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S 1602 109th Congress Senate

Improving Long-Term Care Choices Act of 2005

Official title: A bill to amend title XIX of the Social Security Act to require States to disregard benefits paid under long-term care insurance for purposes of determining me… Show full official titleShow less

Official title: A bill to amend title XIX of the Social Security Act to require States to disregard benefits paid under long-term care insurance for purposes of determining medicaid eligibility, to expand long-term care insurance partnerships between States and insurers, to amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, the use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs, to establish home and communitybased services as an optional medicaid benefit, and for other purposes.

Introduced: July 29, 2005 Introduced by: Grassley, Chuck Republican · Iowa See on congress.gov
Health Administrative procedureCaregiversCommerceCommunity health services
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CongressCongressional reporting requirementsConsumer educationDepartment of Health and Human ServicesDrugsEmployee health benefitsExcise taxFamiliesFinance and Financial SectorFlexible benefit plansGovernment Operations and PoliticsGovernment publicityHealth insurance portabilityHome care servicesIncome taxInsurance premiumsInterstate relationsLabor and EmploymentLawLong-term careLong-term care insuranceMedicaidMedicareMental health servicesNursing homesPrescription pricingSocial WelfareState lawsTax creditsTax deductionsTax exclusionTaxationWelfare eligibilityWelfare waivers
This bill died when the 109th Congress ended
It never became law before the 109th Congress (2005–2006) 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 29, 2005
Read twice and referred to the Committee on Finance.
Jul 29, 2005
Sponsor introductory remarks on measure. (CR S9520-9523)
Jul 29, 2005
Introduced in Senate
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 Latest action July 29, 2005

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

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.

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.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 1602: Improving Long-Term Care Choices Act of 2005. 109th Congress. Open America. https://openamerica.io/bill/109-S-1602/
MLA
"S. 1602: Improving Long-Term Care Choices Act of 2005." 109th Congress, 2026, Open America, https://openamerica.io/bill/109-S-1602/.
Bluebook (legal)
S. 1602, 109th Cong. (2026), https://openamerica.io/bill/109-S-1602/.
Markdown link
[S. 1602: Improving Long-Term Care Choices Act of 2005](https://openamerica.io/bill/109-S-1602/)
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