Us Congress 2025-2026 Regular Session

Us Congress House Bill HB2082 Compare Versions

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Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 2082
5	5	To amend title II of the Social Security Act to provide for long-term care
6	6	insurance benefits, and for other purposes.
7	7	IN THE HOUSE OF REPRESENTATIVES
8	8	MARCH11, 2025
9	9	Mr. S
10	10	UOZZI(for himself and Mr. MOOLENAAR) introduced the following bill;
11	11	which was referred to the Committee on Ways and Means
12	12	A BILL
13	13	To amend title II of the Social Security Act to provide
14	14	for long-term care insurance benefits, and for other purposes.
15	15	Be it enacted by the Senate and House of Representa-1
16	16	tives of the United States of America in Congress assembled, 2
17	17	SECTION 1. SHORT TITLE. 3
18	18	This Act may be cited as the ‘‘Well-Being Insurance 4
19	19	for Seniors to be at Home Act’’ or the ‘‘WISH Act’’. 5
20	20	SEC. 2. FINDINGS; PURPOSE. 6
21	21	(a) F
22	22	INDINGS.—Congress finds the following: 7
23	23	(1) More than half of Americans entering old 8
24	24	age today will have a long-term services and sup-9
25	25	ports (in this section referred to as ‘‘LTSS’’) need, 10
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29	29	averaging $298,000 costs per person for about 2 1
30	30	years of serious self-care disability, and more than 2
31	31	half will be out-of-pocket, according to the U.S. De-3
32	32	partment of Health and Human Services (in this 4
33	33	section referred to as ‘‘HHS’’). 5
34	34	(2) The population age 85 or older (which is a 6
35	35	proxy for the number of elders needing LTSS) will 7
36	36	double between 2022 and 2035, and nearly triple by 8
37	37	2050. This aging will outpace the number of work-9
38	38	ing-age people, including family members, who can 10
39	39	help seniors financially or with unpaid care. 11
40	40	(3) Research has shown that most U.S. seniors 12
41	41	could only afford less than a year of nursing home 13
42	42	care, assisted living care, or extensive home care 14
43	43	using their financial resources. Some can get by 15
44	44	using unpaid (family) care, but most rely on a com-16
45	45	bination of paid and unpaid care. 17
46	46	(4) More than 1 in 5 middle-income seniors will 18
47	47	end up impoverished, Medicaid eligible, and mostly 19
48	48	using Medicaid to cover their LTSS costs. 20
49	49	(5) Millions of older Americans—1 in 5—will 21
50	50	need LTSS for more than 5 years, with a price tag 22
51	51	that would impoverish nearly all American house-23
52	52	holds if they faced that need. HHS projections show 24
53	53	that older adults who need LTSS for more than 5 25
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57	57	years incur nearly half of all LTSS expenses and 60 1
58	58	percent of Medicaid’s LTSS spending. 2
59	59	(6) Only 1 in 10 American adults (11 percent) 3
60	60	have any private coverage for LTSS expenses, leav-4
61	61	ing almost all middle-class American families to ex-5
62	62	haust their nest-eggs and become impoverished be-6
63	63	fore qualifying for Medicaid. 7
64	64	(7) The Nation urgently needs to create meth-8
65	65	ods for ordinary Americans to be able to take re-9
66	66	sponsibility to plan for the risk of a substantial pe-10
67	67	riod of disability during retirement years. 11
68	68	(8) Given that Americans move and work across 12
69	69	State lines so frequently, State-based LTSS plans 13
70	70	encounter difficult administrative issues. Therefore, 14
71	71	a solution to address LTSS needs for seniors must 15
72	72	be anchored in a Federal insurance plan. Addition-16
73	73	ally, since the time just after onset of disability is 17
74	74	more predictable and manageable, a Federal insur-18
75	75	ance plan should cover the risk of especially long pe-19
76	76	riods of long-term care, leaving the early period of 20
77	77	need to personal responsibility. 21
78	78	(9) Those methods must also responsibly sup-22
79	79	port the workforce providing supports and services. 23
80	80	(b) P
81	81	URPOSE.—The purpose of this Act is to enable 24
82	82	most Americans to make plans that protect themselves 25
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86	86	and their families, to enable disabled older adults to sup-1
87	87	port themselves in their communities during periods of se-2
88	88	rious disability, to support the workforce providing direct 3
