,,ii  #aag? ,,congress  #a/ ,session    
,s4 #ajii  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ac1 #bjba,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*>1 ,ms4 ,cortez
 ,ma/o1 & ,ms4 ,duckwor?7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,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 ,act4    
#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-#e note7 is am5d$ by /rik+       
,septemb] #cj1 #bjbc & ins]t+ ! date ( !
 enactm5t ( ! ,protect+ ,m>ri$ ,s5iors  
,f ,impov]i%m5t ,act4  7c7 ,rule (      
con/ruction ,no?+ 9 section #aibd ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#e7 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