,i #aafth ,,congress #ast ,session ,h4 ,r4 #acdc ,,in ,,the ,,house ,,of ,,representatives ,february #be1 #bjai,mrs4 ,dingell 7for herself and ,mr4 ,upton7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act to remove an institutional bias by making permanent the protection for recipients of home and community-based services against spousal impoverishment4 #a4 ,short title ,this ,act may be cited as the ,protecting ,married ,seniors from ,impoverishment ,act4 #b4 ,making permanent the protection under ,medicaid for recipients of home and community-based services against spousal impoverishment ,section #aibd7;h77#a77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#e7;h77#a77;,a77 is amended by striking 7at the option of the ,state7 is described in section #aijb7;a77#aj77;,a77ii77,,vi7 and inserting the following3 before ,april #a1 #bjai1 7at the option of the ,state7 is described in section #aijb7;a77#aj77;,a77ii77,,vi71 or1 beginning ,april #a1 #bjai1 is eligible for medical assistance for home and community-based services provided under subsection 7c71 7d71 or 7i7 of section #aiae1 under a waiver approved under section #aaae1 or who is eligible for such medical assistance by reason of being determined eligible under section #aijb7;a77#aj77;,c7 or by reason of section #aijb7;f7 or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care1 or who is eligible for medical assistance for home and community-based attendant services and supports under section #aiae7k74