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Justice in Ageing is a nationwide nonprofit group that makes use of the facility of regulation to struggle senior poverty by securing entry to inexpensive well being care and financial safety for older adults with restricted assets. We focus our efforts on combating for older adults who’ve been marginalized and excluded from justice, similar to ladies, folks of shade, LGBTQ+ people, folks with disabilities, and folks with restricted English proficiency. We have now many years of expertise working to enhance Medicare, Medicaid and long-term companies and helps (LTSS).
Final 12 months we outlined our Well being Coverage Priorities and Coverage Priorities to Enhance Equitable Entry to Dwelling-Primarily based Take care of federal policymakers to make sure each older grownup’s proper to high quality well being care and LTSS. To proceed progress in the direction of these targets, we urge the Biden Administration and Congress to give attention to the next priorities this 12 months.
Well being Fairness
Implement civil rights protections, together with strong implementation of the forthcoming Part 1557 Nondiscrimination and Part 504 closing guidelines. Congress ought to enhance funding for the Division of Well being and Human Providers Workplace for Civil Rights.
Enhance language entry by gathering and using language knowledge to offer customized language companies throughout Medicare and Medicaid; together with translating purposes, vital notices, and assets, and bettering entry to in-language supplies via trusted group companions; and making it simpler for folks with restricted English proficiency to navigate and get high quality language help via 1-800-Medicare, well being plans, and when receiving care.
We help the Well being Communication Entry & Assets for Everybody Act (Well being CARE) (HR 5762) and Supporting Affected person Training and Information (SPEAK) Act (HR 6033)
Enhance entry to Medicare, Medicaid, and Dwelling and Neighborhood-Primarily based Providers for older adults returning to the group after incarceration. We urge the Administration to slim the regulatory Medicare custody definition to make sure older adults on supervised launch can entry protection and care, and enhance the Medicare particular enrollment interval to permit software previous to launch and supply retroactive reduction for folks paying Half B late enrollment penalties as a result of they have been launched earlier than Jan. 1, 2023. Congress ought to remove the requirement to pay Half B premiums whereas Medicare is suspended.
Develop entry to well being look after older immigrants by eradicating enrollment obstacles and ready intervals for each Medicaid and Medicare and repealing the discriminatory public cost coverage.
Lengthy-Time period Providers and Helps
Develop equitable entry to Dwelling and Neighborhood-Primarily based Providers (HCBS). Congress ought to go extra devoted HCBS funding to make sure states can construct on the dear investments in workforce and infrastructure made with American Rescue Plan Act funding, and make the HCBS spousal impoverishment protections and the Cash Follows the Particular person program everlasting. The Administration ought to act to cut back the institutional bias, together with by selling provisional plans of care to facilitate immediate entry to HCBS.
We help the HCBS Reduction Act (S. 3118/H.R. 6296) and HCBS Entry Act (S 762/HR 1493).
Eradicate Medicaid property restoration, which requires states to recuperate Medicaid bills from the heirs of a deceased Medicaid enrollee, thereby perpetuating poverty and exacerbating the racial wealth hole. Congress, the Administration, and states ought to act to make property restoration optionally available, mitigate its hurt, and finally go laws to finish it.
We help the Cease Unfair Medicaid Recoveries Act of 2022 (H.R. 6698).
Strengthen nursing facility residents’ rights and enhance transparency by implementing knowledgeable consent necessities for antipsychotics and different remedy; bettering the Care Examine web site to coach and empower customers; and rapidly implementing and implementing the ultimate nursing facility possession disclosure rule.
Guarantee ample staffing and coaching at nursing services, together with finalizing a rule that implements a robust minimal staffing commonplace of at the very least 4.2 hours-per-resident-day and an onsite registered nurse always.
Finish the coverage that permits nursing services to discriminate towards folks with Medicaid. Congress ought to amend federal regulation to remove “distinct half” restricted certification.
Eradicate the barrier to essential observe up-care for Medicare enrollees positioned on “commentary standing” throughout a hospital keep.
We help the Bettering Entry to Medicare Protection Act of 2023 (HR 5138)
Medicare & Medicaid
Reduce public well being emergency unwinding protection disruptions for folks dually eligible for Medicare and Medicaid by implementing enrollee protections within the redetermination course of and persevering with training and outreach concerning the Medicare particular enrollment interval. Given the problems with Medicare Financial savings Program (MSP) enrollment that unwinding has exacerbated, we urge the Administration to considerably enhance coordination between Medicaid, Medicare, and Social Safety to strengthen streamlined enrollments, renewals, and transitions between packages.
Develop entry to assist with Medicare prices. The MSPs and Half D Low-Earnings Subsidy (LIS) assist Medicare enrollees with restricted earnings entry care by masking premiums and cost-sharing. Many people who find themselves eligible for MSPs and LIS will not be enrolled. Congress should renew expiring funding for Medicare low-income beneficiary outreach and enrollment.
Develop entry to Medicaid, together with MSPs, by encouraging states to swiftly implement the Medicaid Streamlining rule, elevate earnings thresholds and remove asset assessments, and take part in Medicare Half A buy-in. Congress ought to remove the Medicaid lesser-of coverage, which is a barrier to Medicare suppliers for folks within the Certified Medicare Beneficiary program.
Develop entry to oral well being, imaginative and prescient, and hearingservices. As we work in the direction of passing laws so as to add complete dental, imaginative and prescient, and listening to advantages to Medicare Half B, we urge elevated transparency and oversight of Medicare Benefit supplemental advantages and steps to extend Unique Medicare enrollees’ entry to those very important companies via acceptable protection determinations and demonstration authority.
We help the Medicare Dental Profit Act of 2023 (S 570/HR 1342) and the Medicare and Medicaid Dental, Imaginative and prescient, and Listening to Profit Act (S. 842)
Strengthen client protections and profit coordination for people dually eligible for Medicare and Medicaid, notably these enrolled in Twin-eligible Particular Wants Plans (D-SNPs), together with elevated federal oversight. Spend money on state degree Medicare-Medicaid coordination and ombuds packages devoted to people dually eligible.