HCBS News 2026August7

Kierstin Reed • August 6, 2026

Senators Introduce Older Adult Home Modification Tax Credit Bill

On August 3, LeadingAge supported the introduction of the "Senior Accessible Housing Tax Credit Act of 2026" by Senators Angela Alsobrooks (D-MD) and Kirsten Gillibrand (D-NY). Similar to LeadingAge-supported legislation introduced by Congressman George Latimer (D-NY), the bill would create a new, non-refundable tax credit for older adult homeowners or renters to make age-friendly home modifications to their homes. The tax credit would apply to expenses made by taxpayers aged 60 or older to modify their principal or secondary residence to age in place, with a limit of $10,000 annually. Qualifying expenses include labor costs and materials related to the installation of wheelchair ramps and handrails, doorway widening, installing tub cuts or shower seats, and more. In a statement of support, Katie Smith Sloan, president and CEO of LeadingAge, said: "The opportunity to age in community is critical for America’s older adults to thrive. But too many are not able to do so because of housing that cannot accommodate their needs. Less than five percent of the nation’s homes are accessible to households with even moderate mobility limitations at a time when, due to our country’s rapidly aging population, America desperately needs more age-friendly housing. LeadingAge applauds Senators Alsobrooks and Gillibrand, along with Congressman Latimer, for recognizing this. As the trusted voice for aging, LeadingAge supports the Senior Accessible Housing Tax Credit, which is an important step toward ensuring older adults can make the home modifications they need to live independently for longer."


Announcing LeadingAge Clinical Procedure Manual, 23rd Edition!


Newly updated in 2026, more than 300 clinical procedures to ensure high-quality and consistent care delivery. The LeadingAge Clinical Procedure Manual (CPM) is a must-have tool for providers committed to ensuring high quality care. Procedures are the backbone of clinical practice. Providers can use the CPM to ensure they are performed with reliable consistency by every clinician, every time. From activities of daily living to clinical tasks to safety and wound care, the manual covers a wide range of procedures that home and community-based and other providers deliver every day. Members receive a 30% discount. Read more about the manual including a list of procedures and a sample chapter here.



CPR for ALL Direct Care Staff:


A new waiver requirement for all HCBS providers has gone into effect on July 1st. There is a 60 day grace period for providers to have all staff trained in CPR, First Aid and one hour of abuse/neglect training. This is a significant departure from what ALF providers have been doing. While it is not a requirement to perform CPR on a waiver resident, it is a Medicaid requirement for all staff to be trained to do so. If you are in need of resources in your area to complete this training, please reach out to LeadingAge Nebraska or DHHS for assistance. 

By Kierstin Reed August 6, 2026
Proposed Rule Rolls Back Community Reinvestment Act Obligations. Of great concern to LeadingAge and others interested in expanding and preserving the nation’s supply of affordable housing, the Department of Treasury, Office of the Comptroller of the Currency (OCC) and the Federal Deposit Insurance Corporation (FDIC) posted a joint rulemaking on July 31, 2026, amending the regulations implementing the Community Reinvestment Act (CRA) that could weaken investment in affordable housing and community development. The CRA was enacted in 1977 and requires federal banking regulators to encourage financial institutions to help meet the credit needs of the communities in which they do business, including in low and moderate-income (LMI) neighborhoods. In particular, a financial institution’s record of meeting the credit needs of its entire community is taken into account by federal regulators when evaluating the financial institution’s application for a deposit facility. Among the changes that the rule proposes for evaluating whether a financial institution is meeting its CRA requirements are: restricting the large bank service test to a bank’s “credit services” – i.e., lending – rather than deposit services; imposing a 15% cap on indirect costs that recipients of community development grants at large banks may incur; recalibrating asset thresholds for small, immediate, and large banks; and tailoring retail lending tests to focus only on a bank’s major product line(s). In particular, the recalibration of asset thresholds would likely reduce the number of banks incentivized to make loans and investments in affordable housing and community development, such as investing in the Low Income Housing Tax Credit (LIHTC). LeadingAge is concerned that this rule would further limit opportunities for affordable housing for older adults, and we will continue to work with our housing partners to coordinate a response in opposing this rule. While this rule has yet to be published in the Federal Register, there will be a 60 day comment period from the date of publication.
By Kierstin Reed August 6, 2026
Analysis: FY2027 Hospice Wage Index Final Rule
By Kierstin Reed August 6, 2026
LeadingAge Submits Comments on Medicaid Work Requirements Rule. On July 31, LeadingAge submitted comments on the Centers for Medicare and Medicaid Rule : Medicaid Program; Community Engagement Requirement for Certain Individuals. Our comments highlighted the unique needs and conditions of older adults, including those in affordable housing, by urging categorical exemptions for individuals that have elected hospice or palliative care, more flexibility in the medical frailty exemption, and increased state flexibility in implementing the rule. The rule was released as an interim final rule with comment. The rule is effective July 31, as it was written, though CMS has indicated they may make changes. Our comments can be found here . Court Order Officially Ends Haiti TPS An August 5, 2026, order issued by the U.S. District Court for the District of Columbia implements the Supreme Court’s decision in Miot v. Trump and lifts the court’s prior stay of the Department of Homeland Security’s (DHS) termination of Haiti’s Temporary Protected Status (TPS) designation. As a result, the judicial order that had temporarily delayed the termination is no longer in effect, and Haiti TPS has officially ended. As a reminder, DHS guidance indicates that employment authorization documents (EADs) associated with Haiti TPS expired on July 27, 2026. Here is your weekly Workforce Weekly Recap
By Kierstin Reed August 6, 2026
COVID “Up to Date” Definition Will Not Change
By Kierstin Reed August 6, 2026
Are You Truly Storm Ready?
By Kierstin Reed August 6, 2026
Analysis of FY 2027 SNF PPS Final Rule. The Centers for Medicare & Medicaid Services (CMS) finalized the Fiscal Year 2027 Skilled Nursing Facilities Prospective Payment System rule on July 29. The rule was finalized mostly as proposed with a 2.4% payment update for SNFs in fiscal year 2027, the removal of two measures from the SNF Quality Reporting Program, and changes to data submission timelines and requirements for SNF QRP and SNF Value-based Purchasing. Read the details here.
By Kierstin Reed August 6, 2026
Join Our Advocacy Movement
By Kierstin Reed July 30, 2026
LeadingAge Webinar on Tenant Compliance Must-Dos for Affordable Senior Housing, August 19, 2-3:15 p.m. ET. Join the LeadingAge housing community for a webinar by compliance expert Jenny DeSilva, who will review unique rules and requirements for HUD-assisted senior housing communities. Participants will receive practical guidance to stay prepared for HUD oversight while supporting older adults as they age in community. Register here . Affordable housing Weekly Recap . Here is your weekly Affordable Housing Weekly Recap
By Kierstin Reed July 30, 2026
Join the National Healthcare at Home Best Practices Study
By Kierstin Reed July 30, 2026
CPR for ALL Direct Care Staff
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