What does Preamble of ACCESS Act do?

This bill aims to provide assisted living assistance. The assistance will be provided through Medicaid. The bill also intends to utilize the low-income housing tax credit.

What does SHORT TITLE. of ACCESS Act do?

This bill is formally titled the Assisted Living Affordability, Choice, Community, Empowerment, Savings, and Support Act.

What does COVERAGE OF SERVICES IN AN ASSISTED LIVING RESIDENCE UNDER of ACCESS Act do?

This section amends the Social Security Act to include assisted living residence services under Medicaid. The definition of medical assistance is modified to include services provided in assisted living residences consistent with state law. Eligibility for these services requires meeting state income and resource requirements and that the estimated annual average per capita Medicaid cost in an assisted living residence is no greater than the cost of hospital or nursing facility care. Section 1902(a)(10)(A) is amended to include assisted living residence services as a mandatory benefit. The amendments generally take effect on January 1, 2027. States may be granted a delay if state legislation is required to meet the new requirements, with the delay period determined by the state's legislative session schedule.

What does SELECTION CRITERIA FOR QUALIFIED ALLOCATION PLAN UNDER THE LOW- of ACCESS Act do?

This section amends section 42(m)(1) of the Internal Revenue Code of 1986. The amendment adds a new clause (xi) to specify criteria for a Qualified Allocation Plan. The new clause prioritizes projects that reduce medical assistance costs for long-term services and supports for the elderly. These services and supports must be provided in a non-institutional setting. The amendments apply to allocations made after January 1, 2027.

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ACCESS Act

Last updated: 4/30/2026 · Introduced: 4/30/2026

Author: Roger Marshall (R-KS)

TL;DR (AI)

This bill expands Medicaid to cover assisted living residence services, provided states meet specific cost and eligibility requirements.
The bill modifies the low-income housing tax credit program to prioritize projects that reduce Medicaid costs for elderly long-term care services in non-institutional settings.
Projects seeking the low-income housing tax credit must meet new criteria that prioritize reducing Medicaid costs for long-term services and supports for the elderly.

119th Congressin committeeHR. 8662(In Committee)Official page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

4 sections

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