Press Release from the SCAN Foundation (9.27.10):
Report Says Government Should Do More To Keep Older Adults Out of Nursing Homes
Report calls on states to use the implementation of the Affordable Care Act to end Medicaid’s long-standing bias toward funding long-term care in institutional settings such as nursing homes.
In commemoration of the six month anniversary of the health reform law, a new report from the National Senior Citizens Law Center, with support from The SCAN Foundation, calls on states to use the implementation of the Affordable Care Act to end Medicaid’s long-standing bias toward funding long-term care in institutional settings such as nursing homes.
The report, “11 Years Since the Olmstead Ruling: Progress, Problems and Opportunities,” describes steps forward and problems encountered since the landmark Supreme Court Olmstead ruling in 1999. In that ruling, the Court held that the unjustified isolation of people with disabilities in institutions is a form of unlawful discrimination under the Americans with Disabilities Act.
“The true message from the Olmstead ruling is that we need to create a long-term care system that is less reliant on keeping someone in a nursing home,” says NSCLC Executive Director Paul Nathanson. “The implementation of the health reform law provides a unique opportunity to ensure that many more low income older adults receive long-term care in their homes and communities where they prefer to be.” In defining problems that still exist, the report quotes the health reform law: “too small a percentage of individuals are receiving home-and community-based services [HCBS] under the Medicaid waiver programs.”
The report calls on states to participate in expanded HCBS options that are part of the health reform law including Money Follows the Person, a community-based attendant option called Community First Choice, and the State Balancing Incentive Payments Program. It also suggests that both the federal and state governments improve the quality of care and for Congress to emphasize HCBS in the 2011 reauthorization of the Older Americans Act.
Since the ruling, according to the report, progress has been made. Many individuals have successfully transitioned from nursing homes to community settings, but waiting lists for community services have grown considerably. As a result, many individuals have been unable to obtain the care and services they desire. The report also maintains that the ruling, which has been the basis of many legal efforts to compel states to expand HCBS offerings for older Americans, sets the stage for increased emphasis on the use of HCBS nationwide.
“The Olmstead ruling was vital because it changed both law and practice,” said Bruce Chernof, MD, president and CEO of The SCAN Foundation. “Improving our system of home- and community-based care for vulnerable seniors is a tremendous step towards allowing Americans to age how they want and where they want.” The report concludes that increased use of HCBS would bring more dignity and independence to the lives of persons requiring LTSS, and has great potential to reduce federal and state costs over time.
>>> For the Report
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