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Congress·In Committee·12 months ago

House Bill Would Add Long-Term Care Cash Benefit to Social Security for Disabled Retirees

Also known as: WISH Act

Legislative Progress

Filed
Review
House
Senate
President

Impacts

Mixed Impacts(2)
Small Business Owner
Neutral
Gig Worker
Neutral
Positive Impacts(8)
Retiree
Helps
Social Security
Helps
Chronic Illness
Helps
Disability Benefits
Helps
Homeowner
Helps
Renter
Helps
Medicaid
Helps
Snap Food Stamps
Helps

Key Points

  • Creates a new monthly long-term care cash benefit through Social Security for people at retirement age with a serious, long-lasting disability.
  • Benefit size would be tied to the typical cost of 6 hours a day of paid help, and would be smaller for people with fewer work credits.
  • You generally must have worked enough to earn at least 6 quarters of coverage starting in 2026, and you must have been disabled for a waiting period that can be longer for higher earners.
  • Payments would not count as income or savings when applying for other federally funded help, which could keep some people from losing aid.
  • People using the benefit to hire non-family caregivers must follow wage and payroll tax rules, file a yearly status form, and may lose benefits after 5 years living outside the U.S.
Social SecurityHealthcareMedicare MedicaidLabor Employment

Milestones

2 milestones2 actions
Mar 11, 2025House

Referred to the House Committee on Ways and Means.

Mar 11, 2025

Introduced in House

What Happens Next

Projected impacts based on AI analysis

2026-01-01

Work-credit tracking for this benefit effectively starts (base period begins with the 1st quarter of 2026).

From this point on, quarters of work count toward qualifying later. People with steady work will build eligibility faster than people with long gaps.

Within 90 days after the bill becomes law

HHS publishes a 10-year public education plan about long-term care and this new benefit (due within 90 days after enactment).

You would start seeing clearer official guidance on costs, planning, and how the benefit works—meant to help families prepare before a crisis.

Starting about 1 year after the bill becomes law (with an earlier mailing deadline also in the bill)

Social Security starts sending (and posting online) eligibility and estimate notices on a schedule set by the bill.

People get reminders of their work credits and where they stand, including special notices around milestone ages (45, 55, 65, and retirement age).

3 years after the bill becomes law, then every 3 years

HHS submits a plan about people who are left out (like people disabled before retirement age), due 3 years after enactment and every 3 years after.

This could lead to later proposals for new help for people who need long-term care but don’t qualify for this retiree-focused benefit.

5 years after the bill becomes law, then every 3 years

GAO reports to Congress on risks like fraud/manipulation and financial exploitation, due 5 years after enactment and every 3 years after.

If problems show up (like scams targeting vulnerable seniors), Congress may tighten rules or add protections that change how families manage the benefit.

5 years after the bill becomes law, then every 5 years

Social Security Trustees report on how the benefit is working and whether payments should be adjusted for local cost differences, due 5 years after enactment and every 5 years after.

Over time, this could change benefit amounts to better match high-cost vs. low-cost areas, which would affect how much help seniors can afford.

Related News

4 articles

Source Information

Document Type

Congressional Bill

Official Title

WISH Act

Bill NumberHR 2082
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred to the House Committee on Ways and Means.

Sponsor

Cosponsors

(5)
D: 2R: 3

Analysis generated by AI. While we strive for accuracy, this should not be considered legal or professional advice. Always verify information with official government sources.