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HR 1163 101th Congress House

Older Americans Alternative Care Act of 1989

Official title: To amend title XVIII of the Social Security Act to include additional types of services as home health services under the medicare program, to amend the Domest… Show full official titleShow less

Official title: To amend title XVIII of the Social Security Act to include additional types of services as home health services under the medicare program, to amend the Domestic Volunteer Service Act of 1973 to clarify the purposes, goals, and administration of the senior companion program, and to amend the Internal Revenue Code of 1986 to establish an income tax credit for maintaining a household for dependents who are 65 years of age or older.

Introduced: June 20, 1990 See on congress.gov
Health AuthorizationDay care centers for the agedHome care servicesHousing for the aged
More subjectsShow fewer subjects
Income taxMedicareOld age assistanceRespite careSocial WelfareTax creditsVolunteer workers
This bill died when the 101st Congress ended
It never became law before the 101st Congress (1989–1990) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 7 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 5, 1989
Referred to the Subcommittee on Human Resources.
Mar 20, 1989
Referred to the Subcommittee on Health and the Environment.
Mar 6, 1989
Referred to the Subcommittee on Health.
Feb 28, 1989
Referred to the House Committee on Education and Labor.
Feb 28, 1989
Referred to the House Committee on Energy and Commerce.
Feb 28, 1989
Referred to the House Committee on Ways and Means.
Feb 28, 1989
Introduced in House
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 Latest action April 5, 1989

Referred to the Subcommittee on Human Resources.

 Plain-English summary Congressional Research Service

Older Americans Alternative Care Act of 1989 - Title I: Medicare Amendments - Amends title XVIII (Medicare) of the Social Security Act to include periodic chore and respite care services as home health services. Permits home health services to be provided in an adult day care center.

Title II: Senior Companion Program - Amends the Domestic Volunteer Service Act to authorize the Director of the Action Agency to make grants or contracts under the National Older Americans Volunteer Program to establish senior companion programs. Authorizes increased appropriations for such programs through FY 1991.

Title III: Income Tax Credit for Maintaining Households Which Include Dependents Who Have Attained Age 65 - Amends the Internal Revenue Code to authorize an income tax credit for an individual who maintains in his or her home a household for a dependent over age 65.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 6
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APA
U.S. Congress. (2026). H.R. 1163: Older Americans Alternative Care Act of 1989. 101st Congress. Open America. https://openamerica.io/bill/101-HR-1163/
MLA
"H.R. 1163: Older Americans Alternative Care Act of 1989." 101st Congress, 2026, Open America, https://openamerica.io/bill/101-HR-1163/.
Bluebook (legal)
H.R. 1163, 101st Cong. (2026), https://openamerica.io/bill/101-HR-1163/.
Markdown link
[H.R. 1163: Older Americans Alternative Care Act of 1989](https://openamerica.io/bill/101-HR-1163/)
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