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HR 4901 99th Congress House Social Welfare Extended care facilities Health Health facilities Intermediate care facilities Medicaid Nursing Nursing homes Social security eligibility

A bill to amend title XIX of the Social Security Act to require each State to provide a comprehensive assessment of each individual's needs before providing long-term skilled nursing facility or…

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A bill to amend title XIX of the Social Security Act to require each State to provide a comprehensive assessment of each individual's needs before providing long-term skilled nursing facility or intermediate care facility services under its medicaid plan.

Introduced: May 22, 1986 See on congress.gov
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This bill died when the 99th Congress ended
It never became law before the 99th Congress (1985–1986) 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
Jun 5, 1986
Referred to Subcommittee on Health and the Environment.
May 22, 1986
Referred to House Committee on Energy and Commerce.
May 22, 1986
Introduced in House
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 Plain-English summary Congressional Research Service

Amends title XIX (Medicaid) of the Social Security Act to require States to provide a comprehensive assessment of each individual eligible or applying for Medicaid long-term skilled nursing or intermediate care facility services to determine whether the individual is in need of such services. Requires that an individual determined to be in need of such services be informed of feasible alternatives to such services.

Prohibits providers or those with a pecuniary interest in the provision of home health care or skilled nursing or intermediate care facility services from conducting the needs assessment.

What's happening now June 5, 1986

Referred to Subcommittee on Health and the Environment.

 Committees of jurisdiction 2
 Cosponsors 1
All 1 Democratic 1
D
Kaptur, Marcy
Ohio · Aug 1, 1986
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APA
U.S. Congress. (2026). H.R. 4901: A bill to amend title XIX of the Social Security Act to require each State to provide a comprehensive assessment of each individual's needs before providing long-term skilled nursing facility or intermediate care facility services under its medicaid plan.. 99th Congress. Open America. https://openamerica.io/bill/99-HR-4901/
MLA
"H.R. 4901: A bill to amend title XIX of the Social Security Act to require each State to provide a comprehensive assessment of each individual's needs before providing long-term skilled nursing facility or intermediate care facility services under its medicaid plan.." 99th Congress, 2026, Open America, https://openamerica.io/bill/99-HR-4901/.
Bluebook (legal)
H.R. 4901, 99th Cong. (2026), https://openamerica.io/bill/99-HR-4901/.
Markdown link
[H.R. 4901: A bill to amend title XIX of the Social Security Act to require each State to provide a comprehensive assessment of each individual's needs before providing long-term skilled nursing facility or intermediate care facility services under its medicaid plan.](https://openamerica.io/bill/99-HR-4901/)
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