I 119THCONGRESS 1 STSESSION H. R. 2082 To amend title II of the Social Security Act to provide for long-term care insurance benefits, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH11, 2025 Mr. S UOZZI(for himself and Mr. MOOLENAAR) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title II of the Social Security Act to provide for long-term care insurance benefits, and for other purposes. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Well-Being Insurance 4 for Seniors to be at Home Act’’ or the ‘‘WISH Act’’. 5 SEC. 2. FINDINGS; PURPOSE. 6 (a) F INDINGS.—Congress finds the following: 7 (1) More than half of Americans entering old 8 age today will have a long-term services and sup-9 ports (in this section referred to as ‘‘LTSS’’) need, 10 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 2082 IH averaging $298,000 costs per person for about 2 1 years of serious self-care disability, and more than 2 half will be out-of-pocket, according to the U.S. De-3 partment of Health and Human Services (in this 4 section referred to as ‘‘HHS’’). 5 (2) The population age 85 or older (which is a 6 proxy for the number of elders needing LTSS) will 7 double between 2022 and 2035, and nearly triple by 8 2050. This aging will outpace the number of work-9 ing-age people, including family members, who can 10 help seniors financially or with unpaid care. 11 (3) Research has shown that most U.S. seniors 12 could only afford less than a year of nursing home 13 care, assisted living care, or extensive home care 14 using their financial resources. Some can get by 15 using unpaid (family) care, but most rely on a com-16 bination of paid and unpaid care. 17 (4) More than 1 in 5 middle-income seniors will 18 end up impoverished, Medicaid eligible, and mostly 19 using Medicaid to cover their LTSS costs. 20 (5) Millions of older Americans—1 in 5—will 21 need LTSS for more than 5 years, with a price tag 22 that would impoverish nearly all American house-23 holds if they faced that need. HHS projections show 24 that older adults who need LTSS for more than 5 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 2082 IH years incur nearly half of all LTSS expenses and 60 1 percent of Medicaid’s LTSS spending. 2 (6) Only 1 in 10 American adults (11 percent) 3 have any private coverage for LTSS expenses, leav-4 ing almost all middle-class American families to ex-5 haust their nest-eggs and become impoverished be-6 fore qualifying for Medicaid. 7 (7) The Nation urgently needs to create meth-8 ods for ordinary Americans to be able to take re-9 sponsibility to plan for the risk of a substantial pe-10 riod of disability during retirement years. 11 (8) Given that Americans move and work across 12 State lines so frequently, State-based LTSS plans 13 encounter difficult administrative issues. Therefore, 14 a solution to address LTSS needs for seniors must 15 be anchored in a Federal insurance plan. Addition-16 ally, since the time just after onset of disability is 17 more predictable and manageable, a Federal insur-18 ance plan should cover the risk of especially long pe-19 riods of long-term care, leaving the early period of 20 need to personal responsibility. 21 (9) Those methods must also responsibly sup-22 port the workforce providing supports and services. 23 (b) P URPOSE.—The purpose of this Act is to enable 24 most Americans to make plans that protect themselves 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •HR 2082 IH and their families, to enable disabled older adults to sup-1 port themselves in their communities during periods of se-2 rious disability, to support the workforce providing direct 3 services to elders living with disabilities, and to reduce 4 what is now necessary reliance on Medicaid. 5 SEC. 3. LONG-TERM CARE INSURANCE BENEFITS. 6 (a) I NGENERAL.—Title II of the Social Security Act 7 (42 U.S.C. 401 et seq.) is amended by adding at the end 8 the following: 9 ‘‘SEC. 235. LONG-TERM CARE INSURANCE BENEFITS. 10 ‘‘(a) I NGENERAL.—Every individual who— 11 ‘‘(1) has attained retirement age (as defined in 12 section 216(l)(1)); 13 ‘‘(2) has filed an application for long-term care 14 insurance benefits; 15 ‘‘(3) is insured for long-term care insurance 16 benefits (as determined under subsection (c)) at the 17 time such individual’s application is filed; and 18 ‘‘(4) has a continual serious functional dis-19 ability (as defined in subsection (d)) and, at the time 20 such individual’s application is filed, has had such 21 disability for a substantial period of time (as deter-22 mined under subsection (e)), 23 shall be entitled to a long-term care insurance benefit for 24 each month beginning with the 1st month in which the 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •HR 2082 IH individual meets the criteria specified in paragraphs (1) 1 through (4), and ending with the earlier of the month in 2 which the individual dies or the 1st month in which the 3 individual no longer has a continual serious functional dis-4 ability (as so defined). 