of necessary medical services, and to provide rehabilitation, long-term services and supports, and other services to help such families and individuals attain or retain capability for independence or self-care. (4) To ensure that people with all kinds of disabilities and with multiple disabilities, including intellectual disability, cognitive disabilities, developmental disabilities, behavioral health disabilities, physical disabilities, and substance use disorders, and older adults, receive the services they need to live in their communities. (5) To streamline access to HCBS by eliminating the need for States to repeatedly apply for waivers. (6) To continue to increase the capacity of community services to ensure people with disabilities and older adults have safe and meaningful options in the community and are not at risk of unnecessary institutionalization. (7) To act on the decades of research and practice that show everyone, including people with the most severe disabilities, can live in the community with the right services and supports. (8) To support over 53,000,000 unpaid family caregivers who are often providing complex services and supports to older adults and people with disabilities because of a lack of affordable services, workforce shortages, and other inefficiencies. (9) To improve direct care quality and address the decades long workforce barriers, which have been exacerbated by the COVID–19 pandemic, for nearly 2,600,000 direct care professionals providing support to people with disabilities and older adults in their homes and communities. (10) To eliminate the race, gender, sexual orientation, and gender identity disparities that exist in accessing information and HCBS and to prevent the unnecessary impoverishment and institutionalization of black and brown individuals with disabilities and older adults. 102. Requiring coverage of home and community-based services under the Medicaid program (a) Definition of home and community-Based services (1) In general Section 1905 of the Social Security