Additional Long Term Services and Supports Amendments in the new Senate Finance bill

To Accept with Modification Rockefeller Amendment #D11:

On page 50, at the end of the Long Term Services and Supports section

Insert, ― The Chairman’s Mark would express the Sense of the Senate that this Congress should address long-term services and supports in a comprehensive way that guarantees elderly and disabled individuals the care they need. The Mark would further express the Sense of the Senate that long term services and supports should be made available in the community in addition to in institutions.

To Accept with Modification Kerry Amendment #C16:

On page 50, at the end of the Long Term Services and Supports section

Insert ―The Chairman’s Mark would protect against spousal impoverishment in all Medicaid home and community based services programs by requiring states to apply the same spousal impoverishment rules currently provided to the spouses of nursing home residents in Medicaid.‖ The provision would sunset after five years.

To Accept with Modification Cantwell Amendment #C1:

On page 50, at the end of the Long Term Services and Supports section

Insert ―The Chairman’s Mark would provide states that undertake structural reforms proven to increase nursing home diversions and access to home and community based services in their Medicaid programs a targeted increase in the federal medical assistance percentage (FMAP). The amount of the FMAP increase would be tied to the percentage of a state’s long term services and supports that is offered through HCBS, with lower FMAP increases going to states that will need to make fewer reforms. States would be able to offer HCBS through a waiver or through a state plan amendment (SPA).