Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for c…
The bill adds services provided in assisted living residences to the definition of Medicaid ‘‘medical assistance’’ and makes those services a mandatory Medicaid benefit when state law permits and when per capita Medicaid costs are no greater than institutional care.
It allows a one-year state implementation delay if state legislation is required and takes effect January 1, 2027.
The bill also requires Low-Income Housing Tax Credit (LIHTC) qualified allocation plans to consider projects that reduce long-term medical assistance costs by providing elderly services in non‑institutional settings, effective for allocations after January 1, 2027.
Moderate policy scope with cost‑control language helps, but mandatory Medicaid expansions and fiscal uncertainty reduce chances.
Relative to its intended legislative type, this bill is a clear substantive statutory change that is precisely targeted to amend specific provisions of the Social Security Act and the Internal Revenue Code. It provides concrete statutory language and an effective date but leaves substantial implementation, fiscal, definitional, and accountability details unspecified.
Federal mandate vs state flexibility and limits on federal exposure
Federal mandate vs state flexibility and limits on federal exposure
Overall supportive; views the bill as expanding home- and community-based long-term care access and reducing institutionalization.
Sees the LIHTC change as a helpful incentive for affordable supportive housing for older adults.
Cautiously favorable if the policy contains clear cost controls, quality safeguards, and limits on unexpected fiscal exposure.
Wants clarity on implementation metrics and state flexibility.
Generally opposed to expanding Medicaid mandatory benefits and federal mandates on states; prefers state flexibility and limited federal cost exposure.
Skeptical of new entitlements and potential long-term budget impacts.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Moderate policy scope with cost‑control language helps, but mandatory Medicaid expansions and fiscal uncertainty reduce chances.
The bill has not accumulated any surfaced votes yet.
Federal mandate vs state flexibility and limits on federal exposure
Moderate policy scope with cost‑control language helps, but mandatory Medicaid expansions and fiscal uncertainty reduce chances.
Relative to its intended legislative type, this bill is a clear substantive statutory change that is precisely targeted to amend specific provisions of the Social Security Act and the Internal Revenue Code. It provides…
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