February 6, 2026

The Consortium for Constituents with Disabilities (CCD) sent a letter to the Centers for Medicare & Medicaid Services (CMS) requesting additional clarification and guidance on the implementation of a new HCBS waiver authorized under Section 71121 of Public Law 119-21, part of the One Big Beautiful Bill Act. This provision allows states to implement a new waiver to expand home and community-based services (HCBS) for those individuals who would otherwise not be eligible for services under a 1915(c) waiver because they do not require an institutional level of care.