Health care at home is widely recognized as high value, high quality and highly preferred.”
Most notably, $150 billion will be dedicated to reducing waiting lists for in-home care services and improving pay for low-wage in-home care professionals.
But the Build Back Better plan will also include $150 billion to increase the supply of affordable housing, $130 billion to provide tax credits for uninsured people in states that have not expanded Medicaid benefits, $1 billion for direct care workforce competitive grants, and $20 million for hospice and palliative nursing programs.
“From pediatric nursing care to home care aide services for those with multiple chronic illnesses as they age, this legislation will provide improved access to home care,” Dombi said. “We now look to the Senate to complete the work to protect our families and friends who need this essential care.”
Originally, the plan included $400 billion for home- and community-based services (HCBS), but it was eventually trimmed as Democrats and Republicans bargained for their respective side’s wishes.
Even the lesser version won’t be a shoe-in to get through the Senate, though advocates are arguing relentlessly on its behalf. The Senate is expected to consider the bill in the coming weeks, with the hope that a decision will be made before Christmas.
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