President Obama signed the PACE Innovation Act (PIA) into law on November 5, 2015. The new law will allow the Centers for Medicare & Medicaid Services (CMS) to develop pilot projects based on the successful Programs of All-Inclusive Care for the Elderly (PACE) model of care. NADSA has supported advocacy for this legislation. Currently the PACE model is limited to people aged 55 and older who meet state-specified criteria for needing a nursing home level of care. The PIA will allow expansion to more populations—including younger individuals, people with multiple chronic conditions and disabilities, seniors who do not yet meet the nursing home level of care. Over 115 PACE programs currently operate in the United States, and some operate at multiple locations.
Category Archives: Public Policy
This past Thursday, July 16th, the Senate quietly and unanimously passed by voice vote S.192 to reauthorize the Older Americans Act (OAA) through 2018. For the past two years, NADSA joined with 48 other national organizations to urge passage of this legislation because it contains new provisions relating to Area Agencies on Aging (AAA) and Aging and Disability Resource Centers (ADRC) that could be helpful to Adult Day Services as Home and Community Based Services (HCBS) providers. (Capitol Hill Lobby Day participants will recall that this was one of our “asks” to the legislators.) Access the summary and other information about the bill via this link:
The effort now moves to the House of Representatives to obtain approval by that body. Now is the time to contact your Member of Congress to urge him/her to support S.192 as passed by the Senate on July 16th. Note that this is a bipartisan compromise bill that has been negotiated over the past two years.
Here is a link to obtain the contact information for Members of Congress:
http://clerk.house.gov/member_info/index.aspx (If you are uncertain who is your Representative, click on the “find your representative” link on the page and enter your zip code.)
The Department of Veterans Affairs (VA) today urged Congress to act expeditiously and approve its pending request for fiscal year 2015 budget flexibility. The request, formally transmitted on June 23, seeks the transfer of funds from the Choice Program to continue VA’s efforts to increase Veterans’ access to care and life-saving pharmaceuticals.
“It is essential that Congress pass legislation to provide the requested budget flexibility by the end of July 2015,” Deputy Secretary Sloan Gibson wrote. “This is necessary to replenish critical operations funding that VA had to reallocate from other medical services programs to sustain Care in the Community, after those funds were depleted. If these program funds are not restored, VA will face shutting down hospital operations during August 2015.
The letter and full text of the documents submitted to Congress today are available for download here:
- Signed letter to Congress
- Putting Veterans First: Legislative Request
- Draft Legislation
- Choice Act Obligations
- Care in Community Overview
- Hepatitis C Treatment Summary
Nationally, VA completed more than 56.2 million appointments between June 1, 2014, and May 31, 2015 – 2.6 million more appointments than were completed during the same time period in 2013-2014. VA also made more than three million authorizations for outside care.
Posting comments to the Long-Term Supports and Services (LTSS) policy paper on the White House Conference on Aging (WHCoA) has earned ADS the respect of the health insurance industry. LifeHealthPro.com, self-described as “the only complete online destination for life & health insurance advisors,” has commended ADS providers as “The players who may be talking most about a concrete way to save money.”
On June 24th LifeHealthPro.com published an article online entitled “5 jolts from the White House conference prelims.” The fifth “jolt” commends ADS and is entitled: “Many people participating in the preliminary conversations seem to have trouble understanding the concept of limits on resources.” Click here to access the full article and to read the complete comments regarding ADS.
Long Term Services and Supports are a common theme and priority among the issues raised to date by stakeholders and aging leaders in preparation for the 2015 White House Conference on Aging. By providing input, you are participating in the 2015 Conference in a meaningful and concrete way. The Conference is intended as a national conversation, and we need your voice as part of the discussion.
Submit comments about the value, demand and impact of adult day services as issues are prepared for the upcoming White House Conference on Aging. The conference staff is beginning to write the final report to be presented in July. Go online now through this link http://www.