Protecting Medicare and Medicaid

Preserving & Expanding Access to Vital Services

Older adults who rely on Medicaid, Medicare and the Affordable Care Act can’t afford to lose consumer protections and critical health care, long-term services and supports that help them meet their daily needs. Justice in Aging strongly defends against legislative and regulatory changes that would hurt older adults, and keeps the aging and disability network informed of the latest proposals and how any changes would impact the millions of older adults already living in or near poverty.

  • Affordable Care Act
  • Medicaid Retroactive Coverage
  • Medicaid Work Requirements
  • Transportation

The Affordable Care Act, along with the coverage and consumer protections it provides, is crucial for older adults. It expands health insurance coverage, access to home and community-based services (HCBS), and prevents
discrimination based on age and disability.

Fact Sheet: How the ACA is Helping the Older Adults Most Impacted by the COVID-19 Pandemic, July 2020

Amicus Brief: In the case California et al., v. Texas et al., May 2020

Issue Brief: 10 Year Check-Up: The Affordable Care Act Has Enhanced Access to Quality Health Care for Low-Income Older Adults, July 2019

Retroactive Medicaid coverage is a key financial protection that helps older adults and others who develop sudden illnesses or long-term care needs access the care they need right away. It is a smart policy intended to protect low-income people from crushing medical debt in instances where they need emergency medical or long-term care and cannot apply for Medicaid immediately. But several states are eliminating this protection through Medicaid demonstration waivers approved by the federal government.

Issue Brief: What’s at Stake for Older Adults When States Eliminate Retroactive Medicaid Coverage? September 2019

Fact Sheet: What's at Stake When States Eliminate Retroactive Medicaid Coverage? September 2019

Webinar: Retroactive Medicaid Coverage-What's at Stake for Older Adults when States Eliminate this Protection? October 2019

Blog: Medicaid's Built in Solution to Protect People from Crushing Debt, February 2020

Amicus Brief: United States Court of Appeals for the District of Columbia Circuit on behalf of low-income Kentuckians whose Medicaid coverage is at risk due to Kentucky’s Medicaid waiver, June 2019

Check out our Resource Library for comments we have submitted opposing the elimination of Medicaid Retroactive Coverage.

Medicaid is an important source of health insurance coverage for many of the 40 million family caregivers in the United States who do not have access to other affordable coverage options. However, many states are in the process of designing or implementing policies that require family caregivers and others who are eligible for Medicaid to work a certain number of hours per month or qualify for an exemption to maintain their health coverage. Low-income family caregivers may be unable to work sufficient hours at a paid job because of their caregiving responsibilities and may not qualify for the state’s exemptions. As a result, many will lose access to health care they need to maintain their own health, harming both their own well-being and the well-being of the older adults they care for.

Issue Brief: Medicaid Work Requirements-The Impact on Family Caregivers and Older Adults, November 2018

Fact Sheet: The Impact of Medicaid Work Requirements on Family Caregivers and Older Adults, November 2018

Webinar: The Impact of Medicaid Work Requirements on Family Caregivers and Older Adults, December 2018

Amicus Brief: United States District Court for the District of Columbia This amicus was filed on behalf of New Hampshire Medicaid beneficiaries age 19-64 who gained coverage under the state’s Medicaid expansion, but now stand to lose that coverage because the federal government approved the state’s request to impose work reporting requirements, May 2019

Check out our Resource Library for comments we have submitted opposing Medicaid Work Requirements.

Non-Emergency Medical Transportation (NEMT) is a federally required Medicaid benefit. Within certain guidelines, each state Medicaid program is given significant discretion in crafting the NEMT benefit for Medicaid beneficiaries. This important program currently serves over 7 million Medicaid enrollees who, due to cognitive and physical changes, may have a reduced ability to drive or use public transportation. The Centers for Medicare and Medicaid Services (CMS) has signaled that it will allow states to make these benefits optional, putting them under threat of cuts or elimination

Fact Sheet: Medicaid Non-Emergency Medical Transportation for Older Adults: A Critical Benefit at Risk, May 2019

Issue Brief: Medicaid Non-Emergency Medical Transportation An Overlooked Lifeline for Older Adults, October 2016