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A gift to a grandchild. Help with a down payment. Years later, a nursing home crisis. This video traces the rise of Medicaid’s lookback period—from its origins in 1965 through OBRA ’93’s 36-month review and the DRA’s 60-month standard—showing how transfers can trigger months of ineligibility right when families need help most. We connect the policy timeline to real-life consequences, explain why penalties now begin at the point of need, and ask the big question: could Congress extend the lookback again? If you’re caring for aging parents (or planning for yourself), learn why early planning matters and what to discuss with an elder-law professional. Disclaimer: This video is educational, not legal advice. Medicaid rules vary by state and change over time. 00:00 Intro 00:48 1965: The Creation of Medicare and Medicaid 02:16 LBJ Declines Reelection 03:21 1972: The Creation of SSI and It's Impact on Medicaid 04:53 The Status Quo of the Late 1970's 05:30 1987: The First Transfer Penalty Rules 07:07 The Penalty Details 07:43 The Senate of 1988 Discuses Long Term Care 08:08 1993: OBRA '93 09:28 The 3 Year Lookback 09:43 Effect on Trusts 10:02 2005: The Deficit Reduction Act 10:41 Senate Consideration of the DRA 12:29 Senate Committee on What Happens in 2030 13:27 Closure of the Penalty Period Loophole 14:21 The Modern 5 Year Lookback 14:30 The Future Implications 15:17 Reforms and the Questions They Raise 15:41 Today's Situation #Medicaid #MedicaidPlanning #LookbackPeriod #NursingHomeCosts #LongTermCare #ElderLaw #EstatePlanning #MedicaidEligibility #OBRA1993 #DRA2005