89	89	services to elders living with disabilities, and to reduce 4
90	90	what is now necessary reliance on Medicaid. 5
91	91	SEC. 3. LONG-TERM CARE INSURANCE BENEFITS. 6
92	92	(a) I
93	93	NGENERAL.—Title II of the Social Security Act 7
94	94	(42 U.S.C. 401 et seq.) is amended by adding at the end 8
95	95	the following: 9
96	96	‘‘SEC. 235. LONG-TERM CARE INSURANCE BENEFITS. 10
97	97	‘‘(a) I
98	98	NGENERAL.—Every individual who— 11
99	99	‘‘(1) has attained retirement age (as defined in 12
100	100	section 216(l)(1)); 13
101	101	‘‘(2) has filed an application for long-term care 14
102	102	insurance benefits; 15
103	103	‘‘(3) is insured for long-term care insurance 16
104	104	benefits (as determined under subsection (c)) at the 17
105	105	time such individual’s application is filed; and 18
106	106	‘‘(4) has a continual serious functional dis-19
107	107	ability (as defined in subsection (d)) and, at the time 20
108	108	such individual’s application is filed, has had such 21
109	109	disability for a substantial period of time (as deter-22
110	110	mined under subsection (e)), 23
111	111	shall be entitled to a long-term care insurance benefit for 24
112	112	each month beginning with the 1st month in which the 25
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116	116	individual meets the criteria specified in paragraphs (1) 1
117	117	through (4), and ending with the earlier of the month in 2
118	118	which the individual dies or the 1st month in which the 3
119	119	individual no longer has a continual serious functional dis-4
120	120	ability (as so defined). 5
121	121	‘‘(b) B
122	122	ENEFITAMOUNT.—Such individual’s long- 6
123	123	term care insurance benefit for each month shall be an 7
124	124	amount equal to the product of— 8
125	125	‘‘(1) an estimate, to be determined by the Sec-9
126	126	retary of Health and Human Services in consulta-10
127	127	tion with the Department of Labor, of the median 11
128	128	cost of 6 hours per day of paid personal assistance 12
129	129	in the United States, indexed to wages in the long- 13
130	130	term care sector, multiplied by 14
131	131	‘‘(2) the ratio (not greater than 1) of the num-15
132	132	ber of quarters of coverage the individual has during 16
133	133	the applicable base period (as defined in subsection 17
134	134	(c)(2)) to 40. 18
135	135	‘‘(c) D
136	136	EFINITION OFINSUREDSTATUS.— 19
137	137	‘‘(1) I
138	138	N GENERAL.—For purposes of subsection 20
139	139	(a), an individual shall be insured for long-term care 21
140	140	insurance benefits in any month if the individual has 22
141	141	6 quarters of coverage during the applicable base pe-23
142	142	riod. 24
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146	146	‘‘(2) APPLICABLE BASE PERIOD .—For purposes 1
147	147	of this subsection, the term ‘applicable base period’ 2
148	148	means the period that begins with the 1st quarter of 3
149	149	2026. 4
150	150	‘‘(d) D
151	151	EFINITION OFCONTINUALSERIOUSFUNC-5
152	152	TIONALDISABILITY.—For purposes of subsection (a), an 6
153	153	individual shall be considered to have a continual serious 7
154	154	functional disability if the person is a chronically ill indi-8
155	155	vidual (as determined under section 7702B(c)(2) of the 9
156	156	Internal Revenue Code of 1986) and is expected to remain 10
157	157	a chronically ill individual (as so determined) for at least 11
158	158	1 year or until the individual’s death. 12
159	159	‘‘(e) D
160	160	EFINITION OFSUBSTANTIALPERIOD.— 13
161	161	‘‘(1) I
162	162	N GENERAL.—For purposes of subsection 14
163	163	(a), a substantial period of time means— 15
164	164	‘‘(A) in the case of an individual who, at 16
165	165	the time described in paragraph (3), has aver-17
166	166	age indexed monthly earnings for long-term 18
167	167	care equal to or less than the dollar amount 19
168	168	representing the 40th percentile in the table es-20
169	169	tablished under subsection (f) for such calendar 21
170	170	year, 12 months; and 22
171	171	‘‘(B) in the case of an individual who, at 23
172	172	such time, has average indexed monthly earn-24
173	173	ings for long-term care greater than such dollar 25
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177	177	amount, 12 months plus 1 additional month for 1
178	178	each 1.25 percentile interval above the 40th 2
179	179	percentile for which the individual’s average in-3
180	180	dexed monthly earnings for long-term care 4
181	181	would attain (as specified in such table). 5
