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.

Read twice and referred to the Committee on Finance.

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · Jan 21, 1997

Amends title XIX (Medicaid) of the Social Security Act (SSA) to modify its estate recovery provisions to change from mandatory to discretionary the authority of a State to recover the costs of home and community-based services for individuals over age 55. Prohibits a nursing facility from receiving reimbursement under SSA title XVIII (Medicare), the Medicaid program, or any other Federal program for services furnished with respect to any beds first operated by such facility on or after the date of the enactment of this Act, unless a certificate of need is issued by the State with respect to them. Allows a State to issue such a certificate of need with respect to a geographic area only if the ratio of the number of nursing facility beds in such area to the total area population likely to need such beds is below the ratio included in guidelines the State must establish, with the approval of the Secretary of Health and Human Services.

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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.

Jan 21, 1997
Read twice and referred to the Committee on Finance.
Jan 21, 1997
Sponsor introductory remarks on measure. (CR S435-436)
Jan 21, 1997
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 · Jan 21, 1997 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.

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Neutral evidence review

Objective

Analyze S.58 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.58, 105th 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.

Official record: https://www.congress.gov/bill/105th-congress/senate-bill/58

Text version to examine: Introduced in Senate · 1997-01-21.

Official full text: https://www.congress.gov/105/bills/s58/BILLS-105s58is.htm

Imported record last updated by the source: 2025-01-14T19:08:24Z. 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 S.58 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.58 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.58, 105th 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.

Official record: https://www.congress.gov/bill/105th-congress/senate-bill/58

Text version to examine: Introduced in Senate · 1997-01-21.

Official full text: https://www.congress.gov/105/bills/s58/BILLS-105s58is.htm

Imported record last updated by the source: 2025-01-14T19:08:24Z. 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 S.58 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.58 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.58, 105th 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.

Official record: https://www.congress.gov/bill/105th-congress/senate-bill/58

Text version to examine: Introduced in Senate · 1997-01-21.

Official full text: https://www.congress.gov/105/bills/s58/BILLS-105s58is.htm

Imported record last updated by the source: 2025-01-14T19:08:24Z. 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 S.58 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.58 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.58, 105th 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.

Official record: https://www.congress.gov/bill/105th-congress/senate-bill/58

Text version to examine: Introduced in Senate · 1997-01-21.

Official full text: https://www.congress.gov/105/bills/s58/BILLS-105s58is.htm

Imported record last updated by the source: 2025-01-14T19:08:24Z. 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 S.58 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.