PlainBillCongress, translated.Legislation. Context. Public interest.Read twice and referred to the Committee on Finance.
Congressional Research Service
Version 00 · Introduced in Senate · Jul 29, 2005
Improving Long-Term Care Choices Act of 2005 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to disregard benefits paid under long-term care insurance for purposes of determining Medicaid eligibility.
Amends the Internal Revenue Code to establish specified additional consumer protections with respect to long-term care insurance policies, based on the October 2000 National Association of Insurance Commissioners model regulations.
Amends SSA title XIX to permit the expansion of long-term care partnership insurance policies to all states.
Showing the opening paragraphs of the official summary.
Requires all new partnership policies to be Qualified Long-Term Care Insurance Policies.
Directs the Secretary to set standards for reciprocity to provide for the portability of long-term care partnership policies from one partnership state to another partnership state.
Directs the Secretary to establish a National Clearinghouse for Long-Term Care Information.
Amends the Internal Revenue Code to allow: (1) a deduction from gross income for eligible long-term care premiums paid during the taxable year; and (2) a tax credit to help cover long-term care expenses.
Provides that no gain or loss shall be recognized on the exchange of a qualified long-term care insurance contract for another qualified long-term care insurance contract.
Amends SSA title XIX to provide states with a new option to offer home and community-based services to Medicaid-eligible individuals without obtaining a federal waiver.
Directs the Secretary to issue regulations removing administrative barriers under Medicare (SSA title XVIII) and Medicaid that impede the offering of integrated acute and long-term care services, which combine acute, home and community-based, nursing facility and mental health services, and coverage of prescription drugs, into a single model of care for individuals who are dually eligible for such programs.
Directs the Secretary to make recommendations to Congress for removal of statutory barriers to the offering of such integrated services.
People & committees
Sen. Grassley, Chuck [R-IA] · R–IA
Legislative record
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Read twice and referred to the Committee on Finance.
Sponsor introductory remarks on measure. (CR S9520-9523)
Introduced in Senate
Primary sources
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Source last updated: Aug 15, 2025. Consult Congress.gov for the current record.
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