Medicaid Cash and Counseling Program Act of 2005

Referred to the Subcommittee on Health.

Congressional Research Service

Official summary

Version 00 · Introduced in House · Oct 26, 2005

Medicaid Cash and Counseling Program Act of 2005 - Amends title XIX (Medicaid) of the Social Security Act to allow a state to provide, as medical assistance, payment for the cost of self-directed personal assistance services (other than room and board) provided pursuant to a written plan of care to individuals who, but for such services, would require and receive personal care services under the plan, or home and community-based services provided pursuant to a waiver.

Prohibits the provision of self-directed personal assistamce services to individuals who reside in a home or property owned, operated, or controlled by a service provider not related by blood or marriage.

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People & committees

Who introduced it

Rep. Stearns, Cliff [R-FL-6] · R–FL

Committees

Energy and Commerce Committee

0 cosponsorship records, including any withdrawals

Legislative record

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

Nov 4, 2005
Referred to the Subcommittee on Health.
Oct 26, 2005
Referred to the House Committee on Energy and Commerce.
Oct 26, 2005
Introduced in House
Oct 26, 2005
Introduced in House

Primary sources

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Introduced in House · Oct 26, 2005 Formatted Text PDF

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Aug 15, 2025. Consult Congress.gov for the current record.

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Objective

Analyze H.R.4153 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Discuss H.R.4153, 109th Congress: Medicaid Cash and Counseling Program Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/house-bill/4153

Text version to examine: Introduced in House · 2005-10-26.

Official full text: https://www.congress.gov/109/bills/hr4153/BILLS-109hr4153ih.htm

Imported record last updated by the source: 2025-08-15T17:59:24Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Analyze H.R.4153 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

Fairness and public impact

Progressive lens

Examine H.R.4153 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Discuss H.R.4153, 109th Congress: Medicaid Cash and Counseling Program Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/house-bill/4153

Text version to examine: Introduced in House · 2005-10-26.

Official full text: https://www.congress.gov/109/bills/hr4153/BILLS-109hr4153ih.htm

Imported record last updated by the source: 2025-08-15T17:59:24Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4153 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

Institutions and government scope

Conservative lens

Examine H.R.4153 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

View full prompt & sources

Discuss H.R.4153, 109th Congress: Medicaid Cash and Counseling Program Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/house-bill/4153

Text version to examine: Introduced in House · 2005-10-26.

Official full text: https://www.congress.gov/109/bills/hr4153/BILLS-109hr4153ih.htm

Imported record last updated by the source: 2025-08-15T17:59:24Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4153 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

Individual rights and government power

Liberty lens

Examine H.R.4153 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

View full prompt & sources

Discuss H.R.4153, 109th Congress: Medicaid Cash and Counseling Program Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/house-bill/4153

Text version to examine: Introduced in House · 2005-10-26.

Official full text: https://www.congress.gov/109/bills/hr4153/BILLS-109hr4153ih.htm

Imported record last updated by the source: 2025-08-15T17:59:24Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4153 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.