Universal HealthcareBy NextBestFit

Make home- and community-based care an entitlement

Year 2 · UHA; state aging & disability agenciesDiscuss this step
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Task 3.2.4 of 5

Nursing facility residents: UHP pays the care component; residents contribute up to 80% of income above a personal-needs allowance toward room and board (as in Canadian provinces).

Who does it
UHA
When
Year 2
Trade-off

Room-and-board contributions keep costs down but leave residents with limited personal income.

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.