In 1960, the Kerr-Mills Act created the Medical Assistance for the Aged (MAA) program which gave states the power to decide which patients needed financial assistance. The federal government would provide matching funds to the states for the program. Some states did not participate or abide by the Act. Another preliminary bill, the King-Anderson Bill, was introduced in 1962. Under it, some hospital and nursing home costs for patients 65 and older would have been covered. Although this bill was defeated in committee, the vote was narrow (12–11), signaling a shift in attitudes.