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Federal and state governments should ensure that Medicaid reimbursement is sufficient to guarantee access to the full range of high-quality long-term services and supports in all service settings.
All individuals with incomes at or below 100 percent of the poverty line ($14,580 per year in 2023) should be considered categorically eligible for Medicaid.
Look-back period: Congress should repeal the five-year look-back period for asset transfers and return to the previous 36-month look-back window.
States should not impose blanket requirements for applicants to seek the return of all transferred assets.
Federal and state regulations should establish hardship waivers of the home equity limit that protect people with no other way to pay for needed care.
Unmarried domestic partners and spouses in same-sex marriages should be provided all the financial protections given to opposite-sex community spouses.
Tax and spending decisions should be the purview of the legislative branch.
The federal government should permit states to opt out of Medicaid estate recovery.
The federal government should require all states to implement medically needy programs for people who need LTSS in all settings.