182	182	‘‘(2) T
183	183	ABLE OF EARNINGS.— 6
184	184	‘‘(A) I
185	185	N GENERAL.—The Commissioner of 7
186	186	Social Security shall establish a table, for each 8
187	187	calendar year beginning with calendar year 9
188	188	2026, setting forth— 10
189	189	‘‘(i) the dollar amount representing 11
190	190	the 40th percentile among the average in-12
191	191	dexed monthly earnings for long-term care 13
192	192	(as determined under subparagraph (B)) 14
193	193	of each individual who has attained age 62 15
194	194	and whose primary insurance amount is 16
195	195	first computed during such calendar year 17
196	196	(or, for calendar year 2036, during any 18
197	197	previous calendar year); and 19
198	198	‘‘(ii) the dollar amounts representing 20
199	199	percentiles over 40 (increasing linearly 21
200	200	from 40 in intervals of 1.25) among the 22
201	201	average indexed monthly earnings for long- 23
202	202	term care (as so determined) of each such 24
203	203	individual. 25
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207	207	‘‘(B) DETERMINATION OF AVERAGE IN -1
208	208	DEXED MONTHLY EARNINGS FOR LONG -TERM 2
209	209	CARE.—For purposes of this subsection, the av-3
210	210	erage indexed monthly earnings for long-term 4
211	211	care of an individual shall be determined under 5
212	212	section 215(b) (as in effect on the date of en-6
213	213	actment of this Act) as if such section were 7
214	214	amended— 8
215	215	‘‘(i) in paragraph (2)(A), by striking 9
216	216	‘reduced—’ and all that follows through 10
217	217	the end and inserting ‘reduced by the num-11
218	218	ber of benefit computation years for which 12
219	219	no wages were paid in and no self-employ-13
220	220	ment income credited.’; and 14
221	221	‘‘(ii) in paragraph (2)(B)(ii), by strik-15
222	222	ing ‘1950’ and inserting ‘2025’. 16
223	223	‘‘(3) T
224	224	IME OF CALCULATION .—The time de-17
225	225	scribed in this paragraph is— 18
226	226	‘‘(A) in the case of an individual who has 19
227	227	40 quarters of coverage during the applicable 20
228	228	base period (as defined in subsection (c)(2)) 21
229	229	prior to becoming entitled to old-age insurance 22
230	230	benefits, the time at which the individual’s pri-23
231	231	mary insurance amount was first computed 24
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235	235	with respect to the individual’s application for 1
236	236	such benefits; and 2
237	237	‘‘(B) in the case of any other individual, 3
238	238	the time at which the individual files an appli-4
239	239	cation for long-term care insurance benefits 5
240	240	under this section. 6
241	241	‘‘(f) P
242	242	ROVISION OFINFORMATIONRELATING TOOB-7
243	243	TAININGLONG-TERMCARE.—The Commissioner of So-8
244	244	cial Security shall provide to each individual entitled to 9
245	245	a long-term care insurance benefit under this section, as 10
246	246	soon as practicable following the first day of the first 11
247	247	month of such entitlement, information describing the 12
248	248	steps the individual may take to obtain long-term care, 13
249	249	including an explanation of the services (including care 14
250	250	planning, care management, and administrative services 15
251	251	for hired care providers, by referral or in-house, for a fee) 16
252	252	provided by, and the appropriate contact information for, 17
253	253	the Aging and Disability Resource Centers described in 18
254	254	section 202(b)(8) of the Older Americans Act of 1965 and 19
255	255	the area agencies on aging (as defined in section 102(6) 20
256	256	of such Act). 21
257	257	‘‘(g) P
258	258	ROVISION OFBENEFICIARYINFORMATION BY 22
259	259	A
260	260	NYPERSON.—Any person may submit applicable infor-23
261	261	mation with respect to an individual’s application for long- 24
262	262	term care insurance benefits, an annual statement de-25
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266	266	scribed under subsection (i)(2), or any other information 1
267	267	required to be submitted by the individual under this title, 2
268	268	including, as applicable, the individual’s representative, or 3
269	269	any family member or other appropriate person. 4
270	270	‘‘(h) T
271	271	REATMENT OFLONG-TERMCAREINSURANCE 5
272	272	B
273	273	ENEFITPAYMENTS.—A long-term care insurance benefit 6
274	274	payment shall not be regarded as income and shall not 7
275	275	be regarded as a resource for any month, for purposes 8
