From DC: Impression of Medicaid Unwinding, CMS Steerage Replace, Home Listening to on SSA Funding, and extra!

From DC: Impression of Medicaid Unwinding, CMS Steerage Replace, Home Listening to on SSA Funding, and extra!


From DC is Justice in Getting old’s weekly roundup of nationwide information and sources about points impacting older adults. To obtain From DC in your inbox as quickly as its revealed, join our mailing record.

Right here’s what we’re watching in Washington:

Hundreds of thousands of Dually-Eligible Medicaid and Medicare Enrollees Misplaced Protection Throughout Medicaid Unwinding

A current NORC examine discovered that 17% of people (1.6 million) dually enrolled in Medicaid and Medicare misplaced full Medicaid protection from April 2023 to June 2024 throughout the Medicaid Unwinding interval. This group consists of older adults and other people with disabilities who’ve excessive medical wants and considerably decrease earnings and property than their Medicare-only counterparts. Solely 2.1% of those that misplaced Medicaid have re-enrolled regardless of doubtless being eligible.

People who misplaced Medicaid eligibility (together with eligibility for a Medicare Financial savings Program) earlier than June 30, 2024 might have to take steps to take care of their Medicare Half D Low-Revenue Subsidy (LIS) for subsequent yr. People who find themselves not eligible for LIS might wish to select a lower-cost prescription drug plan throughout Open Enrollment, which ends December 7.

Study extra in Justice in Getting old’s truth sheet on LIS and Medicaid Unwinding. Additionally see Justice in Getting old’s different sources on Unwinding for dually-eligible people and CMS’s Unwinding steering.

CMS Releases Revised Steerage for Nursing Facility Surveyors

The Facilities for Medicare and Medicaid Companies (CMS) lately revealed up to date surveyor’s pointers that designate and develop upon federal nursing facility rules. Surveyors use the intensive pointers to find out whether or not nursing amenities have violated the regulation. Advocates can equally cite these pointers on residents’ behalf.

CMS’s revised long-term care surveyor steering will develop into efficient on February 24, 2025. The revisions have an effect on subjects together with:

  • Admission,
  • Invalidity of third-party (e.g., grownup youngsters) agreements to be chargeable for nursing facility bills,
  • Resident evaluation,
  • Inappropriate psychotropic treatment,
  • Evictions, and
  • An infection prevention and management.

Justice in Getting old will present additional details about these revisions within the coming weeks. Study extra about our nursing facility advocacy in our useful resource library.

Home Committee Holds Listening to on Funding for SSA

This week, the Home Committee on Appropriations held a listening to to debate the Social Safety Administration’s (SSA’s) 2025 finances request. Social Safety Commissioner Martin O’Malley testified on the listening to, urging Congress to spend money on the company to handle customer support challenges.

Justice in Getting old helps elevated funding for SSA, which might enhance service ranges for older adults and other people with disabilities on or making use of for Social Safety and Supplemental Safety Revenue (SSI). Learn extra about Justice in Getting old’s advocacy to enhance the SSI program.

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