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 Sheet: Open Enrollment for 2018 through Medicare & the Marketplace

By | Affordable Care Act, FACT SHEET, Health Care, Medicare, REPORTS | No Comments

Here’s what older adults need to know about this year’s Open Enrollment periods for both Medicare and the Affordable Care Act Health Insurance Marketplaces.

Open Enrollment

Fall is open enrollment time for both Medicare beneficiaries and enrollees in the Affordable Care Act Health Insurance Marketplaces for coverage in 2018.

Justice in Aging’s open enrollment fact sheet reveals who is impacted by fall open enrollment, covers critical dates for each group, and provides key information on actions to take to ensure continuous coverage.

Key Facts:

  • Part C and Part D enrollees should review their coverage options each year as Medicare Advantage and Prescription Drug plans can change their cost-sharing, provider networks and drug formularies.
  • Medicare’s open enrollment period is from October 15-December 7, 2017.
  • The Marketplace enrollment period has been cut in half from 12 weeks to 6 weeks.
  • The Marketplace enrollment period is from November 1-December 15, 2017.
  • Open enrollment periods have been extended for victims of some natural disasters.

Read the Fact Sheet

Why Many Nursing Facilities are Not Ready for Emergency Situations

By | Health Care, ISSUE BRIEF, Nursing Homes, REPORTS | No Comments

As Hurricanes Harvey, Irma, and Marie have shown us, nursing facility residents can be particularly at risk during natural disasters. The hurricanes resulted in death and injury in nursing facilities across the region, including 12 deaths in one Florida facility.

Justice in Aging created an issue brief, Why Many Nursing Facilities are Not Ready for Emergency Situations, which discusses existing federal and state law, and makes seven recommendations to address gaps in current law.

As the brief outlines, these deaths and injuries could have been prevented through advance planning and emergency preparedness.

Read the Brief

Health Savings Accounts Won’t Help Most Older Adults

By | Affordable Care Act, Health Care, ISSUE BRIEF, REPORTS | No Comments

Proposals to expand the use of Health Savings Accounts (HSAs) have been raised repeatedly in the health care debate. This new issue brief looks at how expanding HSAs would impact the affordability of health care coverage for low and moderate income older adults by examining how HSAs would have functioned under one proposal, the Better Care Reconciliation Act (BCRA), had it become law.

The paper finds that the combination of HSA contributions and premium costs can easily reach 20% to 30% of an older adult’s income. It concludes that HSAs are not a path to affordable health care for older adults. Read the brief.

Fact Sheets: IHSS Services and Eligibility & Application Process

By | FACT SHEET, In-Home Supportive Services, REPORTS | No Comments
The IHSS program serves more than 500,000 Californians and ensures they receive the care and support they need to live in the community. The program is structured to provide a high level of flexibility and autonomy to the recipients. This consumer-driven approach has a lot of positives, but has introduced complexity into the program.

Two new fact sheets explain two facets of the In-Home Supportive Services (IHSS) program—Eligibility and the Application Process, and IHSS Services: Basics. These fact sheets provide a simplified starting place to understand how the eligibility and application process work, what services are available, and how the county determines eligibility for specific services.
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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.

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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.

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