The Senate Health Reform Bill Slashes Medicaid in Alaska: State Could Face Cuts Up to $13 Billion

The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter Alaska’s Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. The BCRA would subject older adults, adults with disabilities, Medicaid expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option …

The Senate Health Reform Bill Slashes Medicaid in North Dakota: State Could Face Cuts Up to $7 Billion

The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter North Dakota’s Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. The BCRA would subject older adults, adults with disabilities, Medicaid expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the …

This Cut is Really a Cut: Senate Bill Will Slash Medicaid Spending across All Populations

The recently released Senate bill, the Better Care Reconciliation Act (BCRA), puts Medicaid on the chopping block. By limiting Medicaid cost growth to medical inflation through 2024 and general inflation from 2025 and beyond, the bill will lead to major, harmful reductions in both federal and state Medicaid spending. Even the non-partisan Congressional Budget Office determined that Medicaid spending under the BCRA would be 26 percent lower in 2026 than it would be under current law, and the gap would widen to …

Coming June 14: All-New State Scorecard on Long-Term Services & Supports

This is an exciting month for AARP’s Public Policy Institute. We’re set to release our third Long-Term Services and Supports (LTSS) State Scorecard Report on June 14, and this powerful tool is far more interactive and comprehensive than the 2011 and 2014 installments. A lot has changed since 2011 when we first partnered with The Commonwealth Fund and The SCAN Foundation to conceive of the idea for a scorecard that would measure long-term services and supports for older adults as …

No Wrong Door: Promising Practices for Accessing Long-Term Services and Supports

Most of us will need long-term services and supports (LTSS), either for ourselves or for our family members. However, most of us do not know about our options and how to pay for these services. That is why the LTSS State Scorecard — created by the AARP Public Policy Institute and funded by the Scan Foundation and the Commonwealth Fund — ranks states on their aging and disability resource centers. These centers are an important feature of a high-performing LTSS …

Preserving Access to Home- and Community-Based Services Through Community First Choice

An important AARP study shows that an overwhelming majority of people would like to remain in their homes and communities for as long as possible. Personal care services, such as assistance with bathing, eating and dressing, are critically important to helping older adults and people with disabilities of all ages live independently and avoid costly nursing facility placements. Medicaid plays a critical role in providing this support. It is the largest public payer of long-term services and supports (LTSS), including …