Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Build Back Better Bill Dead? What is Lost?

January 19, 2022

Sen Manchin Probably Killed the BBB Bill-

As the Voting Rights Bill is probably going to be killed by Senator Sinema & Manchin, Machin is also responsible for the probable death of the Build Back Better Bill.

IN December Senator Manchin, a Democrat from West Virginia and the crucial holdout vote on Build Back Better Bill announced, “I cannot vote to continue with this piece of legislation… I’ve tried everything humanly possible; I can’t get there.” Whether this is a death knell for the president’s legislative agenda or just a serious setback is still to be litigated.

President Biden had been in negotiations with Manchin, who has withheld his support for the bill, making him a key vote in the evenly divided chamber. Biden said Manchin has reiterated his support for the overall cost of the bill. He said negotiations are continuing but more time is needed. 

Though Senate Majority Leader Chuck Schumer has vowed to bring the Build Back Better bill up for this month, it is all but doomed. Even so, Democrats hope to revive it in some form that could win support from every member of their Senate caucus.

What Do Seniors Lose

A senior suffering from deafness without hearing aide

 

Hearing Aids for Seniors Gone

Medicare currently does not cover hearing, dental, or vision as it once did but the Build Back Better plan addresses costs for hearing. Changes would not begin until 2023, but it would allow for coverage of hearing aids — an expense that can range drastically, from       $1,000 to a few thousand dollars.

Negotiating Drug Prices Gone

Prescription Drug Prices Not Negotiated By US

The Build Back Better Bill would allow Medicare to negotiate drug prices for medications available at a pharmacy or doctor’s office. The current process for determining drug prices varies for the type of medication and how long they have been on the market. This bill offers a few changes, such as imposing a penalty fee for drug companies that raise their prices faster than inflation and laying out the framework for price negotiations.

Lost -Changes in Home- and Community-Based Care.

The spending bill earmarked $150 billion for in-home and community services through Medicaid over the next decade.  The BBB bill contains additional funding for a Medicaid program that provides home- and community-based care services for eligible elderly Americans and people with disabilities. According to Kaiser Family Foundation estimates, there are more than 800,000 people on Medicaid waiting lists for these services across the country. 

Americans don’t always consider home and community-based care or long-term care when making their retirement plans, but they should. Already, a 65-year-old couple retiring could expect to pay $300,000 in retirement for healthcare alone, but that doesn’t include the cost of a homecare aide or nursing home which could amount to thousands of more dollars every month.

If Aging is Your Field Call Your Representative Now

To find your local representative and tell them to support Biden’s bill if you care about aging or caregivers or women or shoring up the frayed- fraught care infrastructure. I have done a series of blogs on the bill. Check them out now 

 

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What Does Biden’s Infrastructure Plan Do For Family Caregivers?

April 26, 2021

 

What Does Biden’s Caregiver Infrastructure Plan Do For Families?

President Biden’s Caregiver Infrastructure plan will help families -the very infrastructure that supports elders as they age. What do I mean? Currently, 53 million family members provide most of the care that vulnerable seniors and people with disabilities require — without being paid as Medicare does not pay for long-term caregiving.

Family Members Provide Care for No Pay 

There is often a significant financial and emotional cost to these family caregivers. According to AARP, family caregivers on average devote about 24 hours a week to helping loved ones and spend around $7,000 out-of-pocket on that care.

The value of this unpaid labor force is estimated to be at least $306 billion annually, nearly double the combined costs of home health care ($43 billion) and nursing home care ($115 billion)

Medicare Does Not Pay for Custodial CaregivingGCM-pix-3.jpg

Families are shocked when they discover that Medicare does not pay for custodial caregiving or long-term care. This is the type of care that most elders will eventually need as they age. They will pay for short-term care post-hospitalization. So most elders must depend on their families for this care or if they are in the upper 10-15% pay for private duty home care which can run up to $4000-$6000 a month if they need 24-hour care, creating severe inequality in out care infrastructure.

