; and (IV) such payment rate increases are prioritized toward home and community-based service workers in States that have a waiting list for HCBS waiver services and have been determined by CMS to have inadequate HCBS capacity. (e) Appropriation There is appropriated to the Secretary for awarding grants under this section an amount equal to $100,000,000,000. (f) Evaluation of impact on HCBS waiting lists The Secretary shall evaluate the implementation and outcomes of this title on State Medicaid program waiting lists for home and community-based services through a contract with an external evaluator who has experience with evaluation related to people with disabilities and older individuals. 103. Making permanent the State option to extend protection under Medicaid for recipients of home and community-based services against spousal impoverishment (a) In general Section 1924(h)(1)(A) of the Social Security Act ( 42 U.S.C. 1396r–5(h)(1)(A) ) is amended by striking is described in section 1902(a)(10)(A)(ii)(VI) and inserting the following: is eligible for medical assistance for home and community-based services provided under subsection (c), (d), or (i) of section 1915, under a waiver approved under section 1115, or who is eligible for such medical assistance by reason of being determined eligible under section 1902(a)(10)(C) or by reason of section 1902(f) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care, or who is eligible for medical assistance for home and community-based attendant services and supports under section 1915(k) . (b) Conforming amendment Section 2404 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1396r–5 note) is amended by striking September 30, 2027 and inserting the date of enactment of the Long-Term Care Workforce Support Act . 104. Permanent extension of money follows the person rebalancing demonstration (a) In general Subsection (h)(1) of section 6071 of the Deficit Reduction Act of 2005 ( 42 U.S.C. 1396a note) is