Category

Health Care Defense

Issue Brief: Older Immigrants and Medicare

By | Health Care, Health Care Defense, ISSUE BRIEF, Language Access, Medicare

Accessing the Medicare program as an older immigrant can be a complex and confusing process – especially when an immigrant is not a citizen, has limited work history, and limited English proficiency. Justice in Aging’s new issue brief, Older Immigrants and Medicare, is intended to provide advocates who work with older immigrants a summary of the policies and practices to help immigrants enroll in and pay for Medicare coverage.

The issue brief specifically covers the following topics and includes numerous hypothetical examples to illustrate the myriad of rules and scenarios older immigrants face when attempting to access Medicare:

  • Eligibility and enrollment, with particular attention to rules affecting non-citizens
  • Help paying for coverage
  • Post-enrollment issues potentially affecting immigrant beneficiaries
  • Language access rights and resources in Medicare

Free Webinar: California Legislative and Budget Proposals that Affect Low-Income Older Adults

By | Economic Security, Health Care Defense, WEBINAR

When: Thursday, March 21, 2019 from 3pm-4pm PT

Join us for a discussion of California budget and legislative proposals this year that could make concrete improvements to the economic security and health care of low-income older adults. This webinar, California Legislative and Budget Proposals that Affect Low-Income Older Adults, provides an overview of a number of key proposals, and offers advocates information on how they can engage in the process.

One package of bills has been introduced that would work together to make Medi-Cal more fair and equitable and create more stability for seniors and people with disabilities. You can read about those bills here. Justice in Aging will be releasing additional materials on 2019 California legislative proposals and their impact on older adults soon.

Who Should Participate:

Aging and legal advocates, community-based providers, local government partners, and others wanting to learn more about economic security and health care proposals that impact low-income older adults.

Presenters:

Trinh Phan
Senior Staff Attorney, Justice in Aging

Claire Ramsey
Senior Staff Attorney, Justice in Aging

This webinar took place on Thursday, March 21, 3:00-4:00 PM.

WATCH THE WEBINAR
DOWNLOAD THE POWERPOINT

Fact Sheets: California Senior Legislative Package 2019

By | CA Health Network Alert, Health Care, Health Care Defense

California legislators have introduced a number of budget and legislative proposals that, if enacted, would work together to improve the health and long-term care system that serves the state’s older adults, and help advance greater economic security for the most vulnerable older adults who are grappling with some of the nation’s highest housing costs.

One package of bills has been introduced that would work together to make Medi-Cal more fair and equitable and create more stability for seniors and people with disabilities. Read about those bills here. For more detail on each bill, you will find a series of fact sheets below.

We will keep advocates updated as these and other proposals move through the process.

Report: Older Women & Poverty

By | Economic Security, Health Care, Health Care Defense, Health Disparities, Health Equity, Long Term Care, Medicaid, Medicare, Nursing Homes, Oral Health, Safety Net Defense, SENIOR POVERTY, Social Security, Special Report, Supplemental Security Income

Because of structural inequities that impact women more than men, a significant percentage of older women are struggling to stay out of poverty.

There are 7.1 million older adults living in poverty in the United States, with nearly two out of three of them being women. Women like Venorica, who is working three jobs at the age of 70, and Vicky, who once ran a successful business with her husband, are struggling to stay afloat.

A new Justice in Aging report surveys the reasons more women are aging into poverty than men, discusses the support systems that are in place to help older women, and recommends ways we can strengthen and expand those support systems. The brief is accompanied by videos of women telling their own stories. Older women have cared for us and worked hard all of their lives. It’s imperative that we enact policies so they don’t have to struggle to make ends meet.

READ THE REPORT
WATCH THE VIDEOS HERE

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 Work Requirements and Family Caregivers

By | Health Care, Health Care Defense, ISSUE BRIEF, Medicaid, REPORTS, Safety Net Defense, SENIOR POVERTY

Medicaid Work Requirements can cause family caregivers to lose their health coverage, putting their health and the health of the older adults they care for in jeopardy.

With Thanksgiving on the horizon, our thoughts are on families and the 40 million family caregivers who provide care to an adult family member. Medicaid is an important source of health insurance coverage for those family caregivers 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.

Implications for family caregivers

Low-income family caregivers may be unable to work sufficient hours at a paid job because of their caregiving responsibilities and may not qualify for the state’s exemptions. As a result, many will lose access to health care they need to maintain their own health, harming both their own well-being and the well-being of the older adults they care for.

A new Justice in Aging issue brief provides a state-by-state survey of how Medicaid work requirements apply to family caregivers and explains the harms they will cause to family caregivers and the older adults they care for.

READ THE BRIEF

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.