The last time the United States issued a worldwide alert was October 2011, although it has issued other, less-urgent worldwide travel guidance more recently.
For federal tax purposes, medical expenses can include the cost of medical care in a nursing home, home for the aged, or similar institution, for the taxpayer or his or her spouse or dependents. It can include the cost of meals and lodging in the home if a principal reason for being in the home is to get medical care.
Under Medicaid, states set nursing home payment rates and the federal government reimburses a share of state spending. According to the most nursing home expenditures exceed $43 billion, and total Medicaid spending for fiscal year 2003 is expected to double by 2012.