To amend title XIX of the Social Security Act to permit a State to provide coverage of room and board furnished by a relative under home- and community-based waivers under the medicaid program if such coverage may be provided on a budget-neutral basis.

Amends title XIX (Medicaid) of the Social Security Act to give States the option of covering room and board furnished by a relative under home- and community-based waivers under the Medicaid program only if such coverage does not result in greater expenditures under the State's Medicaid plan.