President-elect Donald Trump prides himself on making deals. Here is one for him: Keep Joe Biden’s commitment to have Medicare pay for GLP-1 drugs such as Ozempic and Wegovy for weight loss. But only if the drugmakers agree to substantially reduce their prices right away. Such a move would be fraught for Trump and his Republican allies on multiple levels. [...]
The Older Americans Act, the umbrella federal law that includes programs such as Meals on Wheels, senior transportation, information services, adult day, and caregiver support was hours from being expanded and winning congressional approval for another five years. Now, its fate has become far more uncertain. Its all because the OAA, despite broad bipartisan congressional support, got caught up in [...]
Ask family caregivers what sort of government support they want and their answer is clear: They want upfront cash. Not bigger future Social Security benefits. Not respite care or tax credits, not paid family leave, or even reimbursement for out-of-pocket costs. They want cash. That, at least, were the preferences of participants in four focus groups described in a new [...]
The incoming Trump Administration has been sending mixed signals about the fate of Medicare. But if Trump advisers and GOP lawmakers are serious about slashing government spending it is hard to see how they will ignore the program, which last year cost $850 billion and accounted for about one out of every six dollars the federal government spent. Trump’s problem: [...]
This year, California took the second of two steps to allow residents with unlimited assets to participate in its Medicaid long-term services and supports (LTSS) program. Advocates hoped the move would make the program far more widely available. Conservative critics feared it would become a budget-busting open door for the wealthy to take advantage of a public program. Both were [...]
Donald Trump’s return to the White House, coupled with Republican control of the Senate and possibly of the House could result in a far more limited government role in the care of older adults and younger people with disabilities. Most immediately, Trump’s proposed mass deportations will make the current shortage of care workers much worse, increasing the burden on family [...]
Voters in Washington State have decided to keep the state’s first-in-the-nation public long term care insurance program. On Tuesday, they easily rejected a ballot initiative that would have killed the far-reaching law. The WA Cares law provides up to $36,500 in long-term care insurance benefits, with the amount increasing with inflation. It is funded with a payroll tax surcharge of [...]
For decades, the desperate need for government to help support middle-income frail older adults, younger people with disabilities, and their family members has been clear. Until now, lawmakers largely have done nothing about it. But that finally may be changing. Vice President Kamala Harris, the Democratic nominee for President, has proposed an ambitious expansion of traditional Medicare that would, for [...]
Democratic presidential candidate Kamala Harris says she wants to create a home-based long-term care benefit under Medicare. She’s suggesting an historic change in the health care system for older adults and some younger people with disabilities. But her idea raises important political and policy questions. Harris describes the broad outlines of her plan in a hard-to-find fact sheet here. Oddly, [...]
Democratic presidential candidate Kamala Harris has backed an earth-shattering idea: For the first time, traditional Medicare would pay for personal assistance at home and related long-term care. Currently, only Medicaid and certain Medicare managed care programs provide long-term care benefits. Harris endorsed the idea in an appearance on the television show The View and her staff heavily promoted her initiative [...]