NSCLC seeks to ensure that low-income older adults have access to affordable health care and that more people receive long term services and supports at home and in the community.
We use administrative advocacy, in collaboration with local advocates and other national and state organizations, to provide information to and push for policy changes from federal and state agencies on relevant issues.
NSCLC selectively employs litigation to protect the rights of individuals to benefits and to their continued access to the courts. In addition, we provide education and counseling to local advocates who work with low-income older adults.
The key federal programs on which we focus our advocacy are Medicare and Medicaid. In 2013, we are focused in particular on dual eligibles and the state demonstration projects under development as a result of the health reform law. In California, the programs we primarily work on are Medi-Cal, the In Home Services and Supports (IHSS) program, and, in 2013, the state’s dual eligible demonstration project.
We seek to:
- Continue to champion consumer protection for those who have both Medicare and Medicaid (dual eligibles) as states move them into private managed care plans.
- Ensure that state efforts to move low-income older adults needing long term services and supports (LTSS) into private managed care plans recognize the need to provide home and community based services as an alternative to institutionalization.
- Decrease health disparities among low-income older adults by ensuring effective implementation of language access and data collection regulations.
- Continue litigation efforts to keep health care accessible and affordable to dual eligibles and other low-income older adults as well as protecting and expanding access to home and community-based services .
Last year, NSCLC was:
- A leading advocate for people with both Medicare and Medicaid (dual eligibles) and a primary information source for advocates on the dual eligible demonstration projects that seek to move thousands of people into private managed care plans.
- A vocal proponent for increased provision of home and community-based services as an alternative to nursing as states seek to shift older adults needing long term services and supports into managed care plans.
- A highly visible proponent of the Affordable Care Act’s individual mandate and the constitutionality of the health reform law in amici curiae both in federal courts and the U.S. Supreme Court.
- A defender of the rights of older adults to better nursing home care, full Medicare benefits for hospital care and ensuring that a settlement with the State of California to preserve access to adult day health care services was not implemented fully and properly.