 

Some Family Caregivers Can Be Paid Through Medicaid and the VA

Although family caregivers and actually in-home care is not paid by Medicare, some family caregivers are  paid  through the VA  and  family caregivers supporting a relative on Medicaid 

In the US 1-5  Americans receive Medicaid. which is only available for low-income individuals.VA Homecare is only available to veterans with specific criteria 

 Biden’s Caregiver Program May Help Medicaid Family Caregivers

 

The median salary for these home-care workers, who care for low-income Medicaid recipients, is approximately $17,200 per year, said Leslie Frane, executive vice president at SEIU. This is in large part because the United States pays only limited amounts to states to compensate them for Medicaid care in the home. More than half of home-care workers are on some form of public assistance themselves such as food stamps, Frane said. They are overwhelmingly female and far more likely to be people of color than the general population.

 

Being a Caregiver on Medicaid Comes at a High Personal Cost

Being a caregiver for a family member presents incredible hurdles for all family caregivers but under Medicaid comes at a  high cost. .Caregivers often have to significantly reduce their number of hours working outside the home or leave their jobs entirely in order to provide quality care for their loved one. This means that caregivers are spending hours assisting loved ones with daily tasks, cooking meals, taking them to appointments, ensuring their safety and well-being, and providing companionship, but are not being compensated for their time.

Biden’s Health Care Plan May be Unveiled This Week

As I mentioned in my last blog, there are still few details about how Biden’s Caregiver Infrastructure Bill of $400 million will be allocated. However, there is reason to believe that a large part will go to these family caregivers who support their elderly relatives on Medicaid.

We may get a hint of what and when that will be this week when Biden will discuss changes in Heath care he will include in the will try to include in his American Family Plan.

JOIN ME FOR MY NEW FREE WEBINAR

 

Market Your Agencies Safety as Aging Families Still Fear Raging Pandemic 

When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)

 

 

Learn to market your safe care management business during the “Semi-Post “Pandemic, to overcome hesitation to use homecare and GCM services as US COVID-19 slowly diminishes,World Wide COVID spikes,US vaccination accelerates yet elders are

not fully vaccinated, US COVID still spikes, variants explode, anti-vaxers abound, vaccines taken off the market and 8000 American still die each day.

 

Understand how to innovatively sell” trust” in your safe care management services so family caregiver’s & 3rd parties choose you as a safe agency

 

Learn to use public relations and marketing to show you are focused on caregiver and care management safety

COVID services by showing you follow the new CDC’s leaderships safe path to safety.

 

YOU WILL LEARN

  • 5 steps to create an e-newsletter with the right copy, to get out the word about your safe COVID 19 services through required COVID protocols

 

 

 

  • 10 steps to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID safe services and other local resources to assist caregivers in the community
  • 7 steps to use social media to alert aging family caregivers to the clear path to your GCM agency provides safety from the diminishing but still present virus in the US.

 

  • 5 steps to get local media coverage of your COVID -19 safe services, care providers, and general excellent care management and home care products free PR with radio and TV coverage plus pick local newspapers where ads may pay off to sell your COVID Products

 

  • 5 steps to understand how to generate word of mouth customers for your COVID -19 safe services using your continuum of care in your community
  • 10 steps to use the powerful new tool of Video to market your agency’s COVID safety and excellent services as the pandemic diminishes but is still in your community, state, and country

SIGN UP

.

You are invited to a Zoom webinar.
When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)
Topic: 5 Steps to Market Your COVID Coaching Service for Aging

REGISTER NOW

 

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Filed Under: Aging, Aging Life Care, aging life care manager, Biden's Caregiver Bill, Blog, caregiver, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, CAREGIVER RESOUCES, Custodial Care, Families, Family Caregiver, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Medicaid, Medicaid caregiver, nurse advocate, nurse care manager, SEIU Tagged With: Biden's Home Care Plan, Biden's Infastructure Bill, Biden's infrastructure- Caregiver Bill, Care infastructure, caregiver burn out, caregivers live in poverty, Custodial caregiving, Family Caregiver Alliance, family caregiver poverty, family caregivers, HCBC, Home Based Community Care, Medicaid, Medicaid & Community Based Care, Medicaid caregivers, PTSD in family caregivers, Uncovered Medicare Services, unpaid family caregivers

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