[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1530 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1530

 To amend title XIX of the Social Security Act to provide for improved 
delivery of and access to home care and to increase the utilization of 
          such care as an alternative to institutionalization.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 30, 1993

 Mrs. Johnson of Connecticut (for herself and Mrs. Bentley) introduced 
  the following bill; which was referred jointly to the Committees on 
                 Energy and Commerce and Ways and Means

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to provide for improved 
delivery of and access to home care and to increase the utilization of 
          such care as an alternative to institutionalization.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Senior Home Care Choice Fairness and 
Improvement Act of 1993''.

SEC. 2. APPLICATION OF SPOUSAL IMPOVERISHMENT RULES UNDER MEDICAID TO 
              SPOUSES OF INDIVIDUALS RECEIVING HOME OR COMMUNITY-BASED 
              SERVICES.

    (a) In General.--
            (1) Application of rules.--Section 1924(h)(1)(A) of the 
        Social Security Act (42 U.S.C. 1396r-5(h)(1)(A)) is amended by 
        striking ``or who (at the option of the State) is described in 
        section 1902(a)(10)(A)(ii)(VI), and'' and inserting ``or is 
        receiving medical assistance under section 
        1902(a)(10)(A)(ii)(VI), and''.
    (b) Increase in Number of Individuals Allowed To Receive Home or 
Community-Based Services.--Section 1915(c)(10) of such Act (42 U.S.C. 
1396n(c)(10)) is amended by striking ``200'' and inserting ``300''.
    (c) Informing Patients of Availability of Home Care.--
            (1) Medicare patients.--Section 1866(a)(1) of such Act (42 
        U.S.C. 1395cc(a)(1)) is amended--
                    (A) by striking ``and'' at the end of subparagraph 
                (P);
                    (B) by striking the period at the end of 
                subparagraph (Q) and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(R) in the case of hospitals, to inform 
                individuals of the availability of home care services 
                under title XIX and, if in a State operating under a 
                waiver under section 1915(c), to inform individuals of 
                the availability of home or community-based services in 
                such State.''.
            (2) Medicaid patients.--Section 1902(w)(1) of such Act (42 
        U.S.C. 1396a(w)(1)) is amended--
                    (A) by striking ``and'' at the end of subparagraph 
                (D);
                    (B) by striking the period at the end of 
                subparagraph (E) and by inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(F) to inform such individuals of the 
                availability of home care services under this title 
                and, if in a State operating under a waiver under 
                section 1915(c), to inform such individuals of the 
                availability of home or community-based services in 
                such State.''.

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