I 115th CONGRESS 2d Session H. R. 7149 IN THE HOUSE OF REPRESENTATIVES November 16, 2018 Mrs. Dingell (for herself and Mr. Upton ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to remove an institutional bias by making permanent the protection for recipients of home and community-based services against spousal impoverishment.