276	276	of determining the eligibility of the recipient (or the recipi-9
277	277	ent’s spouse or family) for benefits or assistance under 10
278	278	any Federal program or under any State or local program 11
279	279	financed in whole or in part with Federal funds. 12
280	280	‘‘(i) A
281	281	DDITIONALREQUIREMENTS.— 13
282	282	‘‘(1) R
283	283	ELATING TO WAGES AND WITHHOLDING 14
284	284	RULES.—An individual entitled to a long-term care 15
285	285	insurance benefit for a month during a calendar 16
286	286	year shall, in any case in which such individual hires 17
287	287	an employee who is not a family member to provide 18
288	288	paid personal care to the individual during such 19
289	289	month, comply with all applicable State and Federal 20
290	290	laws relating to— 21
291	291	‘‘(A) the payment of a minimum wage; and 22
292	292	‘‘(B) the withholding of payroll taxes and 23
293	293	other employment-related taxes. 24
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297	297	‘‘(2) ANNUAL STATEMENT .—An individual enti-1
298	298	tled to a long-term care insurance benefit for a 2
299	299	month during a calendar year shall submit a state-3
300	300	ment to the Commissioner of Social Security at least 4
301	301	once during such calendar year, as directed by the 5
302	302	Commissioner— 6
303	303	‘‘(A) affirming that the individual— 7
304	304	‘‘(i) continues to have a continual se-8
305	305	rious functional disability (as defined in 9
306	306	subsection (d)); and 10
307	307	‘‘(ii) is in compliance with the laws 11
308	308	described in paragraph (1); and 12
309	309	‘‘(B) specifying the country of residence of 13
310	310	the individual. 14
311	311	‘‘(3) N
312	312	ONPAYMENT OF BENEFITS IN CERTAIN 15
313	313	CASES.—No long-term care insurance benefit shall 16
314	314	be payable to an individual for any month— 17
315	315	‘‘(A) with respect to which the individual 18
316	316	fails to satisfy any of the requirements de-19
317	317	scribed in the preceding paragraphs of this sub-20
318	318	section; or 21
319	319	‘‘(B) beginning after the fifth consecutive 22
320	320	year with respect to which the individual has re-23
321	321	ported, in the annual statement required under 24
322	322	paragraph (2), a country of residence other 25
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326	326	than the United States (including any territory 1
327	327	of the United States).’’. 2
328	328	(b) E
329	329	STIMATES OFBENEFITS.—Section 1143(a)(2) 3
330	330	of the Social Security Act (42 U.S.C. 1320b–13) is 4
331	331	amended— 5
332	332	(1) in subparagraph (D), by striking ‘‘and’’ at 6
333	333	the end; 7
334	334	(2) in subparagraph (E), by striking the period 8
335	335	at the end and inserting ‘‘; and’’; and 9
336	336	(3) by adding at the end the following: 10
337	337	‘‘(F) an estimate of the potential long-term care 11
338	338	insurance benefits payable to the individual.’’. 12
339	339	SEC. 4. ESTABLISHMENT OF FEDERAL LONG-TERM CARE 13
340	340	INSURANCE TRUST FUND. 14
341	341	(a) I
342	342	NGENERAL.—There is hereby created on the 15
343	343	books of the Treasury of the United States a trust fund 16
344	344	to be known as the ‘‘Federal Long-Term Care Insurance 17
345	345	Trust Fund’’. The Federal Long-Term Care Insurance 18
346	346	Trust Fund shall consist of such gifts and bequests as 19
347	347	may be made as provided in section 201(i)(1) of the Social 20
348	348	Security Act (42 U.S.C. 401(i)(1)) and such amounts as 21
349	349	may be appropriated to, or deposited in, the Federal Long- 22
350	350	Term Care Insurance Trust Fund as provided in this sec-23
351	351	tion. 24
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355	355	(b) APPROPRIATION.—There is appropriated to the 1
356	356	Federal Long-Term Care Insurance Trust Fund out of 2
357	357	moneys in the Treasury not otherwise appropriated— 3
358	358	(1) for each of fiscal years 2026, 2027, and 4
359	359	2028, $12,000,000 for the initial establishment of 5
360	360	the Long-Term Care Insurance program and pay-6
361	361	ment of benefits during such fiscal years; and 7
362	362	(2) $50,000,000 for public education relating to 8
363	363	the Long-Term Care Insurance program as de-9
364	364	scribed in section 6(a). 10
365	365	(c) M
366	366	ANAGEMENT OF TRUSTFUND.—The provisions 11
367	367	of subsections (c), (d), (e), (f), (i), and (m) of section 201 12
368	368	of the Social Security Act (42 U.S.C. 401) shall apply with 13
