All Posts By

Emma Ayers

Justice in Aging’s Statement on Graham-Cassidy Proposal

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This week, Senators Graham and Cassidy released yet another ACA repeal and replace bill that would have devastating consequences for the health and well-being of older Americans. Like the other harmful proposals that consumers, advocates, and the majority of Americans soundly rejected (and also all failed in the Senate), Graham-Cassidy would strip coverage from millions, gut the Medicaid program, and undermine the ACA’s most popular consumer protections.

By terminating Medicaid expansion and imposing per capita caps and block grants, this proposal would cut Medicaid funding by hundreds of billions over the next decade. Millions of older adults and people with disabilities who rely on Medicaid to live in their homes and communities would be at risk of losing coverage as states are forced to cut services.

Graham-Cassidy would wreak havoc in the individual health insurance market as well, hitting older adults and people with limited income the hardest. The proposal eliminates the premium tax credits and cost-sharing reductions that make coverage affordable. On top of that, states would have the option to waive many of the ACA’s most vital consumer protections and allow insurers to charge people more based on health status and cover fewer benefits. Older adults would face unaffordable premiums in a market that divides the young and healthy from those who have pre-existing conditions. Many of those who could afford the premiums would be underinsured facing bare-bones coverage and skyrocketing deductibles.

We commend the Senators who have begun to work in a bipartisan manner to ensure that older Americans have affordable access to the coverage and care they need in 2018 and beyond. We call on them and their colleagues to reject this proposal and move forward to improve the health and well-being of all Americans.

Read more about the impact of Graham-Cassidy on our blog.

Dignity For All: Ensuring Economic Security as America Ages

On Tuesday, November 15, we hosted a forum focused on how advocates and policy makers can work together to address the health and economic security issues affecting older adults. At Dignity For All: Ensuring Economic Security as America Ages, three panels of academics, advocates, and service providers shared data, stories, and policy recommendations to raise awareness of the issue of senior poverty and inspire action to improve the health and economic security of older adults. Read More

Summer and Term-Time Internship and Externship Positions

By | Jobs & Fellowships | No Comments

Internship and Externship positions: Justice in Aging seeks outstanding law students to work with us through summer and term-time internships and externships in each of our three offices, Washington DC, Oakland and Los Angeles CA.  Law students are fully integrated into our health and income security teams and participate actively in our work.

Qualifications: We seek applicants with a genuine and documented commitment to working for poor and underserved populations, interest in aging issues, high-caliber legal research and writing skills, and the ability to take initiative and work independently. A commitment to a public interest career is desirable. Individuals with ties to low-income, racial/ethnic minority communities, and other underserved populations are encouraged to apply.

Applications: Applications are accepted and reviewed on a rolling basis. To apply for a summer or term-time internship or externship, please send a cover letter, resume, law school transcript, writing sample, and list of three references to Katrina Cohens,

Justice in Aging is an Equal Opportunity Employer. It is the policy of Justice In Aging to seek and employ qualified persons, to provide equal opportunities in all aspects of employment, and to administer all personnel activities in a manner that will not discriminate against any person because of race, color, religion, sex, age, disability, national origin, sexual orientation, gender identity, or any other consideration prohibited by law. Justice in Aging particularly encourages applications from members of minority groups, women, and others whose background may contribute to more effective representation of low-income people and underserved communities.

Medicaid Managed Care Tool

By | REPORTS | No Comments

The federal government published new Medicaid managed care regulations on May 6, 2016. The new regulations are extensive, and will affect every aspect of Medicaid coverage provided through managed care.  The new regulations will be phased in over time from 2016 through 2019.

Justice in Aging has developed this tool to assist advocates in using and analyzing the new regulations.  With this tool, you can search for regulations by section number, section title, the key issue the provision addresses, and effective date. The tool also provides a summary and background on each provision and offers advocacy tips where applicable.

Note: This tool includes all of the managed care regulations that are effective on or before July 5, 2016.  By mid-July 2016, the tool will be revised to include all of the managed care regulations, regardless of effective date.

Rating Periods: Many provisions are effective based on rating periods. Rating periods are the twelve month period for which capitation rates are developed under a managed care contract.

Plan(s): We employ the term “plan” as an umbrella term to include all managed care entities subject to the regulations including Managed Care Organizations (MCOs), Prepaid Inpatient Ambulatory Health Plans (PIHPs), Prepaid Ambulatory Health Plans (PAHPs), and Primary Care Case Management (PCCMs). If a provision applies to a certain type of managed care entity, we specify this in the summary and background. Read More

Aging in Film and TV: Writing the ‘World as it Actually Is’


By Emma Ayers and Fay Gordon

[Editor’s note: This post was originally published 2/29/16 on American Society on Aging’s AgeBlog.]  

Each day, we see the impacts of aging, whether within ourselves or in conversations with family and friends. But when we curl up at the end of the day, and escape into the world of streaming TV and film, the images reflected back at us paint a picture far different from reality.

Unfortunately, as we were reminded during last night’s Academy Awards, the stories told in films, and the actors telling those stories, often fail to reflect the diversity of experience in this country. In 2015’s top grossing films, aging was portrayed through the eyes of a wealthy businessman (The Intern), adventurous globetrotting pensioners (The Second Best Exotic Marigold Hotel) and a woman who physically cannot age (The Age of Adeline). Read More

Special Report: Advocacy Starts at Home

By | BLOG, Health Care, HOMEPAGE | No Comments
As Lynn Friss Feinberg from the AARP Public Policy Institute reminds us at the beginning of the video below: “There are 40 million family caregivers in the US caring for an older adult or person with disabilities.” The economic value of these unpaid contributions amounts to approximately $470 billion. That means there are 40 million of us who know firsthand the challenges of balancing jobs, family, and school, and the unpaid labor of love which is family caregiving. As you can imagine, these challenges are even greater for low-income families. Read More

Hanging in the Balance: a day in the life of a low-income senior and her family caregiver

By | Alzheimer's & Dementia, BLOG, Health Care, HOMEPAGE, In-Home Supportive Services, Medicaid, Medicare, SENIOR POVERTY | No Comments
In honor of November as National Caregivers Month, I want to tell you about Margaret and Sadie. I went to Old Bridge Township, New Jersey last month to meet with them and hear stories of what it’s like to be a daughter caring for your low-income mother as she ages in her home and what it’s like to be that mother and grandmother and great-grandmother aging in dignity. You can watch the full video about Margaret and Sadie here. Read More

Six Things Millennials Need to Know About Aging


In celebration of May as Older Americans Month, we’re taking a deeper look at the multifaceted realm of aging: people, programs, and plans for the future. The first in the series focuses on what millennials (the generation following Gen X—with birthdates from the early 80s to the early aughts) need to know about aging. As it becomes harder to parse aging issues from national issues, more and more young people are taking a stake in the challenges facing older adults as shared challenges of navigating American life.

Read More