Kerry-Grassley Bill Increases At-Home Care For Those In Need

WASHINGTON, D.C. – As millions of Americans face significant challenges when it comes to caring for loved ones who needs significant support, Sens. John Kerry (D-Mass.) and Chuck Grassley (R-Iowa) today introduced the “Empowered at Home Act.” The bill seeks to increase access to home and community based services by giving states new tools and incentives to make these services more available to those in need.

“Far too many elderly or disabled Americans can’t get the help they need in their home and community,” said Sen. Kerry. “Home- and community-based services are high-quality, cost-effective, and help many people live independent lives, but Medicaid continues to favor nursing homes. It’s a problem when the nation’s largest purchaser of long-term care services is tilted towards nursing homes rather than home and community based services. This bill will level the playing field and give families real choices to care for their loved ones, and give cash-strapped states new tools to provide cost-effective long-term care options to the most vulnerable.”

“Being able to live at home greatly improves quality of life because people can be with loved ones and have the dignity that goes with greater independence,” said Sen. Grassley. “This bill encourages states to help make that possible, which is also fiscally smart because institutional care is the most expensive form of long-term care that Medicaid pays for. This bill also empowers individuals to manage the financial burdens that come with caregiving needs.”

The “Empowered at Home Act” has four basic parts:

First, it will improve the Medicaid HCBS State Plan Amendment Option by giving states more flexibility in determining eligibility for which services they can offer under the program, which will create greater options for individuals in need of long-term supports. In return we ask that states no longer cap enrollment and that services be offered throughout the entire state.

Second, the bill ensures that the same spousal impoverishment protections offered for new nursing home beneficiaries will be in place for those opting for home and community based services. In addition, low-income recipients of home and community based services will be able to keep more of their assets when they become eligible for Medicaid, allowing them to stay in their community as long as possible.

Third, the Empowered at Home Act addresses the financial needs of spouses and family members caring for a loved one by offering tax-related provisions to support family caregivers and promote the purchase of meaningful private long-term care insurance.

Finally, the bill seeks to improve the overall quality of home and community based services available by providing grants for states to invest in organizations and systems that can help to ensure a sufficient supply of high quality workers, promote health, and transform home and community based care to be more consumer-centered.

The “Empowered at Home Act” has gained support of numerous health organizations including National Council on Aging, Alzheimer’s Association, American Geriatrics Society, Trust for America’s Health, and SEIU.