Need to Extend Medicaid Spousal Impoverishment Protection for Home- and Community-Based Services

No husbands or wives should have to completely bankrupt themselves when their spouses need Medicaid to fund home- and community-based services (HCBS) such as help with daily activities like eating, bathing, and dressing. Yet unless Congress acts, bankruptcy or nursing home admission are exactly what could happen in many such cases in the near future because an important provision that allows spousal impoverishment protections for spouses of Medicaid HCBS recipients is set to expire on March 31. How Spousal Financial …

Money Follows the Person Program: A Win-Win Solution, but Will it Stay Around?

As AARP’s recent report highlights, the majority of Americans prefer to remain in their homes as long as possible. Helping to enable that are home- and community-based services (HCBS)—the kind of long-term supports provided to older adults and individuals with disabilities residing in communities as they age. Thus, HCBS is already the preferred option over nursing homes and, with approximately 10,000 people turning 65 every day in the U.S., its role will only increase. Over half of these older adults …

Time to Reauthorize the Older Americans Act

High-profile issues that make daily headlines currently are occupying much of Congress’s attention. Yet one important issue is receiving little to no attention: the Older Americans Act. If Congress does not act, this legislation, which was last reauthorized for three years, will expire on September 30. Since 1965, the Older Americans Act has been a safety net for older adults who are generally ages 60 and older. The Act is best known for funding congregate meals at group sites and …

AARP Shares Promising Practices and Emerging Innovations through the Long-Term Services and Supports State Scorecard

In our seminal 2017 Long-Term Services and Supports (LTSS) State Scorecard, we issued a call to action to “pick up the pace of change.” To help accelerate LTSS reforms, we have released a series of Promising Practices and Emerging Innovations reports that provide real-world solutions. Promising practices papers feature LTSS programs and policies from states that perform well or have improved over time on a Scorecard measure. Scorecard emerging innovations papers highlight what LTSS solutions states and organizations are developing, …

Across the States: Profiles of Long-Term Services and Supports

A major demographic shift is happening. The ages 85+ population is projected to triple between 2015 and 2050. In comparison, the population younger than age 65 will increase by only 12 percent. The growth of the 85+ age group is projected to significantly outpace all other groups once baby boomers begin turning age 85 in 2031, marking the beginning of boomer-driven 85+ population growth for the following two decades. That has significant implications. The 85+ cohort is the most likely …

4 Reasons to Watch State Legislatures in 2018

Simmering issues important to all older Americans and their families, like health and financial security, may escalate to a full boil in many state Capitols in 2018.Facing these challenges and opportunities head-on, AARP is already exhaustively at work throughout the country, fighting for the issues that matter and driving an innovative agenda focused on commonsense solutions without the clutter of partisanship.Last year, AARP State Offices achieved huge successes, including new supports for family caregivers, greater access to home and community …