,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bjjj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bg1 #bjai,mr4   
,casey 7= himself1 ,ms4 ,smi?1 ,mr4 ,van
 ,holl51 ,mrs4 ,gillibr&1 ,mr4          
,blum5?al1 ,mrs4 ,%ahe51 ,mr4 ,br[n1    
,ms4 ,/ab5[1 & ,ms4 ,klobu*>7 introduc$ 
! foll[+ bill2 :i* 0 read twice & ref]r$
 to ! ,committee on ,f9ance  ,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  
,mak+ p]man5t ! protection "u ,m$icaid =
 recipi5ts ( home & community-bas$      
s]vices aga9/ sp\sal impov]i%m5t  7a7 ,9
 g5]al ,section #aibd7;h77#a77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#e7;h77#a77;,a77 is am5d$ by     
/rik+ or :o 7at ! option ( ! ,/ate7 is  
describ$ 9 section                      
#aijb7;a77#aj77;,a77ii77,,vi7 & ins]t+ !
 foll[+3 or :o1 be=e ,octob] #a1 #bjai1 
at ! option ( ! ,/ate1 is describ$ 9    

section #aijb7;a77#aj77;,a77ii77,,vi7   
or1 beg9n+ ,octob] #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  7b7 ,rule ( con/ruction ,no?+
 9 section #bdjd ( ,public ,law #aaa-adh
 7#db ,u4,s4,c4 #acifr-#e note71 section
 #aibd ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acifr-#e71 or section        
#aijb7;a77#ag7 ( su* ,act 7#db ,u4,s4,c4
 #acif;a7a77#ag77 %all be con/ru$ z     
prohibit+ a ,/ate f apply+ an income or 
res\rce disreg>d au?oriz$ "u section    
#aijb7r77#b7 ( su* ,act 7#db ,u4,s4,c4  

#acif;a7r77#b77--  7#a7 to ! income or  
res\rces ( individuals describ$ 9       
section #aijb7;a77#aj77;,a77ii77,,vi7 ( 
su* ,act 7#db ,u4,s4,c4                 
#acif;a7a77#aj77;,a77ii77,,vi77 7includ+
 a disreg>d ( ! income or res\rces ( su*
 individual's sp\se72 or  7#b7 on !     
basis ( an individual's ne$ = home &    
community-bas$ s]vices au?oriz$ "u      
subsection 7c71 7d71 7i71 or 7k7 (      
section #aiae ( su* ,act 7#db ,u4,s4,c4 
#acifn7 or "u section #aaae ( su* ,act  
7#db ,u4,s4,c4 #acae74