April 27, 2021 Senators Hassan, Brown and Casey, and Representative Dingell, released a discussion draft of the Home and Community-Based Services Access Act (HAA) in mid-March, seeking broad stakeholder comment. The federal HAA is in an early form but addresses a long-sought goal of the disability community to require states to offer home and community-based services and not only institutional nursing home care under Medicaid. This requirement would help eliminate the waiting lists and patchwork of eligibility and services that Medicaid beneficiaries with long-term care needs currently have to navigate. The HAA also tries to establish living wages and working conditions for the HCBS workforce that will help ensure stable HCBS for all eligible Medicaid enrollees who want HCBS. DREDF worked with the Consortium of Citizens for Disabilities to submit a detailed set of joint comments and also a shorter DREDF set of specific additional comments.[...]