Public Policy Resources
Adult day services is on the public policy agenda of most every state in the United States as advocates seek to help sustain equitable laws and funding for this valuable community-based service that keeps people living in their homes and communities for as long as possible. NADSA members can read more in the library about current legislation among the states.
2021 American Recovery Plan
The $1.9 trillion American Recovery Plan was signed into law on March 12, 2021. The following links include a comprehensive summary of the contents of the American Recovery Act and the changes the Senate made to the original House version.
Section by Section: ARP Title by Title Summary.pdf (senate.gov)
Summary of Senate Changes: ARP Summary of Modifications in the Senate Bill.pdf
Home & Community Based Services Definition
In 2014, the Centers for Medicare and Medicaid (CMS) adopted new rules for programs funded under Medicaid Home and Community Based Services (HCBS) waivers about what it means to live in a community setting. Adult day centers may be impacted by this ruling.
For more information about the Medicaid HCBS regulation, including a settings requirements toolkit, please visit: https://www.medicaid.gov/medicaid/long-term-services-supports/index.html
HCBSadvocacy.org is a platform to share information and resources regarding the new Home and Community Based Settings rule and stay informed about steps each state is taking to comply with the new rule. The website is a project of the Association of University Centers on Disabilities, the National Association of Councils on Developmental Disabilities, and the National Disability Rights Network. It includes news and documents from states, advocacy resources, comment deadlines, and links to the final rule and official guidance.
Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules. The guide provides analysis and recommendations for multiple aspects of the new regulations, including determining which settings are disqualified for HCBS, and enforcing consumer protections.
Medicare Adult Day Services Bill
The Medicare Adult Day Services Bill of 2013 (H.R.3334) was introduced by Representative Sanchez (D-CA) on October 23, 2013. This legislation builds on previous bills, H.R. 6476 and H.R. 3043, introduced by Representative Sanchez in 2012 and 2009, respectively. The first bill included 98 co-sponsors from 30 states plus Guam. The bill needed additional support in order to pass. NADSA is working with legislative staff to reintroduce a modified version of the Medicare bill in 2015.
Organizations and Reports
NADSA Participation in National Organizations
- Better Medicare Alliance
- Leadership Council of Aging Organizations
- Long-Term Quality Alliance
- Modern Medicaid Alliance
NADSA Collaboration with National Organizations
- ADvancing States
- ARCH National Respite Network and Resource Center
- LeadingAge
- Justice in Aging
- National Council on Aging
Government
- Centers for Disease Control and Prevention
- Centers for Medicare and Medicaid Services
- Disability.gov
- Eldercare Locator
- United States House of Representatives
- United States Senate
- Veterans Administration
Tools & Reports
- ARCH Report: Adult Day Services and Respite
- Innovative Approaches to Addressing Social Determinants of Health for Medicare Advantage Beneficiaries
- Positive Outcomes for High-Need, High-Cost Beneficiaries in Medicare Advantage Compared to Traditional FFS Medicare
- BMA Report on Health Disparities in Medicare
- Kaiser Foundation Medicaid Managed Care Market Tracker
- Modern Medicaid Alliance 2020 December Update
- National Study of Long Term Care Providers
- CMS LTSS Rebalancing Tool Kit
Presentations
- Medicare Advantage and the CHRONIC Care Act – Implementing Innovative, Non-Medical Solutions for Older Adults: Slides
- Medicare Advantage and Supplemental Benefits: New Data and Principles for Implementation: Slides
- Advancing Non-Medical Supplemental Benefits in Medicare Advantage: Event Recording; Slides
Advocacy Actions