,,ii  #aafth ,,congress  #ast ,session  
,s4 #bjjj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bg1     
#bjai,mr4 ,casey 7for himself1 ,ms4     
,smith1 ,mr4 ,van ,hollen1 ,mrs4        
,gillibrand1 ,mr4 ,blumenthal1 ,mrs4    
,shaheen1 ,mr4 ,brown1 ,ms4 ,stabenow1  
and ,ms4 ,klobuchar7 introduced the     
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,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 ,making    
permanent the protection under ,medicaid
 for recipients of home and             
community-based services against spousal
 impoverishment  7a7 ,in general        
,section #aibd7;h77#a77;,a7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#e7;h77#a77;,a77 is amended by   
striking or who 7at the option of the   
,state7 is described in section         

#aijb7;a77#aj77;,a77ii77,,vi7 and       
inserting the following3 or who1 before 
,october #a1 #bjai1 at the option of the
 ,state1 is described in section        
#aijb7;a77#aj77;,a77ii77,,vi7 or1       
beginning ,october #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  7b7   
,rule of construction ,nothing in       
section #bdjd of ,public ,law #aaa-adh  
7#db ,u4,s4,c4 #acifr-#e note71 section 
#aibd of the ,social ,security ,act 7#db

 ,u4,s4,c4 #acifr-#e71 or section       
#aijb7;a77#ag7 of such ,act 7#db        
,u4,s4,c4 #acif;a7a77#ag77 shall be     
construed as prohibiting a ,state from  
applying an income or resource disregard
 authorized under section #aijb7r77#b7  
of such ,act 7#db ,u4,s4,c4             
#acif;a7r77#b77--  7#a7 to the income or
 resources of individuals described in  
section #aijb7;a77#aj77;,a77ii77,,vi7 of
 such ,act 7#db ,u4,s4,c4               
#acif;a7a77#aj77;,a77ii77,,vi77         
7including a disregard of the income or 
resources of such individual's spouse72 
or  7#b7 on the basis of an individual's
 need for home and community-based      
services authorized under subsection    
7c71 7d71 7i71 or 7k7 of section #aiae  
of such ,act 7#db ,u4,s4,c4 #acifn7 or  
under section #aaae of such ,act 7#db   
,u4,s4,c4 #acae74