To provide assisted living assistance through Medicaid and low-income housing tax credit.
- Bill Number
- H.R. 8662
- Origin Chamber
- House
- Congress
- 119th Congress, Session 2
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2026-05-04: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Last Updated
- 2026-06-19T08:06:56Z
AI-Generated Summary
Purpose
This legislation aims to expand access to assisted living services for eligible individuals by integrating such care into the Medicaid program and encouraging related housing developments through the low-income housing tax credit.
Key Provisions
- Medicaid Expansion: Amends the Social Security Act to define medical assistance to include services provided in assisted living residences, provided they align with state law, serve individuals who would otherwise require hospital or nursing facility care, and meet cost-neutrality requirements compared to institutional care.
- Mandatory Coverage: Makes these assisted living services a required benefit under state Medicaid plans.
- Tax Credit Criteria: Amends the Internal Revenue Code to require state qualified allocation plans for the low-income housing tax credit to prioritize projects that reduce long-term care costs by offering services in non-institutional settings.
- Effective Dates: Medicaid changes take effect January 1, 2027, with possible delays for states needing new legislation; tax credit changes apply to allocations after January 1, 2027.
Significant Changes to Existing Law
- Expands the definition of Medicaid medical assistance (Section 1905(a) of the Social Security Act) by adding a new paragraph for assisted living services and updating mandatory benefit requirements (Section 1902(a)(10)(A)).
- Introduces a new selection criterion (clause (xi)) in Section 42(m)(1)(C) of the Internal Revenue Code for low-income housing tax credit projects focused on non-institutional long-term care.
Potential Impacts
- Government Agencies: Requires federal oversight by the Department of Health and Human Services for Medicaid compliance and may affect state Medicaid administration; the Internal Revenue Service would incorporate new criteria into tax credit allocations.
- Citizens: Could increase options for elderly or disabled individuals needing long-term care by covering assisted living services under Medicaid, potentially reducing reliance on nursing facilities.
- International Relations: No direct impacts identified.
Main Stakeholders Affected
- Elderly and low-income individuals eligible for Medicaid who require long-term care.
- Assisted living facilities and housing developers seeking tax credits.
- State Medicaid agencies and legislatures responsible for plan amendments.
- Federal agencies including the Department of Health and Human Services and the Internal Revenue Service.
Notable Legal, Constitutional, or Political Implications
- Mandates changes to state Medicaid plans, with provisions allowing delays if state legislation is required, potentially raising federalism considerations.
- Alters federal tax incentives without apparent constitutional conflicts, focusing on cost-saving through non-institutional care.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Cosponsors (3)
Rep. LaHood, Darin [R-IL-16], Rep. Houchin, Erin [R-IN-9], Rep. Carey, Mike [R-OH-15]
Recent Actions
- 2026-05-04: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2026-05-04: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2026-05-04: Introduced in House
- 2026-05-04: Introduced in House
Bill Versions
- To provide assisted living assistance through Medicaid and low-income housing tax credit. — issued 2026-05-04 — PDF (4 pages)