discretion to deviate from the guideline in a manner authorized or anticipated by the guideline. 204. Coverage of long-term care services under Medicaid Title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) is amended by inserting the following section after section 1946: 1947. State plan for providing long-term care services (a) In general For quarters beginning on or after the effective date of benefits under section 106(a) of the Medicare for All Act of 2017 , notwithstanding any other provision of this title— (1) a State plan for medical assistance shall provide for making medical assistance available for services that are long-term care services (as defined in subsection (b)) in a manner consistent with this section