To amend title XIX of the Social Security Act to prohibit discrimination in the provision of home and community-based services under a waiver based on whether an individual has received institutional services.

Amends title XIX (Medicaid) of the Social Security Act to prohibit the Secretary of Health and Human Services from approving or renewing a waiver under a State Medicaid program of Medicaid's home health care exclusion if such program requires a patient to be or have been an inpatient of a hospital or a resident of a nursing facility in order to be eligible for home health care services.