# 119-s-4479: ACCESS Act

119-s-4479, ACCESS Act, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-09-26).

- Canonical: https://policyrisk.com/legislation/119-s-4479
- As of: 2026-09-26
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4479
- Congress: 119
- Title: ACCESS Act
- Status: introduced
- Introduced: 2026-04-30
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-26

## Summary

**Expands Medicaid coverage for services provided in assisted living residences.** It would make those services a mandatory Medicaid benefit and push tax credit rules to favor housing that supports non-institutional long-term care for older adults. - Seniors and families: People who need the level of care normally provided in a hospital or nursing facility could receive those services in an assisted living residence if state law allows it. Medicaid coverage would apply only when the expected annual per-person Medicaid cost for assisted living is no greater than the cost of care in a hospital or nursing facility. - States and eligibility: States would be required to include this new category as a mandatory Medicaid benefit, with a start date of January 1, 2027 and limited extra time if state law changes are needed to implement the rules. - Housing and developers: The Low-Income Housing Tax Credit Qualified Allocation Plan would be revised to prioritize projects that reduce Medicaid long-term care costs by offering non-institutional services and supports for elderly residents.

## Cosponsors (2)

- Sen. Daines, Steve [R-MT] (R-MT), 2026-09-23T00:00:00.000Z
- Sen. Sheehy, Tim [R-MT] (R-MT), 2026-09-23T00:00:00.000Z

## Provisions PRIA read

- Medicaid help for assisted living: benefit, high. If enacted, Medicaid would cover certain services provided in assisted living residences. You would qualify only if you meet your State Medicaid income and resource rules and would otherwise need nursing-facility or hospital-level care. The services must be allowed under State law and be the type t…
- Tax credit priority for senior housing: benefit, high. If enacted, state housing agencies would be directed to give priority in Low-Income Housing Tax Credit awards to projects that reduce Medicaid long-term care costs by delivering services in non-institutional settings. This change would apply to LIHTC allocations made after January 1, 2027. The chan…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-4952: Protecting American Taxpayers Act
- 119-s-4378: Protecting American Taxpayers Act
- 119-s-292: Educational Choice for Children Act of 2025
- 119-s-3752: SAVE America Act
- 119-s-4944: American Energy and Mineral Infrastructure Act of 2026

## Sources
- [119-s-4479 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4479)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-4378: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4378)
- [119-s-292: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-s-292)
- [119-s-3752: SAVE America Act](https://policyrisk.com/legislation/119-s-3752)
- [119-s-4944: American Energy and Mineral Infrastructure Act of 2026](https://policyrisk.com/legislation/119-s-4944)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4479 (as of 2026-09-26).