Category

Health Care Defense

Free Webinar: The Impact of Medicaid Work Requirements on Family Caregivers and Older Adults

By | Health Care, Health Care Defense, Medicaid, WEBINAR, Webinar Trainings

When: Thursday, December 13, 2018 from 10am – 11 am PT/ 1 pm -2pm ET.

Medicaid is an important source of health insurance coverage for many of the 40 million family caregivers in the United States who do not have access to other affordable coverage options. However, many states are in the process of designing or implementing policies that require family caregivers and others who are eligible for Medicaid to work a certain number of hours per month or qualify for an exemption to maintain their health coverage. Despite “caregiver” exemptions, these burdensome work requirements will cause many family caregivers who are in fact eligible for Medicaid to lose their coverage.

This webinar highlights key findings from a new Justice in Aging issue brief. We discuss our state-by-state survey of how Medicaid work requirements apply to family caregivers and analysis of the particular harms they will cause to family caregivers and the older adults they care for.

Closed captioning is available on this webinar. 

Learn more and read the brief

Who Should Participate:
Aging, family caregiver, and legal advocates and others wanting to learn more about how Medicaid work requirements impact family caregivers and older adults.

Presenters:
Natalie Kean, Staff Attorney, Justice in Aging
Lynn Friss Feinberg, Senior Strategic Policy Advisor, AARP Public Policy Institute

Moderator: 
Jennifer Goldberg, Directing Attorney, Justice in Aging

This webinar took place on Thursday, December 13, 2018 from 10am – 11 am PT/ 1 pm-2pm ET.

WATCH THE WEBINAR
DOWNLOAD THE POWERPOINT

Issue Brief: Medicaid Enrollees Put at Risk When State Medicaid Programs Assume Support from Family Caregivers

By | Health Care, Health Care Defense, ISSUE BRIEF, Medicaid

A new Issue Brief reveals how states’ assumptions often deprive Medicaid recipients of needed assistance.

Under Medicaid law, all assistance by friends and family members must be voluntary. This brief, based on a review of over 100 administrative decisions in several states, shows how Medicaid programs violate this law to the detriment of people on Medicaid. Medicaid programs often deny services based on family assistance that is not available. This puts lives at risk, increases the chances that a beneficiary will have to be institutionalized, and forces families to make impossible choices between caring for a family member and going to work.

The issue brief outlines states’ responsibility to respect the voluntary nature of assistance, examines how some states approach the issue, and suggests public policy responses to ensure that states authorize adequate assistance.

Rachel Gershon, of the University of Massachusetts Medical School’s Center for Health Law and Economics co-authored this paper with Justice in Aging attorney, Eric Carlson. The paper is part of a post-fellowship project with Justice in Aging and the Borchard Foundation Center on Law and Aging. 

AARP’s Asian American Pacific Islander Community Honors Denny Chan with its 2018 Hero Award

By | Health Care Defense, PRESS RELEASE, Safety Net Defense, SENIOR POVERTY
Oakland, CA (August 20, 2018) –Justice in Aging is proud to announce that the Asian American and Pacific Islander Community of AARP has honored Justice in Aging attorney Denny Chan with its annual Hero Award.

Every year, for the past three years, the AARP AAPI Hero Awards have recognized volunteers and non-profit organization staff members who work tirelessly behind the scenes serving Asian Americans and Pacific Islanders over 50 years of age. The award was announced on Facebook on August 16. You can watch the winning video about Denny’s good work on behalf of low-income older adults. Read More

How Medicaid Work Requirements Will Harm Older Adults & Family Caregivers

By | FACT SHEET, Health Care, Health Care Defense

The Centers for Medicare & Medicaid Services issued guidance allowing states to condition Medicaid eligibility on fulfilling work and “community engagement” requirements. Under this policy, states can require adults to work in order to receive Medicaid if they are under age 65 and not disabled under the Social Security Administration’s strict definition. Although states are required to exempt some individuals who cannot work based on their health conditions, and encouraged to allow caregiving hours to count as work, all of these individuals will still be subject to onerous reporting requirements. This presents a significant barrier to health care access for many of the nearly 9 million adults ages 50 to 64 who rely on Medicaid, as well as nearly 5 million people with disabilities and chronic health conditions who do not receive Social Security Disability or Supplemental Security Income, and family caregivers. Learn more with our factsheet!

