To provide assisted living assistance through Medicaid and low-income housing tax credit.
Sponsored By: Representative Miller, Max L. [R-OH-7]
Introduced
Summary
Medicaid coverage for assisted living services would be added for people who otherwise need hospital or nursing facility care. The bill would also push Low-Income Housing Tax Credit (LIHTC) awards toward housing that delivers non-institutional long-term supports and ties assisted-living payments so costs do not exceed institutional care. The changes take effect January 1, 2027, with a transition option for states that must pass new state laws.
Show full summary
- Older adults and people needing long-term care: Would become eligible for Medicaid-paid assisted living services in states that authorize those services, as long as individuals meet state income and resource rules and the services are reimbursed under the state Medicaid plan or a waiver.
- State Medicaid programs: Must ensure the estimated average per-person Medicaid cost for assisted living is no greater than what would be spent in a hospital or nursing facility, and states that need new legislation get a defined delay to comply.
- Housing developers and communities: LIHTC selection criteria would favor projects that provide supports in non-institutional, community-based settings, applying to allocations made after January 1, 2027.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Medicaid coverage for assisted living
If enacted, the bill would let Medicaid pay for services in an assisted living residence for people who would otherwise need hospital or nursing home level care. You would only be eligible if your State allows those assisted living services and pays for them under its Medicaid plan or a waiver, and you meet your State's income and asset rules. Medicaid would cover assisted living only when the estimated per-person Medicaid cost is no greater than the cost of institutional care. The change would take effect January 1, 2027, though States that need new State laws would get extra time to comply.
LIHTC priority for senior care housing
If enacted, the bill would change Low-Income Housing Tax Credit selection rules to favor projects that provide long-term care services and supports for elderly people in community, non-institutional settings. State housing agencies and developers would use this new priority when scoring LIHTC proposals. The change would apply to LIHTC allocations made after January 1, 2027. This could encourage more affordable housing designed to keep low-income seniors in non-institutional care and may reduce Medicaid institutional costs.
Sponsors & CoSponsors
Sponsor
Miller, Max L. [R-OH-7]
OH • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov