This legislation proposes to amend the Social Security Act to enhance the stability of home and community-based services (HCBS) provided through the Medicaid program. Its primary purpose is to extend the renewal periods for specific HCBS waivers and State plan amendments, thereby reducing administrative overhead for states and providers. The bill specifically modifies Section 1915 of the Social Security Act, changing the existing five-year renewal periods to ten-year periods for extensions and renewals that commence on or after the bill's enactment date. This change applies to various types of HCBS waivers and State plan amendments, including those under subsections (c), (h), and (i) of Section 1915. By doubling the renewal term, the bill seeks to ensure more consistent and uninterrupted access to long-term care services for Medicaid beneficiaries.