S.4479

ACCESS Act Assisted Living Affordability, Choice, Community, Empowerment, Savings, and Support Act

Introduced·4/30/26

Expands Medicaid to cover assisted living services and modifies low-income housing tax credit allocation criteria.

The ACCESS Act, or Assisted Living Affordability, Choice, Community, Empowerment, Savings, and Support Act, amends the Social Security Act to include assisted living services under Medicaid, provided they meet state law and Medicaid requirements. It also modifies the Internal Revenue Code to include projects that reduce medical assistance costs for long-term services and supports in non-institutional settings as eligible for the low-income housing tax credit. The changes take effect on January 1, 2027.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Finance Committee
Next
Committee decision

Sponsors

0
1
Democratic CaucusRepublican Caucus

History

Apr 30

Senate

Read twice and referred to the Committee on Finance.