Amend Title XIX of the Social Security Act
Seeks to amend title XIX of the Social Security Act to enhance transparency and broaden coverage options for HCBS under Medicaid waivers.
HCBS Access Act
Expands access to HCBS and ends the Medicaid funding institutional bias by: Requiring state Medicaid programs to provide HCBS at the same level as they must cover nursing facility services. Eliminating the need for HCBS waivers when HCBS becomes a mandatory benefit. Creating additional programs and requirements to support providers who furnish HCBS.
Better Care Better Jobs Act
Creates new programs and funding for state Medicaid programs to improve HCBS and the
direct care workforce by: Requiring states to submit an HCBS infrastructure improvement plan to increase access to HCBS and strengthen the direct care workforce. Increasing federal matching rate for HCBS in states that develop plans and meet specified benchmarks for improvements.
Medicare for All Act (H.R.3421)
Establish a national, single-payer health insurance program to provide comprehensive protection against the costs of health care and health-related services, including a home and community-based LTSS benefit.
Medicare Long-Term Care Services and Supports Act of 2018
Create a universal, catastrophic LTC insurance program meant to: Improve access to LTSS by bringing additional money into LTSS system, Reduce family out-of-pocket spending, Stabilize and improve the private market by reducing the tail-end risk and Reduce Medicaid spending.
Health Security Act (S.2357)
Creates a state-based HCBS program for hospitalized individuals who need LTSS as an alternative to nursing facility placement. Clarifies favorable tax treatment of private LTC insurance and LTC expenses by treating policies as accident or health insurance contracts and assuring that payments are not taxable because they are treated as reimbursement for expenses actually incurred for medical care.
Health Security Act. Subtitle B. Long Term Care
Expands Medicare by (1) extending Medicare Part A coverage to extended care services to chronically dependent individuals; and (2) providing coverage of home care services under Medicare Part B. Requires states to establish and support state plans to provide home and
community-based care to individuals with disabilities without regard to age or
income.
Long Term Care Family Security Act of 1992 (H.R. 6076)
Creates a new state-administered program to provide community and nursing facility
care to individuals with moderate to severe disability.
The Pepper Commission: A Call for Action: Blueprint for Health Care Reform
Proposes mandatory social insurance program for HCBS and the first three months of nursing facility care would be covered for all Americans, regardless of income.
Secure Choice Act (H.R. 1668)
Creates a new program that provides LTC services for older adults. Creates a statebased, public-private partnership LTSS program for older adults.