On April 11, 2025, the Medicaid and CHIP Payment and Access Commission (MACPAC) held the second day of its April meeting. The meeting agenda included votes on recommendations for children and youth with special health care needs for the June report to Congress, as well as discussions on Medicaid payment policies to support the home- and community based services (HCBS) workforce, health care access for children in foster care, appropriate access to residential treatment for behavioral health needs for children in Medicaid, and Medicare-Medicaid Plan (MMP) transition.