PUBLICATIONS

Justice in Aging publishes frequent issue briefs, reports and advocate’s guides that help on-the-ground advocates assist low-income older adults and persons with disabilities deal with often complex challenges related to federal and state benefits programs. Many of the issue briefs are also reflected in our ongoing, free webinar trainings. To ensure that you receive updates on the latest reports or trainings, sign up for our health or income network alerts.

Issue Briefs & Fact Sheets

Fact Sheets: New Resources on Trump’s Public Charge Impacts on Older Adult Immigrants

By | CA Health Network Alert, Economic Security, FACT SHEET, Health Care, Medicaid, Social Security

Advocates are preparing for the release of a new “public charge” rule from the Trump Administration that would put immigration status at risk if an immigrant or their family—including U.S. citizen children and other dependents—seeks access to an array of programs that support health, nutrition, and economic stability.

If implemented, this rule would harm older immigrants, their families, and caregivers. The rule would make it much more difficult for U.S. citizens and residents to welcome aging parents or other family members into the country. Seniors and their families may be afraid to go to the doctor or get helping paying for food or rent. Additionally, many immigrant older adults work as caregivers for very low pay. This rule would make it harder for them to access benefits like Medicaid and SNAP (Supplemental Nutrition Assistance Program), or get help with insurance premiums through Affordable Care Act subsidies.

Justice in Aging has a new fact sheet that provides an overview of the harms to older adults, their families, and caregivers that the Trump Administration’s changes to the “public charge” rule would pose.  A California fact sheet provides an overview of these harms looking at California-specific data and programs.

Fact Sheet: SSA Clarifies Handling of Medicare Part A Conditional Applications

By | FACT SHEET, Health Care, Medicare, Social Security
Many people do not have enough work history to qualify for premium-free Medicare Part A benefits, however there is still an option for low-income individuals to get their Medicare Part A premiums paid.

A new Justice in Aging fact sheet details how they can enroll in the Qualified Medicare Beneficiary (QMB) Program to get their Medicare premiums paid through their state Medicaid program. Enrolling in QMB can be confusing for people without Part A coverage and often requires visits to both the Social Security Administration office and the state’s Medicaid program offices. A further complication is that many Social Security offices have used conflicting and incorrect procedures or provided misinformation to applicants. Read More

Advocate Guide: Accessibility in Medicaid Managed Care

By | Advocate's Guide, Health Care, Medicaid, mltss

States require managed care plans who serve Medicaid enrollees to establish and maintain an internal grievance and appeal and fair hearing system. As states begin to incorporate new federal regulations into their Medicaid rules, there’s opportunity for advocates to help shape those rules to ensure that older adults and people with disabilities have equal access to the grievance and appeal and state fair hearing systems, as mandated by Section 504 of the Rehabilitation Act (“Rehab Act”), the Americans with Disabilities Act (“ADA”), and Section 1557 of the Affordable Care Act (“ACA”).

Disability Rights Education and Defense Fund (DREDF), Justice in Aging and National Health Law Program (NHeLP) collaborated on a new Advocates Guide to Accessibility in Medicaid Managed Care Grievances, Appeals, and State Fair Hearing. This new Advocates’ Guide, provides guidance on how the federal framework can be made fully accessible to Medicaid beneficiaries who are older and/or have disabilities.

Links to three accessible versions of the guide can be found below.

 

White Paper: An Oral Health Benefit in Medicare Part B: It’s Time to Include Oral Health in Health Care

By | Health Equity, ISSUE BRIEF, Medicare, Oral Health

Oral health is an integral part of overall health. Oral health problems can adversely affect one’s ability to maintain optimal nutrition, self-image, social interactions, and mental and physical health. Oral health problems can lead to chronic pain, tooth loss and serious infections. Poor oral health can even worsen chronic medical conditions such as heart disease and diabetes.

Older adults need timely and affordable access to dental care in order to maintain their health and well-being, yet, there is currently no mechanism for most older adults to access care. Contrary to what many believe, Medicare does not include an oral health benefit. Most older adults cannot afford to purchase private oral health insurance or pay out-of-pocket for the care they need. As a result, 70 percent of Medicare recipients have limited or no dental coverage, and fewer than half see a dentist each year.

