Sign Up
S 4479 United States Senate · 119th Congress

ACCESS Act

The ACCESS Act expands Medicaid coverage to include services in assisted living facilities for individuals who currently require nursing home-level care, provided they meet state income and resource limits. This change aims to lower costs by ensuring that the average expense for these residents does not exceed the cost of their care in a hospital or nursing facility. Additionally, the bill allows the Low-Income Housing Tax Credit to be used for projects that reduce long-term medical costs for the elderly by offering care in non-institutional settings. These provisions are scheduled to take effect on January 1, 2027, with a grace period for states needing to update their legislation to comply.
Issues: ✓ Budget & TaxesSupports Budget & TaxesBill aims to lower healthcare costs and expand Medicaid coverage, promoting fiscal responsibility by reducing long-term medical expenses.75% confidence ✓ HealthcareSupports HealthcareThe bill expands Medicaid coverage to assisted living facilities, directly increasing access to health services and reducing costs for individuals requiring long-term care.95% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
President
Introduced Apr 30, 2026 Last action Apr 30, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Apr 30, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Apr 30, 2026
Introduced
Introduced in Senate
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Roger Marshall
Roger Marshall
RRepublican
KS
n/a