Supporting Older Americans’ Basic Needs: Health Care, Income, Housing and Food

By | FACT SHEET, Health Care, Health Care Defense, ISSUE BRIEF, Medicaid, Medicare, SENIOR POVERTY, Social Security, Supplemental Security Income

Older adults and their families strive each day to pay for health care and medicine, keep food on the table, have a roof over their heads, and have enough cash on hand to pay the utilities, get where they need to go and meet other basic needs. As families work together to meet these challenges, they are supported by a broad range of federal programs that provide Americans with the means to thrive as they grow older and remain at home and in their communities.

This issue brief discusses how these various programs work, who is eligible for them, and how they support the health and economic well-being of older Americans. For a quick overview, check out the fact sheet.

Justice in Aging’s Statement on the House Passage of the Tax Bill

By | Affordable Care Act, Health Care, Health Care Defense, Medicaid, Medicare, Social Security, Statements, Supplemental Security Income

Today, the House of Representatives passed a tax bill that is a full-fledged attack on the health and well-being of older Americans and their families.

As we’ve discussed, this is all part of the House Republican leadership’s two-step process. Step one is to cut taxes for the wealthy and drive up the deficit by $1.5 trillion. Step two is to use the higher deficit to justify additional future cuts to programs we all depend on, such as Medicare and Medicaid, Social Security and Supplemental Security Income (SSI), Older American Act programs, and many others.

The inevitable program cuts that Republican leadership will push for, after they balloon the deficit, will cause lasting harm to seniors today and in the future. Further, the House bill passed today eliminates the medical expense tax deduction that provides tax relief to millions of older adults with high out-of-pocket and long-term care costs and modest incomes.

This bill overwhelmingly benefits the wealthiest Americans and big corporations at the expense of everyone else. We urge the Senate to stop this reckless process and reject any bill that drives up the deficit and takes away health care from older Americans and their families.

Graham-Cassidy ACA Repeal & Replace Proposal: New Name, Same Attacks on Older Adults

By | Affordable Care Act, BLOG, Health Care, Health Care Defense, Medicaid, Uncategorized
Senators Graham and Cassidy recently released the lone remaining proposal to repeal and replace the Affordable Care Act (ACA). The Graham-Cassidy plan once again takes direct aim at Medicaid to pay for tax cuts and provisions that primarily benefit the wealthy and makes even more harmful changes to the ACA than the bills the Senate voted on in July. Any of its provisions alone or in combination would be devastating for older adults, people with disabilities and anyone with limited income and are counter to the current bipartisan efforts to improve the ACA. Read More

Older Adults & the ACA Health Insurance Marketplace: What’s at Stake for 2018

By | Affordable Care Act, BLOG, Health Care, Health Care Defense
Among its many achievements, the Affordable Care Act (ACA) has made great strides in covering more older adults who previously had no access to health care. Before the ACA, many low-income older adults who did not have employer-based coverage had no affordable coverage options to address their growing health care needs prior to becoming eligible for Medicare. Insurance companies were allowed to effectively price lower-income older adults out of the individual market or deny them coverage altogether based on pre-existing conditions. These insurance practices posed significant barriers for the 84 percent of people ages 55 to 64 estimated to have at least one pre-existing condition. Read More

Senate ACA-Repeal Knocks Down House, Builds Shack

By | Affordable Care Act, BLOG, Health Care, Health Care Defense, Home & Community Based Services, HOMEPAGE
Over 90% of older adults say that they want to remain in their homes as they age, rather than going into a nursing home. A successful and popular program, Community First Choice (CFC), lets people do just that.

The revised Senate health care bill brings an idea that should be a hard sell for the over 3 million older adults and people with disabilities who rely on Medicaid for in-home care. On top of a massive almost $800 billion cut to Medicaid that guarantees shrunken programs and eliminated services, the Senate bill kills CFC and replaces it with an inferior version that provides fewer services for a limited time only.

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The Republican Health Care Bill is Bad News for Your Grandparents. And Your Parents. And You.

By | Affordable Care Act, BLOG, Health Care Defense, Medicaid, Medicare, Nursing Homes
Who needs Medicaid? Probably someone you know. Medicaid is the backstop government program that provides coverage when someone can’t afford necessary health care. Historically, Medicaid coverage focused on children, older adults, and persons with disabilities, although 2010’s Affordable Care Act expanded Medicaid coverage to some low-income adults without disabilities. The Better Care Reconciliation Act, which Senate Republicans just released, not only aims to take away the expanded coverage, but also makes deep cuts to the core Medicaid program that inevitably will lead to health care rationing. Read More