A new White Paper, An Oral Health Benefits in Medicare Part B: It’s Time to Include Oral Health in Health Care discusses how a Medicare Part B dental benefit would close disparities in dental use and expense between the uninsured and insured and among older adults with few financial resources and limited oral health education. The paper also details how such a benefit could be structured and the legislative changes that would need to happen before such a benefit could be established.

Special Reports

Unique Legal Needs of Low-Income LGBT Seniors

The intersection of poverty and discrimination creates an array of unique legal needs for older LGBT individuals. A new Special Report by Justice in Aging, produced in partnership with Services and Advocacy for Gay, Lesbian, Bisexual, & Transgender Elders (SAGE), offers an overview and practical tips for legal aid organizations seeking to serve this population. The Report, How Can Legal Services Better Meet the Needs of Low-Income LGBT Seniors? is accompanied by a short video that highlights the diversity of the LGBT community and the gaps in equality its members face as they age.

READ THE REPORT

Homeless Among Older Adults

More older adults are homeless or at risk of homelessness than at any time in recent history. This special report, How to Prevent and End Homelessness Among Older Adults, created in partnership with The National Alliance to End Homelessness, outlines the problem and recommends policy solutions that can be put in place now to ensure that all older adults have a safe place to age in dignity, with affordable health care, and sufficient income to meet their basic needs.

READ THE REPORT

Advocacy Starts at Home

In this report, Advocacy Starts at Home: Strengthening Supports for Low-Income Older Adults and Family Caregivers, Justice in Aging draws the connection between fighting senior poverty, supporting caregivers, and the services needed to help older adults. The stress and expense of caregiving will touch every one of us at some point in our lives, but it can be devastating for poor families. In the paper, we identify clear solutions that will benefit everyone, while providing poor families with the basic support system they need to ensure that older adults in their families can age at home in dignity.

READ THE REPORT

Articles & Op-Ed

How Legal Aid Programs Can Address the Growing Problem of Senior Poverty

Legal aid organizations can play a critical role in securing the rights and benefits of the increasing number of older adults living in poverty. Justice in Aging attorneys Jennifer Goldberg, Fay Gordon, and Kate Lang authored a Special Feature for Management Information Exchange for Legal Aid (MIE) offering suggestions to help legal aid organizations structure their services to have the most impact, reach older adults with the greatest need, and increase their organizational capacity to serve low-income older adults.

READ THE ARTICLE

Medicaid and Supplemental Security Income Eligibility: Time for a Tune-Up

Medicaid and SSI are two essential programs that fight senior poverty by ensuring that low-income older Americans can meet their basic needs and maintain their health. In operation for 50 years (Medicaid) and 40 years (SSI), these workhorse programs are indispensable for seniors. But as the population ages and income inequality increases, both programs need retooling to improve benefits and increase access for more people who need them.

Justice in Aging attorneys Georgia Burke, Jennifer Goldberg, and Kate Lang published Medicaid and Supplemental Security Income Eligibility: Time for a Tune-Up,” in the spring issue of the National Academy of Elder Law Attorneys (NAELA) Journal.

READ THE ARTICLE

New national center aims to enhance legal services for older adults

Early this year, Justice in Aging will launch the new National Center on Law and Elder Rights (NCLER). We are pleased to introduce the aging network to NCLER, a destination for legal and aging advocates who need legal resources to better serve older adults.

Read more from Justice in Aging attorney Fay Gordon in the op-ed New national center aims to enhance legal services for older adults,” from the January-February issue of Aging Today – the bimonthly newspaper of the American Society on Aging.

READ MORE

Balance billing: a tragic trend that is hurting our poorest elders

Every time I visit the doctor I get a bill for $15.27. I know I should not be receiving these, but I don’t want to ‘rock the boat.’ The doctor is in walking distance, so I don’t need to take public transportation. That saves me a lot because my income is only $329 a month. I ultimately do not know what I should and shouldn’t pay. I really feel anxious. I do not know what is going to happen with my healthcare.

I received two bills that I know I should not have received. I was sick and I needed the care, so I just paid them.

These stories reflect a growing trend of poor older adults being illegally billed for healthcare services covered by Medicare and Medicaid.

Read more from Justice in Aging’s Eric Carlson and Fay Gordon in the op-ed Balance billing: a tragic trend that is hurting our poorest elders,” from the May-June 2016 issue of Aging Today – the bimonthly newspaper of the American Society on Aging.

READ MORE