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NCSL Legislative Video Resource Center

The NCSL Video Resource Center is a collection of recorded webinars accessible for on-demand learning.

Leveraging ARPA Funds to Improve Health Care in the Home and Community

Older adults and people with disabilities often prefer to receive long-term care at home or in their communities, which is also more cost-effective for states. The American Rescue Plan Act (ARPA) provided states with a temporary increase in federal funding to improve care and support workforce for Medicaid home and community-based services (HCBS). States are leveraging ARPA funds to enhance HCBS in several ways, including improving infrastructure, addressing waiver wait lists, investing in the direct care workforce, improving access to telehealth, and addressing social drivers of health. This webinar will explore state strategies to support HCBS through ARPA spending plans. 


  • Kathryn Costanza, program principal


  • Camille Dobson, deputy executive director, ADvancing States
  • Bonnie Silva, director, Office of Community Living, Colorado Department of Health Care Policy and Financing
  • Jakenna Lebsock, assistant director, Division of Health Services, Arizona Health Care Cost Containment System