,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #haaj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bc1 #bjbd,mrs4
 ,d+ell 7= h]self & ,mr4 ,james7        
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 ! ,/ate 
option to ext5d protection aga9/ sp\sal 
impov]i%m5t = recipi5ts ( home &        
community-bas$ s]vices "u ,m$icaid4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,protect+ ,m>ri$ ,s5iors f ,impov]i%m5t 
,act ( #bjbd4  #b4 ,mak+ p]man5t ! ,/ate
 option to ext5d protection aga9/ sp\sal
 impov]i%m5t = recipi5ts ( home &       
community-bas$ s]vices "u ,m$icaid  7a7 
,9 g5]al ,section #aibd7;h77#a77;,a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifr-#e7;h77#a77;,a77 is am5d$ 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 #bjbg & ins]t+ ! date (  
enactm5t ( ! ,protect+ ,m>ri$ ,s5iors f 
,impov]i%m5t ,act ( #bjbd4