Combating Deceptive Practices in Assistance Programs Act of 2026
Sponsored By: Representative Schweikert
Introduced
Summary
Expands Medicaid personal care eligibility to people who cannot perform three or more activities of daily living. It would tie that eligibility test to the ADL definition in the Internal Revenue Code and apply to care furnished on or after January 12, 2027.
Show full summary
- Seniors and people with disabilities: More individuals who meet the "unable to perform 3 or more activities of daily living" test in IRC section 7702B(c)(2)(B) would qualify for Medicaid personal care services.
- Families and caregivers: Households with members who meet the new ADL threshold could see increased access to Medicaid-funded personal care support at home.
- State Medicaid programs: States would apply the new ADL standard when deciding who is eligible for personal care services starting January 12, 2027.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Stricter Medicaid personal care eligibility
If enacted, this bill would change who can get Medicaid personal care services. You would qualify only if you are unable to perform 3 or more activities of daily living. Those activities are the ones listed in Internal Revenue Code section 7702B(c)(2)(B). The rule would apply to medical assistance furnished on or after January 12, 2027. If you cannot meet the 3-ADL threshold, you would no longer qualify for Medicaid-paid personal care and would have to pay or rely on unpaid caregivers.
Sponsors & CoSponsors
Sponsor
Schweikert
AZ • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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