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.