This bill aims to expand access to assisted living services by amending the Medicaid program to cover services provided in assisted living residences . It specifies that eligible individuals must require a level of care comparable to a hospital or nursing facility, meet state income requirements, and the estimated annual Medicaid cost for assisted living must not exceed that of institutional care. This change makes assisted living a mandatory benefit under Medicaid, effective January 1, 2027, though states may have a delayed implementation if state legislation is required. Additionally, the legislation modifies the selection criteria for the Low-Income Housing Tax Credit (LIHTC) . It directs states to prioritize projects that reduce medical assistance costs for long-term services and supports for the elderly by providing these services in a non-institutional setting . This encourages the development of affordable housing options that integrate care, aiming to lower overall healthcare expenditures. These LIHTC amendments will apply to allocations made after January 1, 2027.