119th (2025–2027)
H.R. 9401
The Latonya Reeves Freedom Act of 2026 creates a federal requirement that states and long-term care providers offer community-based services to people with disabilities who would otherwise face institutional placement, enforcing the Supreme Court's *Olmstead* decision and giving individuals maximum choice and control over their care. Community-based settings are defined as integrated environments—including people's own homes, apartments, or small group residences of up to four unrelated individuals—where people can maintain independence and personal choice. The Department of Justice will enforce the law while the Department of Health and Human Services will review state transition plans and coordinate federal compliance; affected entities must complete self-evaluations within 36 months and develop transition plans within 54 months with concrete annual targets to move people from institutions to community settings over a 12-year period. The Attorney General must issue implementing regulations within 2 years that specify how providers must offer daily assistance, support self-directed care, help discharge people from institutions, and establish grievance procedures. States and providers that submit inadequate transition plans will have 90 days to revise them, and all covered entities must designate compliance coordinators and submit annual progress reports.