A bill to modify the estate recovery provisions of the medicaid program to give States the option to recover the costs of home and community-based services for individuals over age 55, and for other purposes.

Read twice and referred to the Committee on Finance.

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · Sep 21, 1994

Amends title XIX (Medicaid) of the Social Security Act to change from mandatory to discretionary a State's authority to seek recovery or adjustment of the costs of home and community-based services from the estates of individuals over age 55. Requires a State to issue a certificate of need as a prerequisite to reimbursement of a nursing facility by Medicare, Medicaid, or any other Federal program with respect to any beds first operated on or after enactment of this Act. Specifies restrictions on the geographic areas for which such a certificate may be issued.

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People & committees

Who introduced it

Sen. Feingold, Russell D. [D-WI] · D–WI

Committees

Finance 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.

Sep 21, 1994
Read twice and referred to the Committee on Finance.
Sep 21, 1994
Sponsor introductory remarks on measure. (CR S13096-13097)
Sep 21, 1994
Introduced in Senate

Primary sources

Bill text & related measures

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

Introduced in Senate · Sep 21, 1994 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: Jan 14, 2025. Consult Congress.gov for the current record.

AI Conversation Starters

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Neutral evidence review

Objective

Analyze S.2449 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.

View full prompt & sources

Discuss S.2449, 103rd Congress: A bill to modify the estate recovery provisions of the medicaid program to give States the option to recover the costs of home and community-based services for individuals over age 55, and for other purposes.

Official record: https://www.congress.gov/bill/103rd-congress/senate-bill/2449

Text version to examine: Introduced in Senate · 1994-09-21.

Official full text: https://www.congress.gov/103/bills/s2449/BILLS-103s2449is.htm

Imported record last updated by the source: 2025-01-14T19:06:38Z. 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 S.2449 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 S.2449 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.

View full prompt & sources

Discuss S.2449, 103rd Congress: A bill to modify the estate recovery provisions of the medicaid program to give States the option to recover the costs of home and community-based services for individuals over age 55, and for other purposes.

Official record: https://www.congress.gov/bill/103rd-congress/senate-bill/2449

Text version to examine: Introduced in Senate · 1994-09-21.

Official full text: https://www.congress.gov/103/bills/s2449/BILLS-103s2449is.htm

Imported record last updated by the source: 2025-01-14T19:06:38Z. 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 S.2449 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 S.2449 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 S.2449, 103rd Congress: A bill to modify the estate recovery provisions of the medicaid program to give States the option to recover the costs of home and community-based services for individuals over age 55, and for other purposes.

Official record: https://www.congress.gov/bill/103rd-congress/senate-bill/2449

Text version to examine: Introduced in Senate · 1994-09-21.

Official full text: https://www.congress.gov/103/bills/s2449/BILLS-103s2449is.htm

Imported record last updated by the source: 2025-01-14T19:06:38Z. 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 S.2449 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 S.2449 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 S.2449, 103rd Congress: A bill to modify the estate recovery provisions of the medicaid program to give States the option to recover the costs of home and community-based services for individuals over age 55, and for other purposes.

Official record: https://www.congress.gov/bill/103rd-congress/senate-bill/2449

Text version to examine: Introduced in Senate · 1994-09-21.

Official full text: https://www.congress.gov/103/bills/s2449/BILLS-103s2449is.htm

Imported record last updated by the source: 2025-01-14T19:06:38Z. 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 S.2449 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.