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Proposed

Bill · 119th Congress · S 4479

ACCESS Act

Refreshed 1 h ago

Introduced 2026-04-30Topic: health care · housing · social services

Summary

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This bill would add services provided in an assisted living residence to the list of benefits covered by Medicaid, and would make it a required benefit that states must offer. Coverage would apply to people who need hospital or nursing-facility level care and meet state income and resource rules, as long as the average Medicaid cost for assisted living is no more than it would be for hospital or nursing facility care. The Medicaid changes would take effect January 1, 2027, with a delay allowed for states that need to pass new laws. The bill would also add a new selection criterion to state plans for awarding the low-income housing tax credit: projects that lower long-term care costs for older adults by providing services outside of institutions.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-04-30SenateRead twice and referred to the Committee on Finance.refer
2026-04-30Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-25. Provisions and opinion polling arrive in a later release.