5 ‘‘(b) B ENEFITAMOUNT.—Such individual’s long- 6 term care insurance benefit for each month shall be an 7 amount equal to the product of— 8 ‘‘(1) an estimate, to be determined by the Sec-9 retary of Health and Human Services in consulta-10 tion with the Department of Labor, of the median 11 cost of 6 hours per day of paid personal assistance 12 in the United States, indexed to wages in the long- 13 term care sector, multiplied by 14 ‘‘(2) the ratio (not greater than 1) of the num-15 ber of quarters of coverage the individual has during 16 the applicable base period (as defined in subsection 17 (c)(2)) to 40. 18 ‘‘(c) D EFINITION OFINSUREDSTATUS.— 19 ‘‘(1) I N GENERAL.—For purposes of subsection 20 (a), an individual shall be insured for long-term care 21 insurance benefits in any month if the individual has 22 6 quarters of coverage during the applicable base pe-23 riod. 24 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •HR 2082 IH ‘‘(2) APPLICABLE BASE PERIOD .—For purposes 1 of this subsection, the term ‘applicable base period’ 2 means the period that begins with the 1st quarter of 3 2026. 4 ‘‘(d) D EFINITION OFCONTINUALSERIOUSFUNC-5 TIONALDISABILITY.—For purposes of subsection (a), an 6 individual shall be considered to have a continual serious 7 functional disability if the person is a chronically ill indi-8 vidual (as determined under section 7702B(c)(2) of the 9 Internal Revenue Code of 1986) and is expected to remain 10 a chronically ill individual (as so determined) for at least 11 1 year or until the individual’s death. 12 ‘‘(e) D EFINITION OFSUBSTANTIALPERIOD.— 13 ‘‘(1) I N GENERAL.—For purposes of subsection 14 (a), a substantial period of time means— 15 ‘‘(A) in the case of an individual who, at 16 the time described in paragraph (3), has aver-17 age indexed monthly earnings for long-term 18 care equal to or less than the dollar amount 19 representing the 40th percentile in the table es-20 tablished under subsection (f) for such calendar 21 year, 12 months; and 22 ‘‘(B) in the case of an individual who, at 23 such time, has average indexed monthly earn-24 ings for long-term care greater than such dollar 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •HR 2082 IH amount, 12 months plus 1 additional month for 1 each 1.25 percentile interval above the 40th 2 percentile for which the individual’s average in-3 dexed monthly earnings for long-term care 4 would attain (as specified in such table). 5 ‘‘(2) T ABLE OF EARNINGS.— 6 ‘‘(A) I N GENERAL.—The Commissioner of 7 Social Security shall establish a table, for each 8 calendar year beginning with calendar year 9 2026, setting forth— 10 ‘‘(i) the dollar amount representing 11 the 40th percentile among the average in-12 dexed monthly earnings for long-term care 13 (as determined under subparagraph (B)) 14 of each individual who has attained age 62 15 and whose primary insurance amount is 16 first computed during such calendar year 17 (or, for calendar year 2036, during any 18 previous calendar year); and 19 ‘‘(ii) the dollar amounts representing 20 percentiles over 40 (increasing linearly 21 from 40 in intervals of 1.25) among the 22 average indexed monthly earnings for long- 23 term care (as so determined) of each such 24 individual. 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 •HR 2082 IH ‘‘(B) DETERMINATION OF AVERAGE IN -1 DEXED MONTHLY EARNINGS FOR LONG -TERM 2 CARE.—For purposes of this subsection, the av-3 erage indexed monthly earnings for long-term 4 care of an individual shall be determined under 5 section 215(b) (as in effect on the date of en-6 actment of this Act) as if such section were 7 amended— 8 ‘‘(i) in paragraph (2)(A), by striking 9 ‘reduced—’ and all that follows through 10 the end and inserting ‘reduced by the num-11 ber of benefit computation years for which 12 no wages were paid in and no self-employ-13 ment income credited.’; and 14 ‘‘(ii) in paragraph (2)(B)(ii), by strik-15 ing ‘1950’ and inserting ‘2025’. 16 ‘‘(3) T IME OF CALCULATION .