Your home can now disqualify you from Medicaid nursing-home coverage
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Medicaid pays for most nursing-home and long-term home care in America. A flat $1,000,000 home-equity limit replaces the higher state limits, and it is not indexed to inflation. Farms are exempt.
In high-cost states, an ordinary house owned for decades can exceed $1 million. Families in that position will have to sell or borrow against the home before Medicaid will pay for care, and because the cap never rises, more families cross it every year.
- If a parent may need care within a few years and owns a home in an expensive area, talk to an elder-law attorney before 2028.
Revising home equity limit for determining eligibility for long-term care services
Passed by Congress and signed. Opens the enacted text at that section.
- Nonpartisan The One Big Beautiful Bill Act explained: key changes for the healthcare industry (King & Spalding (law firm))
- Nonpartisan Health provisions in the 2025 federal budget reconciliation law (KFF)
- Nonpartisan How the One Big Beautiful Bill affects nursing homes (AARP)
- Conservative What made it into law: health provisions of the One Big Beautiful Bill (Paragon Health Institute)