PRIA Logo™
119-hr-8662119th CongressWALLET

To provide assisted living assistance through Medicaid and low-income housing tax credit.

Sponsored By: Representative Miller, Max L. [R-OH-7]

Introduced

Summary

Would create a new Medicaid benefit to cover assisted living services for people who need hospital or nursing facility‑level care. It would also steer Low‑Income Housing Tax Credit funding toward housing that provides non‑institutional long‑term care supports.

Show full summary
  • Seniors and people needing long‑term care: Would let individuals who meet a State's income and resource rules receive Medicaid‑covered assisted living services when consistent with state law. Payments could come through a State Medicaid plan or a waiver.
  • State Medicaid programs: Would require the average per‑person Medicaid cost for those in assisted living to be no greater than the cost if they had received hospital or nursing facility care. The change would take effect January 1, 2027, with delayed compliance available for states that need new state legislation.
  • Housing developers and low‑income residents: Would add a new selection criterion to the Low‑Income Housing Tax Credit program so projects that provide long‑term care supports in non‑institutional housing can get priority in allocations. That LIHTC change would apply to allocations made after January 1, 2027.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Tax credits for assisted-living housing

If enacted, Low-Income Housing Tax Credit (LIHTC) allocations could favor projects that lower Medicaid long-term care costs by providing services outside nursing homes. State housing agencies could consider a project's ability to reduce Medicaid long‑term services and supports when awarding credits. This change would apply to LIHTC allocations made after January 1, 2027. That could increase the development of affordable assisted‑living housing for low-income seniors who rent.

More Medicaid help for assisted living

If enacted, Medicaid would cover services in an assisted living residence for people who would otherwise need hospital or nursing facility care. You would need to meet your State's income and resource rules under section 1902(a)(10)(A)(i)(V). States could pay for these services under their Medicaid State plan or under a waiver. States must show the average Medicaid cost per person in assisted living is no higher than the cost if those people were in a hospital or nursing facility. The changes would start January 1, 2027, but HHS may allow extra time for States that need new State laws to comply.

Sponsors & CoSponsors

Sponsor

Miller, Max L. [R-OH-7]

OH • R

Cosponsors

  • Rep. LaHood, Darin [R-IL-16]

    IL • R

    Sponsored 5/15/2026

  • Rep. Houchin, Erin [R-IN-9]

    IN • R

    Sponsored 6/8/2026

  • Rep. Carey, Mike [R-OH-15]

    OH • R

    Sponsored 6/18/2026

  • Rep. Joyce, David P. [R-OH-14]

    OH • R

    Sponsored 9/1/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation