The five year look back, seems fair. If I have assets that would have paid a portion of my LTC expense ... say, a hunnert large or so ... Obviously, that's not even enough for a year and one half ... but it's something.

Under existing recapture (taxpayer funds that should have been paid by the recipient), those that were gifted are only responsible for the amount that was moved to them.

There is an entire industry built around teaching people, many of them quite wealthy, how to avoid paying their own way ... having the taxpayer pay instead. I've seen instances of multi-millionaires go on welfare. And, not simply an outlier, but many.

Title Act 19 funds (Medicaid), from the federal general funds are granted to the state agencies to allocate. So, there would/should be no reimbursement to the federal government, assuming recapture. Rather, the recaptured monies would simply be used for medical care of other indigents.

I have tried to find any other funds, collected from family, that are subject outside of the look back. I've used a few different search engines. I'll keep trying.