—The time de-17 scribed in this paragraph is— 18 ‘‘(A) in the case of an individual who has 19 40 quarters of coverage during the applicable 20 base period (as defined in subsection (c)(2)) 21 prior to becoming entitled to old-age insurance 22 benefits, the time at which the individual’s pri-23 mary insurance amount was first computed 24 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 9 •HR 2082 IH with respect to the individual’s application for 1 such benefits; and 2 ‘‘(B) in the case of any other individual, 3 the time at which the individual files an appli-4 cation for long-term care insurance benefits 5 under this section. 6 ‘‘(f) P ROVISION OFINFORMATIONRELATING TOOB-7 TAININGLONG-TERMCARE.—The Commissioner of So-8 cial Security shall provide to each individual entitled to 9 a long-term care insurance benefit under this section, as 10 soon as practicable following the first day of the first 11 month of such entitlement, information describing the 12 steps the individual may take to obtain long-term care, 13 including an explanation of the services (including care 14 planning, care management, and administrative services 15 for hired care providers, by referral or in-house, for a fee) 16 provided by, and the appropriate contact information for, 17 the Aging and Disability Resource Centers described in 18 section 202(b)(8) of the Older Americans Act of 1965 and 19 the area agencies on aging (as defined in section 102(6) 20 of such Act). 21 ‘‘(g) P ROVISION OFBENEFICIARYINFORMATION BY 22 A NYPERSON.—Any person may submit applicable infor-23 mation with respect to an individual’s application for long- 24 term care insurance benefits, an annual statement de-25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 10 •HR 2082 IH scribed under subsection (i)(2), or any other information 1 required to be submitted by the individual under this title, 2 including, as applicable, the individual’s representative, or 3 any family member or other appropriate person. 4 ‘‘(h) T REATMENT OFLONG-TERMCAREINSURANCE 5 B ENEFITPAYMENTS.—A long-term care insurance benefit 6 payment shall not be regarded as income and shall not 7 be regarded as a resource for any month, for purposes 8 of determining the eligibility of the recipient (or the recipi-9 ent’s spouse or family) for benefits or assistance under 10 any Federal program or under any State or local program 11 financed in whole or in part with Federal funds. 12 ‘‘(i) A DDITIONALREQUIREMENTS.— 13 ‘‘(1) R ELATING TO WAGES AND WITHHOLDING 14 RULES.—An individual entitled to a long-term care 15 insurance benefit for a month during a calendar 16 year shall, in any case in which such individual hires 17 an employee who is not a family member to provide 18 paid personal care to the individual during such 19 month, comply with all applicable State and Federal 20 laws relating to— 21 ‘‘(A) the payment of a minimum wage; and 22 ‘‘(B) the withholding of payroll taxes and 23 other employment-related taxes. 24 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 11 •HR 2082 IH ‘‘(2) ANNUAL STATEMENT .—An individual enti-1 tled to a long-term care insurance benefit for a 2 month during a calendar year shall submit a state-3 ment to the Commissioner of Social Security at least 4 once during such calendar year, as directed by the 5 Commissioner— 6 ‘‘(A) affirming that the individual— 7 ‘‘(i) continues to have a continual se-8 rious functional disability (as defined in 9 subsection (d)); and 10 ‘‘(ii) is in compliance with the laws 11 described in paragraph (1); and 12 ‘‘(B) specifying the country of residence of 13 the individual. 14 ‘‘(3) N ONPAYMENT OF BENEFITS IN CERTAIN 15 CASES.—No long-term care insurance benefit shall 16 be payable to an individual for any month— 17 ‘‘(A) with respect to which the individual 18 fails to satisfy any of the requirements de-19 scribed in the preceding paragraphs of this sub-20 section; or 21 ‘‘(B) beginning after the fifth consecutive 22 year with respect to which the individual has re-23 ported, in the annual statement required under 24 paragraph (2), a country of residence other 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 12 •HR 2082 IH than the United States (including any territory 1 of the United States).’’. 2 (b) E STIMATES OFBENEFITS.—Section 1143(a)(2) 3 of the Social Security Act (42 U.S.C. 1320b–13) is 4 amended— 5 (1) in subparagraph (D), by striking ‘‘and’’ at 6 the end; 7 (2) in subparagraph (E), by striking the period 8 at the end and inserting ‘‘; and’’; and 9 (3) by adding at the end the following: 10 ‘‘(F) an estimate of the potential long-term care 11 insurance benefits payable to the individual.’’