Throughout 2012, a variety of federal legislative and regulatory issues arose that will affect senior living communities and senior living residents across the country. From the implementation of the National Alzheimer’s Project Act to proposed revisions to CMS’ waiver program, take a look back at some of the year’s most important initiatives.
Throughout the second session of the 112th Congress, the Senate Special Committee on Aging (SCOA) has been actively addressing a number of issues that touch senior living providers. In June, the committee conducted a hearing on the VA Aide and Attendance Program. The hearing exposed numerous cases of financial exploitation by some unscrupulous financial advisors who were hired to help seniors with the complicated application process. ALFA submitted testimony for the hearing and has been working with Senator Wyden (D-OR) and the Veterans Administration to improve the program and prevent these abuses.Last year, the SCOA held a hearing on the use of antipsychotics among those living with dementia in nursing homes, and this year the Centers for Medicare & Medicaid (CMS) announced the Partnership to Improve Dementia Care, an initiative aimed at reducing the use of antipsychotic drugs in nursing home residents by 15 percent by the end of 2012. With the goal of ensuring appropriate use of antipsychotics in senior living communities, ALFA has joined with the Senate Special Committee on Aging (SCOA), as well as other stakeholders, in asking the Government Accountability Office (GAO) to conduct a study examining the broad range of interventions and protocols employed by senior living providers to reduce the unnecessary use of psychotropic medication in seniors.
In addition to actions by Congress, some federal agencies have been active in issues that affect senior living providers. For example, the Centers For Medicare & Medicaid (CMS) are in the process of redefining home and community based settings. ALFA has been active in ensuring the new definition will allow low income seniors to reside in assisted living. The latest draft is very supportive of assisted living and reflects a person centered approach that ALFA’s professionally managed communities will likely meet.
CMS has also been actively implementing measures outlined in the Affordable Care Act. Earlier this year, CMS announced the creation of 89 accountable care organizations (ACOs). Senior living providers cannot officially join ACOs, but the new incentives for hospitals and other healthcare providers may allow for senior living communities to engage in meaningful partnerships.
The National Labor Relations Board (NLRB) has also been extremely active in 2012. Earlier this year, the National Labor Relations Board’s rule requiring employers to put up a poster outlining workers’ right to unionize and rule allowing expedited elections were both scheduled to take effect. Due to actions by the courts, neither have been implemented; but both may be pursued by NLRB at a later date. ALFA will continue to monitor these and a number of other labor issues pursued by NLRB and the Department of Labor.
President Obama allocated $80 million for Alzheimer’s research in his 2013 budget, and the Department of Health and Human Services (HHS) finalized the National Plan to Address Alzheimer’s Disease. Although the initial draft did not include mention of assisted living, thanks in part to advocacy by ALFA and its members, the final plan recognized the role assisted living plays in the lives of many individuals with Alzheimer’s disease. The Advisory Council on Alzheimer’s Research, Care and Services has met several times throughout 2012 and will continue to meet in 2013 to implement this comprehensive plan.Many of these initiatives will carry over into the new year; but with some key members of Congress retiring at the end of the session, the political climate will be different in 2013. For example, the Senate Special Committee on Aging will have both a new chair and ranking member leading the committee. When the new Congress convenes on January 3, 2013, ALFA will begin targeted outreach efforts with new members and staff to begin developing relationships and introduce key policy objectives. Additionally, with President Obama’s second term there will likely be new political appointments. ALFA will proactively engage the new administration officials, including those assigned to the newly created Administration for Community Living, and continue its outreach with career level officials in the key federal agencies with oversight over ALFA issues.
To stay up to date on these and other public policy issues, read ALFA Update and subscribe to ALFA’s Senior Living Policy News RSS feed.
Federal Agency Activity, Hearings, Research
More than 100 House members sent a letter to the chamber’s Appropriations Committee to fund the National Institutes of Health at a level of at least $...
Federal Agency Activity
President Obama signed the PACE Innovation Act into law this month, enabling the Centers for Medicare & Medicaid Services to develop pilot projects ba...
Federal Agency Activity, Health and Wellness, Health Care
The Centers for Disease Control offers a free, downloadable flu app called FluView, showing flu-like illness activity levels across the United States,...
The Consumer Financial Protection Bureau has unveiled an interactive, online tool designed to aid consumers in deciding when to claim Social Security ...
Consumer Funding Resources, Consumer Intelligence, Long Term Care Insurance, Medicaid, Medicaid
Although there is no ideal solution, more Americans would have a greater incentive to purchase long-term care plans if those plans were changed and th...
cheatsheet, Federal Agency Activity, Health and Wellness, Health Care, Medicaid, Medicaid, Medicare
The Centers for Medicare and Medicaid Services is asking for feedback on a proposal to revise the discharge planning requirements that hospitals, incl...
Elder Abuse, Hearings, Medicaid
Criminal enterprises are a pervasive problem in fraud schemes involving home health, durable medical equipment, prescription drugs, transportation and...
ALFA's Public Policy Positions, Federal Agency Activity, Medicaid
Argentum has filed comments opposing the Centers for Medicare & Medicaid Services proposed regulations that would revise the requirements for long ter...
The Administration for Community Living has awarded the first-ever federal grants specifically designated to improve states’ Adult Protective Services...
ALFA sent a letter last week to the Veterans Benefits Administration regarding proposed annual reporting requirements for veterans and surviving spous...