According to a recent statement issued by the National Academy of Elder Law Attorneys, first analysis of the draft of the American Health Care Act indicates significant impacts to home and community based waiver services, an end to the three month retroactive period for Medicaid eligibility, and an end to the ability of states to increase equity limits for primary residences beyond the statutory maximum. There is so far no mention of changes that could affect the use of spousal annuities for Medicaid eligibility. The biggest proposed change is structural – the way the federal government would change Medicaid financing by contributing a fixed amount per beneficiary.
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