. 12 SEC. 4. ESTABLISHMENT OF FEDERAL LONG-TERM CARE 13 INSURANCE TRUST FUND. 14 (a) I NGENERAL.—There is hereby created on the 15 books of the Treasury of the United States a trust fund 16 to be known as the ‘‘Federal Long-Term Care Insurance 17 Trust Fund’’. The Federal Long-Term Care Insurance 18 Trust Fund shall consist of such gifts and bequests as 19 may be made as provided in section 201(i)(1) of the Social 20 Security Act (42 U.S.C. 401(i)(1)) and such amounts as 21 may be appropriated to, or deposited in, the Federal Long- 22 Term Care Insurance Trust Fund as provided in this sec-23 tion. 24 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 13 •HR 2082 IH (b) APPROPRIATION.—There is appropriated to the 1 Federal Long-Term Care Insurance Trust Fund out of 2 moneys in the Treasury not otherwise appropriated— 3 (1) for each of fiscal years 2026, 2027, and 4 2028, $12,000,000 for the initial establishment of 5 the Long-Term Care Insurance program and pay-6 ment of benefits during such fiscal years; and 7 (2) $50,000,000 for public education relating to 8 the Long-Term Care Insurance program as de-9 scribed in section 6(a). 10 (c) M ANAGEMENT OF TRUSTFUND.—The provisions 11 of subsections (c), (d), (e), (f), (i), and (m) of section 201 12 of the Social Security Act (42 U.S.C. 401) shall apply with 13 respect to the Federal Long-Term Care Insurance Trust 14 Fund in the same manner as such provisions apply to the 15 Federal Old-Age and Survivors Insurance Trust Fund and 16 the Disability Insurance Trust Fund, except that the Man-17 aging Trustee (within the meaning of subsection (d) of 18 such section) may invest such portion of the Federal 19 Long-Term Care Insurance Trust Fund as the Managing 20 Trustee considers appropriate in conservative market se-21 curities. 22 (d) A DMINISTRATION.—There are authorized to be 23 made available for expenditure, out of the Federal Long- 24 Term Care Insurance Trust Fund, such sums as may be 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 14 •HR 2082 IH necessary to pay the costs of the administration of section 1 3, including start-up costs, technical assistance, outreach, 2 education, evaluation, and reporting. 3 (e) R EPORT.—Not later than 5 years after the date 4 of enactment of this Act and every 5 years thereafter, the 5 Board of Trustees (as defined for purposes of title II of 6 the Social Security Act) shall submit a report to Congress 7 evaluating the impact of long-term care insurance benefits 8 under section 235 of such Act and making recommenda-9 tions relating to potential geographical adjustments of the 10 amount of such benefits. 11 (f) A LLOWINGGIFTSTOBEMADE TO THEFEDERAL 12 L ONG-TERMCAREINSURANCETRUSTFUND.—Section 13 201(i)(1) of the Social Security Act (42 U.S.C. 401(i)(1)) 14 is amended— 15 (1) by striking ‘‘, or the Federal’’ and inserting 16 ‘‘, the Federal’’; and 17 (2) by inserting after ‘‘in such Trust Fund)’’ 18 the following: ‘‘, or the Federal Long-Term Care In-19 surance Trust Fund established under the Well- 20 Being Insurance for Seniors to be at Home Act’’. 21 SEC. 5. EDUCATION AND OUTREACH. 22 (a) P UBLICEDUCATIONPLAN.— 23 (1) I N GENERAL.—Not later than 90 days after 24 the date of enactment of this Act, the Secretary of 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 15 •HR 2082 IH Health and Human Services, in consultation with 1 the Commissioner of Social Security, shall publish in 2 the Federal Register a 10-year plan to educate the 3 public about the likelihood of needing long-term 4 care, the nature of the experience of long-term care 5 in various situations, the costs of long-term care, the 6 availability of long-term care insurance benefits, and 7 the importance of planning and considering private 8 insurance coverage alongside family support and 9 savings (especially during the first years of a serious 10 disability). Such plan shall be modified as necessary 11 based on research on the effectiveness of various 12 strategies and modifications with experience. 13 (2) F UNDING.—There are appropriated, out of 14 the Federal Long-Term Care Insurance Trust Fund, 15 to the Secretary of Health and Human Services 16 $50,000,000 to carry out paragraph (1). 17 (b) I NDIVIDUALNOTICES.— 18 (1) I N GENERAL.