PlainBillCongress, translated.Legislation. Context. Public interest.Read twice and referred to the Committee on Finance.
Congressional Research Service
Version 00 · Introduced in Senate · Oct 28, 1993
TABLE OF CONTENTS: Title I: Long-Term Care Provisions Title II: Long-Term Care Tax Provisions Secure Choice Act of 1993 - Title I: Long-Term Care Provisions - Amends the Social Security Act (SSA) to establish a new Federal program to provide grants to States for furnishing long-term care assistance, which includes nursing facility as well as home and community based services, to eligible low-income functionally impaired individuals (including children) and their spouses under an approved State plan which provides for nominal cost-sharing, nondenial of care, and general freedom of provider choice. (Sec. 101) Allows the use of grants to enable each State to establish a Secure Choice Insurance Program that ensures access of residents to qualified long-term care insurance policies at special premiums which provide certain minimum benefits subsidized by Federal and State funding. Provides for: (1) maximum lifetime benefits after which policyholders may become eligible for assistance under the State plan above; and (2) portability in the case of qualified policies which are group policies. Authorizes appropriations. (Sec. 102) Directs the Secretary of Health and Human Services to: (1) provide that individuals eligible for services under SSA title XIX (Medicaid) which, effective upon the enactment of this Act, are provided under the new Federal program above shall continue to be eligible to receive such services in the same manner as previously provided; (2) establish, in collaboration with the National Association of Insurance Commissioners (NAIC), and report to the Congress on, a system for collecting data on public and private long-term care services for making certain service-related predictions; (3) establish a new organizational unit to administer the new Federal program established above; and (4) submit to appropriate congressional committees a legislative proposal for such amendments as are required by this Act. (Sec. 103) Amends Medicaid to repeal provisions concerning home and community care for functionally disabled elderly individuals. (Sec. 104) Directs the Comptroller General to study and report to the Congress on the appropriateness and adequacy of using the Federal medical assistance percentage used under Medicaid for payment of services provided under such new program. Title II: Long-Term Care Tax Provisions - Amends the Internal Revenue Code to: (1) allow an individual an itemized deduction for qualified long-term care services; (2) provide for the treatment of long-term care insurance or plans; (3) set forth specified consumer protection provisions to be satisfied by qualified long-term care insurance contracts, including the NAIC model Act; and (4) impose an excise tax on persons for failing to meet specified requirements for long-term care insurance policies, including certain requirements of the model Act and regulation and those involving disclosure. (Sec. 214) Requires NAIC to promulgate standards for the use of uniform language and definitions in such policies, with certain variations permitted.
People & committees
Sen. Packwood, Bob [R-OR] · R–OR
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Read twice and referred to the Committee on Finance.
Sponsor introductory remarks on measure. (CR S14629-14630)
Introduced in Senate
Primary sources
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Source last updated: Aug 26, 2025. Consult Congress.gov for the current record.
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