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HCR 72

MEDICAID: Memorializes congress and urge the Centers for Medicare and Medicaid Services to increase pay rates for direct care support workers

2025 Regular Session Introduced by Rhonda Butler

Memorializes Congress and CMS to raise Medicaid pay rates for direct care workers, aiming to stabilize the DCW workforce and improve care for Medicaid beneficiaries.

Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
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Bill Summary · HCR 72

Below is a concise, factual summary of HCR 72 based on the materials you provided. Important: the submitted document contains inconsistent/merged text from multiple different resolutions (a Delaware “Secretary of Education Scholars” commendation and a Hawaii county-ethics resolution). I summarize the bill as titled (a Medicaid-related concurrent resolution) and note the document discrepancy so you can confirm which text is the official HCR 72.

Summary — HCR 72 (as titled)

Title: MEDICAID: Memorializes Congress and urges the Centers for Medicare & Medicaid Services (CMS) to increase pay rates for direct care support workers

Classification: Concurrent resolution (non‑binding; expresses legislature’s position/intent)

Primary sponsor: Rhonda Butler

Purpose and intent
- To formally request that the U.S. Congress and the Centers for Medicare & Medicaid Services (CMS) take action to increase Medicaid pay rates for direct care support workers (DCWs).
- To call attention to workforce shortages, low wages, and retention problems in direct care occupations that serve Medicaid beneficiaries (including home- and community‑based services, long‑term care, and other support settings).
- To encourage federal-level policy or regulatory adjustments (for example, changes to allowable Medicaid reimbursement rates or guidance to states) that would raise compensation for DCWs.

Key provisions and actions requested
- Memorializes Congress (i.e., asks Congress to consider statute or funding changes) aimed at increasing federal investment or statutory authority to support higher Medicaid reimbursement rates for DCWs.
- Urges CMS to issue guidance, waivers, or rulemaking enabling states to increase Medicaid payment rates for direct care support workers (and to prioritize workforce stabilization in Medicaid rate-setting).
- As a concurrent resolution, it does not appropriate funds or change Medicaid law by itself; rather it directs the legislature’s leaders to transmit the resolution to federal officials (Congress and CMS) to communicate the state’s position.

Who would be affected
- Primary beneficiaries: direct care support workers (personal care aides, home health aides, direct support professionals, and similar occupations paid through Medicaid).
- Secondary beneficiaries: Medicaid beneficiaries who rely on home‑ and community‑based services (HCBS), long‑term services and supports (LTSS), or other direct care services—by improving workforce stability and access to care.
- State and federal policymakers: state Medicaid agencies and CMS would be the recipients of the request; Congress would be urged to act on funding/legislative options.

Procedural / timeline notes (from provided record)
- Introduced: February 12, 2025
- Legislative action indicates the resolution was considered, passed by both chambers, and presented to the Secretary of State (final action noted as taken by the Clerk and presented to the Secretary of State on 2025-06-11). Vote records show passage in both chambers.
- Because this is a concurrent resolution, no administrative implementation or appropriations are required at the state level.

Document discrepancy — please confirm
- The full text supplied with your request does not match the title/topic. It contains:
- A Delaware commendation listing “Secretary of Education Scholars for 2025” (student recognitions), and
- A separate Hawaii concurrent resolution urging county ethics commissions to adopt standards similar to the State Ethics Commission.
- Recommendation: confirm the official/legal text of HCR 72 (the Medicaid/DCW memorializing resolution) you want summarized. If you want summaries of the other included texts (the scholars’ commendation or the ethics resolution), I can prepare separate summaries.

If you confirm the intended text, I will produce a final, detailed summary tied exactly to the official language.

Compiled from official sources — confirm details with the bill’s official record.

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