,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #agag  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #i1 #bjba,mr4    
,upton 7= himself & ,mrs4 ,d+ell7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to make p]man5t !       
protections "u ,m$icaid = recipi5ts (   
home & community-bas$ 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 ,act (    
#bjba4  #b4 ,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+ 7at ! option ( ! ,/ate7 is        
describ$ 9 section                      
#aijb7;a77#aj77;,a77ii77,,vi7 & ins]t+ !
 foll[+3 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 ,con=m+ am5dm5t ,section 
#bdjd ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#acifr-#e7 is am5d$ by /rik+ ,septemb]  
#cj1 #bjbc & ins]t+ ! date ( ! enactm5t 
( ! ,protect+ ,m>ri$ ,s5iors f          
,impov]i%m5t ,act ( #bjba4