Protecting Married Seniors from Impoverishment Act of 2024

This bill makes permanent Medicaid protections that prevent a spouse from being impoverished when the other spouse receives home and community-based care. It removes state discretion by requiring all states to extend these protections (currently temporary, set to expire in 2027) rather than allowing states to opt out. The change directly affects married seniors enrolled in Medicaid home and community-based services and their spouses, ensuring they retain more income when one spouse needs long-term care. It updates federal law to eliminate the sunset date, making the spousal impoverishment protection permanent for all states.