
Justice in Aging (JIA) has shared the Congressional Budget Office (CBO) cost estimate for the Budget Reconciliation Act (H.R. 1) as signed into law. This law makes the largest cuts to Medicaid and SNAP food assistance in history. It will take health coverage from 10 million people, including many older adults and people with disabilities. An additional 5 million people are estimated to lose their Affordable Care Act (ACA) Marketplace coverage because of the expiration of enhanced premium tax credits. Without these tax credits, older adults will face skyrocketing premiums.
Learn more in JIA’s analysis of the Medicaid and Medicare provisions of the final bill impacting low-income older adults, and register for its webinar on H.R. 1 on August 13th.
Thorn Run Partners has developed a comprehensive overview of the various implementation timelines and details across the range of health care provisions included in H.R. 1.
National Association of Rural Health Clinics (NARHC) has provided a summary of the impact of H.R. 1 on rural health clinics.
The impact of H.R. 1 that was signed into law on July 4th will impose devastating impacts on the states and therefore on all forms of long-term care, including Adult Day Services (ADS). Unless States are willing and able to step up to fund these optional services vulnerable individuals who participate in Adult Day Services – over 250,000 seniors and adults with disabilities – may lose access to essential Home and Community-Based Services including Adult Day Services, home care, transportation access, and home delivered meals. These impacts will also be felt by hundreds of thousands of caregivers whose loved ones are at risk of losing the care they deserve.
The National Adult Day Services Association (NADSA) will be preparing tools and information for our members to advocate for Adult Day Services in their states as legislators and agencies contend with less federal funding to support Medicaid, SNAP and other essential benefits. Making the case that Adult Day Services is the most cost-effective way to provide care, reduce social isolation and allow seniors and adults with disabilities to remain in their homes and communities has never been more important. The 2025 NADSA Conference which takes place in Chicago this October will feature policy and advocacy sessions and networking opportunities with your peers in the industry. Here is the link: 2025 NADSA Conference.
NADSA stands with the thousands of ADS centers across the United States in its disappointment with the passage of H.R. 1. We will continue to work with our national partners to uncover resources and provide advocacy assistance to promote the social and economic benefits of Adult Day Services on behalf of those they serve.