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 3.2.5 of 5

End Medicaid estate recovery for long-term care.

Who does it

Congress

When

Year 2

Trade-off

Ending estate recovery protects heirs but gives up revenue states collected.

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.