—Beginning 1 year after the 19 date of enactment of this Act and in accordance with 20 paragraph (2), the Commissioner of Social Security 21 shall provide to each eligible individual a notice that 22 specifies— 23 (A)(i) the average indexed monthly earn-24 ings for long-term care that would be calculated 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 16 •HR 2082 IH for the individual under paragraph (2)(B) of 1 section 235(e) of the Social Security Act if such 2 average indexed monthly earnings for long-term 3 care were calculated in the month before the 4 month such notice is provided; and 5 (ii) for purposes of applying such section 6 to the individual, the percentile in which such 7 average indexed monthly earnings for long-term 8 care of the individual would fall among the av-9 erage indexed monthly earnings for long-term 10 care (as determined under such paragraph 11 (2)(B)) of each individual whose average in-12 dexed monthly earnings for long-term care are 13 calculated in such month; 14 (B) the number of quarters of coverage the 15 individual has in the month before the month 16 such notice is provided for purposes of attaining 17 insured status for long-term care insurance 18 benefits under such Act; and 19 (C) in any case in which the individual has 20 a continual serious functional disability (as de-21 fined in section 235(d) of such Act), the date 22 on which such disability began. 23 (2) T IMING.—A notice described in paragraph 24 (1) shall be provided— 25 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 17 •HR 2082 IH (A) by mail— 1 (i) to each eligible individual not later 2 than 540 days of the date of enactment of 3 this Act; and 4 (ii) to each eligible individual in the 5 month the individual attains age 45, age 6 55, age 65, and retirement age (as defined 7 in section 216(l) of such Act); and 8 (B) for each eligible individual who has at-9 tained age 35, by making such notice available 10 on the individual’s account on the website of 11 the Social Security Administration, to be up-12 dated annually. 13 (3) E LIGIBLE INDIVIDUAL.—In this subsection, 14 the term ‘‘eligible individual’’ means an individual— 15 (A) who has a social security account num-16 ber; and 17 (B)(i) who has wages or net earnings from 18 self-employment; or 19 (ii) with respect to whom the Commis-20 sioner has information that the pattern of 21 wages or self-employment income indicate a 22 likelihood of noncovered employment. 23 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 18 •HR 2082 IH SEC. 6. GAO REPORT ON PERFORMANCE OF THE WISH PRO-1 GRAM. 2 Not later than 5 years after the date of enactment 3 of this Act and every 3 years thereafter, the Comptroller 4 General shall submit a report to Congress including— 5 (1) a description of the likelihood of manipula-6 tion of eligibility criteria by beneficiaries or bene-7 ficiary advisors and recommendations as to the mer-8 its of possible remedies; 9 (2) a description of the likelihood of financial 10 exploitation or elder mistreatment by others on 11 whom a beneficiary is dependent or otherwise con-12 nected and recommendations as to the merits of pos-13 sible remedies, including the merits of imposing a fi-14 nancial management service or fiscal intermediary as 15 has often been implemented by states in Medicaid’s 16 Cash and Counseling program; and 17 (3) a description of the marketplace and con-18 sumer understanding of long-term insurance offer-19 ings and recommendations as to the merits of pos-20 sible remedies, including the merits of standardizing 21 insurance offerings to improve consumer under-22 standing. 23 VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB 19 •HR 2082 IH SEC. 7. REPORT ON REMAINING LONG-TERM SUPPORTS 1 AND SERVICES NEEDS. 2 Not later than 3 years after the date of enactment 3 of this Act and every 3 years thereafter, the Secretary of 4 Health and Human Services, acting through the Adminis-5 trator of the Administration on Community Living and in 6 consultation with the Commissioner of Social Security, 7 shall submit a plan to Congress that includes— 8 (1) estimates of the long-term services and sup-9 ports needed by individuals who are not eligible for 10 benefits under section 235 of the Social Security 11 Act, including individuals disabled in childhood, indi-12 viduals living with disabilities before retirement age, 13 and individuals who are not insured for benefits 14 under such section; and 15 (2) proposed strategies and costs of mitigating 16 unmet needs for such individuals. 17 Æ VerDate Sep 11 2014 23:54 Mar 24, 2025 Jkt 059200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6301 E:\BILLS\H2082.IH H2082 kjohnson on DSK7ZCZBW3PROD with $$_JOB