There seems to be a growing consensus among policymakers that there is something very wrong with Medicaid’s long-term care benefit for frail older adults and younger people with disabilities. But there is deep disagreement about what to do about the program’s long-term services and supports benefit, called LTSS. President Trump and many congressional Republicans believe Medicaid LTSS is inefficient and [...]
A group of influential policy experts has designed a universal home care benefit for people with physical and cognitive limitations. In a major change from the existing system in the US, where government-funded long-term care is primarily a Medicaid benefit, they’d shift much home care to Medicare. Their plan would be available to anyone who has a significant need for [...]
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 [...]
Imagine, for a moment, a functioning, well-developed system for improving the lives of frail older adults. Imagine that, instead of our current chaotic, dangerous, and needlessly expensive patchwork of care for seniors, the US had a well-coordinated care model that leverages and supports paid aides, family caregivers, safe and appropriate housing, and new technology. And imagine a system that makes [...]
One would have thought that after more than 750,000 Covid-19 related deaths among older adults in the US and more than 200,000 deaths among residents and staffs of long-term care facilities that Congress would act to improve the nation’s long-term care system. One would have been wrong. Except for including about $12 billion in federal funds to temporarily expand Medicaid’s [...]
An effort to repeal Washington State’s public long-term care insurance program failed to get enough signatures by the end-of-year deadline to make it on the November ballot. At the same time, Democrats, who control the state legislature, have introduced multiple bills aimed at delaying or revising the program. The state was scheduled to start collecting a mandatory 0.58 percent payroll [...]
Is it possible that Congress will do nothing to improve long-term services and supports for older adults and younger people with disabilities or assist their families? Even after 603,000 people over age 65 were killed by Covid-19 in the past two years. Yes, it is possible. The House version of President Biden’s Build Back Better plan included many provisions aimed [...]
The Build Back Better social spending bill the House passed this morning includes a long list of important changes aimed at improving the quality of life of older adults. There is much left to be done, and even this bill may be pared back in the Senate. But following the pandemic catastrophe for older adults, it would be significant progress. [...]
Washington State’s first-in-the-nation public long-term care insurance program is headed to court. A group of employers and workers has sued the state with the goal of getting the law overturned. The lawsuit, filed on behalf of three employers and six workers, argues that the insurance program violates a long list of federal and state laws including the Employee Income Security [...]
President Biden’s scaled-down $1.7 trillion Build Back Better social spending and tax plan retains major benefit increases for Medicaid long-term care recipients as well as Medicare enrollees. But it trims more ambitious initiatives and drops an earlier proposal for family and medical leave. Here are key elements of the plan, which likely will change as it works its way through [...]