MACPAC’s March 2026 Report to Congress on Medicaid and CHIP contains four chapters of interest to Congress: (1) a recommendation to help promote the home- and community-based services (HCBS) workforce, (2) behavioral health in Medicaid and the State Children’s Health Insurance Program (CHIP), (3) Medicaid for justice-involved youth, and (4) Medicaid for children in foster care.
Chapter 1 makes a recommendation to support the HCBS workforce by requiring states to report hourly wages paid to HCBS workers to help states set effective HCBS payment rates.
Chapter 2 focuses on behavioral health in Medicaid and CHIP.
Chapter 3 looks at the role of Medicaid in supporting justice-involved youth.
Chapter 4 provides an overview of how Medicaid meets the needs of children in child welfare.