Phase 3: Waves 2 & 3: working-age adults · Step 3.2

Make home- and community-based care an entitlement

Year 2 · UHA; state aging & disability agenciesDiscuss this step

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Task 3.2.1 of 5

Eligibility by functional need (needs help with 2+ activities of daily living, or cognitive impairment), with no income or asset test.

Who does it

UHA

When

Year 2

Trade-off

Need-based eligibility ends impoverishment but expands demand substantially.

Part of: Make home- and community-based care an entitlement

Long-term services at home stop depending on Medicaid's poverty rules and capped waivers. HCBS spending goes from $320.5B to $353.5B, home health from $169.4B to $204.5B, and nursing facilities from $219.9B to $225.7B.

This step changes 2 existing laws, programs, or institutions. See the list.