Senators Release Plan to Improve Long-Term Care Access, Quality, and Affordability

Last week, a group of 17 Democratic Senators, led by the Ranking Member of the Finance Committee, Senator Wyden (D-OR), announced plans to improve access and affordability for long-term care. In a letter to their Senate colleagues, the Senators outline three objectives: making home care affordable and accessible, improving the quality of care in nursing facilities, and strengthening the long-term care workforce. 

The letter specifies plans to develop legislation to strengthen Medicaid home- and community-based services and establish a home care guarantee in Medicare. The Senators also commit to strengthening staffing standards in nursing facilities.

These objectives align with Justice in Aging’s priorities, and we will be working with lawmakers to shape and enact these needed reforms.

Immigration Policy Change Requires Immigrants to Leave the Country to Gain Lawful Permanent Residency, Harming Older Immigrants and Immigrant Caregivers 

Last week, U.S. Citizenship and Immigration Services (USCIS) issued a policy memorandum changing the way certain categories of immigrants can gain legal permanent residency (LPR) status. Under the new policy, immigrants are now required to first return to their home country and then apply for LPR status under the Department of State (DOS)’s consulate policies. The consular process can take years and is expected to be longer now as a result of the policy change.

The USCIS rule poses a significant burden—especially for immigrant older adults and those relying on immigrant caregivers—and means that those applying to adjust their status would be subject to the DOS’s public charge rules. 

The Trump Administration changed these rules last year in ways that are particularly biased against older adults by considering factors like age, obesity, family members’ health status, and English proficiency. Proposed Department of Homeland Security (DHS) public charge regulations are also currently under review at the Office of Information and Regulatory Affairs (OIRA) and will likely be finalized soon.

Justice in Aging will continue to monitor these issues and update our network about new developments.

New Justice in Aging Resources

Upcoming Justice in Aging Webinars

Justice in Aging Webinar Recordings