369	369	respect to the Federal Long-Term Care Insurance Trust 14
370	370	Fund in the same manner as such provisions apply to the 15
371	371	Federal Old-Age and Survivors Insurance Trust Fund and 16
372	372	the Disability Insurance Trust Fund, except that the Man-17
373	373	aging Trustee (within the meaning of subsection (d) of 18
374	374	such section) may invest such portion of the Federal 19
375	375	Long-Term Care Insurance Trust Fund as the Managing 20
376	376	Trustee considers appropriate in conservative market se-21
377	377	curities. 22
378	378	(d) A
379	379	DMINISTRATION.—There are authorized to be 23
380	380	made available for expenditure, out of the Federal Long- 24
381	381	Term Care Insurance Trust Fund, such sums as may be 25
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385	385	necessary to pay the costs of the administration of section 1
386	386	3, including start-up costs, technical assistance, outreach, 2
387	387	education, evaluation, and reporting. 3
388	388	(e) R
389	389	EPORT.—Not later than 5 years after the date 4
390	390	of enactment of this Act and every 5 years thereafter, the 5
391	391	Board of Trustees (as defined for purposes of title II of 6
392	392	the Social Security Act) shall submit a report to Congress 7
393	393	evaluating the impact of long-term care insurance benefits 8
394	394	under section 235 of such Act and making recommenda-9
395	395	tions relating to potential geographical adjustments of the 10
396	396	amount of such benefits. 11
397	397	(f) A
398	398	LLOWINGGIFTSTOBEMADE TO THEFEDERAL 12
399	399	L
400	400	ONG-TERMCAREINSURANCETRUSTFUND.—Section 13
401	401	201(i)(1) of the Social Security Act (42 U.S.C. 401(i)(1)) 14
402	402	is amended— 15
403	403	(1) by striking ‘‘, or the Federal’’ and inserting 16
404	404	‘‘, the Federal’’; and 17
405	405	(2) by inserting after ‘‘in such Trust Fund)’’ 18
406	406	the following: ‘‘, or the Federal Long-Term Care In-19
407	407	surance Trust Fund established under the Well- 20
408	408	Being Insurance for Seniors to be at Home Act’’. 21
409	409	SEC. 5. EDUCATION AND OUTREACH. 22
410	410	(a) P
411	411	UBLICEDUCATIONPLAN.— 23
412	412	(1) I
413	413	N GENERAL.—Not later than 90 days after 24
414	414	the date of enactment of this Act, the Secretary of 25
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418	418	Health and Human Services, in consultation with 1
419	419	the Commissioner of Social Security, shall publish in 2
420	420	the Federal Register a 10-year plan to educate the 3
421	421	public about the likelihood of needing long-term 4
422	422	care, the nature of the experience of long-term care 5
423	423	in various situations, the costs of long-term care, the 6
424	424	availability of long-term care insurance benefits, and 7
425	425	the importance of planning and considering private 8
426	426	insurance coverage alongside family support and 9
427	427	savings (especially during the first years of a serious 10
428	428	disability). Such plan shall be modified as necessary 11
429	429	based on research on the effectiveness of various 12
430	430	strategies and modifications with experience. 13
431	431	(2) F
432	432	UNDING.—There are appropriated, out of 14
433	433	the Federal Long-Term Care Insurance Trust Fund, 15
434	434	to the Secretary of Health and Human Services 16
435	435	$50,000,000 to carry out paragraph (1). 17
436	436	(b) I
437	437	NDIVIDUALNOTICES.— 18
438	438	(1) I
439	439	N GENERAL.—Beginning 1 year after the 19
440	440	date of enactment of this Act and in accordance with 20
441	441	paragraph (2), the Commissioner of Social Security 21
442	442	shall provide to each eligible individual a notice that 22
443	443	specifies— 23
444	444	(A)(i) the average indexed monthly earn-24
445	445	ings for long-term care that would be calculated 25
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448	448	•HR 2082 IH
449	449	for the individual under paragraph (2)(B) of 1
450	450	section 235(e) of the Social Security Act if such 2
451	451	average indexed monthly earnings for long-term 3
452	452	care were calculated in the month before the 4
453	453	month such notice is provided; and 5
454	454	(ii) for purposes of applying such section 6
455	455	to the individual, the percentile in which such 7
456	456	average indexed monthly earnings for long-term 8
457	457	care of the individual would fall among the av-9
458	458	erage indexed monthly earnings for long-term 10
