,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #acdc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #be1         
#bjai,mrs4 ,d+ell 7= h]self & ,mr4      
,upton7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
remove an in/itutional bias by mak+     
p]man5t ! protection = recipi5ts ( home 
& community-bas$ s]vices aga9/ sp\sal   
impov]i%m5t4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,protect+ ,m>ri$ ,s5iors
 f ,impov]i%m5t ,act4  #b4 ,mak+ p]man5t
 ! protection "u ,m$icaid = recipi5ts ( 
home & community-bas$ s]vices aga9/     
sp\sal impov]i%m5t ,section             
#aibd7;h77#a77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acifr-#e7;h77#a77;,a77 is am5d$ by     
/rik+ 7at ! option ( ! ,/ate7 is        
describ$ 9 section                      
#aijb7;a77#aj77;,a77ii77,,vi7 & ins]t+ !
 foll[+3 be=e ,april #a1 #bjai1 7at !   
option ( ! ,/ate7 is describ$ 9 section 

#aijb7;a77#aj77;,a77ii77,,vi71 or1      
beg9n+ ,april #a1 #bjai1 is eligible =  
m$ical assi/ance = home & community-bas$
 s]vices provid$ "u subsection 7c71 7d71
 or 7i7 ( section #aiae1 "u a waiv]     
approv$ "u section #aaae1 or :o is      
eligible = su* m$ical assi/ance by      
reason ( be+ det]m9$ eligible "u section
 #aijb7;a77#aj77;,c7 or by reason (     
section #aijb7;f7 or o!rwise on ! basis 
( a r$uction ( income bas$ on co/s      
incurr$ = m$ical or o!r rem$ial c>e1 or 
:o is eligible = m$ical assi/ance = home
 & community-bas$ att5dant s]vices &    
supports "u section #aiae7k74