This bill amends Medicaid rules to improve how states offer home and community-based services to people who need long-term care alternatives to nursing homes. The legislation requires states to report detailed information to the federal government at least annually about their programs, including wait times for services, which must be made publicly available starting in 2028. The bill also allows states to expand coverage to additional people beyond those traditionally eligible, as long as doing so does not delay services for current eligible populations, and it requires the federal government to issue guidance by January 1, 2025, explaining how states can provide up to 60 days of temporary coverage while finalizing permanent care plans for newly eligible individuals. The changes primarily affect Medicaid programs and the people who depend on them for assistance with daily living and personal care services.