459	459	care (as determined under such paragraph 11
460	460	(2)(B)) of each individual whose average in-12
461	461	dexed monthly earnings for long-term care are 13
462	462	calculated in such month; 14
463	463	(B) the number of quarters of coverage the 15
464	464	individual has in the month before the month 16
465	465	such notice is provided for purposes of attaining 17
466	466	insured status for long-term care insurance 18
467	467	benefits under such Act; and 19
468	468	(C) in any case in which the individual has 20
469	469	a continual serious functional disability (as de-21
470	470	fined in section 235(d) of such Act), the date 22
471	471	on which such disability began. 23
472	472	(2) T
473	473	IMING.—A notice described in paragraph 24
474	474	(1) shall be provided— 25
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477	477	•HR 2082 IH
478	478	(A) by mail— 1
479	479	(i) to each eligible individual not later 2
480	480	than 540 days of the date of enactment of 3
481	481	this Act; and 4
482	482	(ii) to each eligible individual in the 5
483	483	month the individual attains age 45, age 6
484	484	55, age 65, and retirement age (as defined 7
485	485	in section 216(l) of such Act); and 8
486	486	(B) for each eligible individual who has at-9
487	487	tained age 35, by making such notice available 10
488	488	on the individual’s account on the website of 11
489	489	the Social Security Administration, to be up-12
490	490	dated annually. 13
491	491	(3) E
492	492	LIGIBLE INDIVIDUAL.—In this subsection, 14
493	493	the term ‘‘eligible individual’’ means an individual— 15
494	494	(A) who has a social security account num-16
495	495	ber; and 17
496	496	(B)(i) who has wages or net earnings from 18
497	497	self-employment; or 19
498	498	(ii) with respect to whom the Commis-20
499	499	sioner has information that the pattern of 21
500	500	wages or self-employment income indicate a 22
501	501	likelihood of noncovered employment. 23
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504	504	•HR 2082 IH
505	505	SEC. 6. GAO REPORT ON PERFORMANCE OF THE WISH PRO-1
506	506	GRAM. 2
507	507	Not later than 5 years after the date of enactment 3
508	508	of this Act and every 3 years thereafter, the Comptroller 4
509	509	General shall submit a report to Congress including— 5
510	510	(1) a description of the likelihood of manipula-6
511	511	tion of eligibility criteria by beneficiaries or bene-7
512	512	ficiary advisors and recommendations as to the mer-8
513	513	its of possible remedies; 9
514	514	(2) a description of the likelihood of financial 10
515	515	exploitation or elder mistreatment by others on 11
516	516	whom a beneficiary is dependent or otherwise con-12
517	517	nected and recommendations as to the merits of pos-13
518	518	sible remedies, including the merits of imposing a fi-14
519	519	nancial management service or fiscal intermediary as 15
520	520	has often been implemented by states in Medicaid’s 16
521	521	Cash and Counseling program; and 17
522	522	(3) a description of the marketplace and con-18
523	523	sumer understanding of long-term insurance offer-19
524	524	ings and recommendations as to the merits of pos-20
525	525	sible remedies, including the merits of standardizing 21
526	526	insurance offerings to improve consumer under-22
527	527	standing. 23
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530	530	•HR 2082 IH
531	531	SEC. 7. REPORT ON REMAINING LONG-TERM SUPPORTS 1
532	532	AND SERVICES NEEDS. 2
533	533	Not later than 3 years after the date of enactment 3
534	534	of this Act and every 3 years thereafter, the Secretary of 4
535	535	Health and Human Services, acting through the Adminis-5
536	536	trator of the Administration on Community Living and in 6
537	537	consultation with the Commissioner of Social Security, 7
538	538	shall submit a plan to Congress that includes— 8
539	539	(1) estimates of the long-term services and sup-9
540	540	ports needed by individuals who are not eligible for 10
541	541	benefits under section 235 of the Social Security 11
542	542	Act, including individuals disabled in childhood, indi-12
543	543	viduals living with disabilities before retirement age, 13
544	544	and individuals who are not insured for benefits 14
545	545	under such section; and 15
546	546	(2) proposed strategies and costs of mitigating 16
547	547	unmet needs for such individuals. 17
548	548	Æ
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