evidence: The Build Back Better Act, H.R. 5376, (BBBA), adopted by the House of Representatives on November 19, 2021 with the support of President Biden, includes a broad package of health, social, climate change and revenue provisions. The total package includes $1.7 trillion in spending, according to the Congressional Budget Office (CBO), which also projects that three of the health provisions would reduce the number of uninsured by 3.4 million people. This brief summarizes the version that passed the House, which may be modified as it moves through the Senate. [...] CBO estimates that federal outlays for the grant sections in the Build Back Better Act related to maternal health care outside of the postpartum extension and maternal health homes are $1.1 billion. [...] Sections 30711-30713 of the Build Back Better Act would create the HCBS Improvement Program, which would provide a permanent 6 percentage point increase in federal Medicaid matching funds for HCBS. To qualify for the enhanced funds, states would have to maintain existing HCBS eligibility, benefits, and payment rates and have an approved plan to expand HCBS access, strengthen the direct care workforce, and monitor HCBS quality. The bill includes some provisions to support family caregivers. In addition, the Act would include funding ($130 million) for state planning grants and enhanced funding for administrative costs for certain activities (80% instead of 50%).