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Protecting Married Seniors from Impoverishment Act of 2024

Last action · April 26, 2024: Referred to the Subcommittee on Health.Sponsor: Debbie Dingell

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill proposes making permanent the option for states to protect the assets and income of spouses when their partner receives Medicaid-funded home and community-based care. It removes the current expiration date for these protections, ensuring they remain available indefinitely.

Why it matters

This bill determines whether states can continue to allow individuals receiving long-term home care through Medicaid to keep a portion of their income and assets for their spouse, preventing the spouse from falling into poverty due to the cost of care.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicaid recipients receiving home and community-based services

Their eligibility for spousal asset and income protections becomes permanent rather than subject to a 2027 expiration.

Directly affected

State governments

States retain the permanent option to implement or continue spousal impoverishment protections for Medicaid recipients.

Key Facts

  • The bill amends Section 1924(h)(1)(A) of the Social Security Act to make the spousal impoverishment protection option permanent for states.
  • The bill removes the previous expiration date of September 30, 2027, for these protections.
  • The protections apply to recipients of home and community-based services under Medicaid, including those under section 1915(c), (d), (i), or (k), section 1115 waivers, and those eligible based on medical expense deductions.
  • The bill was introduced in the House of Representatives on April 23, 2024.

Frequently Asked Questions

What is 'spousal impoverishment' protection?
It is a set of rules that allows a person whose spouse is receiving Medicaid-funded long-term care to keep a certain amount of the couple's combined income and assets so they do not become impoverished.
Does this bill force states to provide these protections?
No, the bill makes the option permanent for states to choose whether or not to extend these protections.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Last action
Referred to the Subcommittee on Health.Apr 26, 2024

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Removal of Sunset Provision

The bill shifts a temporary state option into a permanent feature of the Medicaid program, removing the 2027 expiration date.

Connected Entities

Mr. James, House Energy and Commerce Committee, Mrs. Dingell and 1 more
PersonMr. James“Co-sponsor of the bill.”Map →
OrganizationHouse Energy and Commerce Committee“The House committee to which the bill was referred.”Map →
PersonMrs. Dingell“Primary sponsor of the bill in the House of Representatives.”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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