To amend title XIX of the Social Security Act to provide a temporary higher Federal medical assistance percentage for Federal expenditures under the Medicaid program that are associated with the cost of compliance with certain Federal regulations with respect to services furnished in certain intermediate care facilities or home and community-based services furnished to individuals with intellectual and developmental disabilities.
The Disability Community Act of 2023 increases federal funding to help states pay for regulatory compliance costs in facilities and programs serving people with intellectual and developmental disabilities. Specifically, the bill increases the federal matching rate to 90 percent for Medicaid expenses in intermediate care facilities and home and community-based services that are directly tied to meeting federal wage, labor, and care quality regulations during 2024, 2025, and 2026. The legislation affects states operating these facilities and service programs, as well as the individuals with intellectual and developmental disabilities they serve. The bill also updates outdated terminology throughout federal Medicaid law, replacing references to "mental retardation" with the more current term "intellectual or developmental disabilities." No specific total funding amount is provided in the bill text, but the enhanced federal matching rate applies only to the three-year period specified.
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