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Reply to The Medicaid Long-Term Care Reform Act of 2012     
Old 10-08-2012, 05:16 PM   #1
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State: Arthur Rudnick is an Insurance Agent from New York
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The Medicaid Long-Term Care Reform Act of 2012 The Medicaid Long-Term Care Reform Act of 2012
Just a quick plug:
If you are not yet a member of the Center For Long Term Care Reform, you should consider joining.


LTC Bullet:
The Medicaid Long-TermCare Reform Act of 2012

Friday, October 5, 2012

LTC BULLET: THE MEDICAID LONG-TERMCARE REFORM ACT OF 2012

LTC Comment: Congressman Charles W.Boustany, Jr., MD (R, LA) introduced the Medicaid Long-Term Care Reform Act of2012 (H.R. 6300) on August 2, 2012. This legislation advances the cause ofresponsible LTC planning and rational LTC public policy. Co-sponsors areGingrey, Blackburn, Tiberi and Westmoreland. The short description of H.R. 6300and the full text can be found on http://thomas.loc.gov. A few of its major featuresfollow.
  • Sense of Congress resolution to repeal CLASS, discourage middle class dependency on Medicaid, encourage private LTC insurance, educate the public about LTC planning, improve the LTC Partnership program, and allow states to target Medicaid to the most needy.
  • Compels the HHS Secretary to provide technical assistance to states on LTC Partnerships and Medicaid estate recoveries.
  • Requires the National Clearinghouse for LTC Information to increase the number of middle class people who receive information about the limitations of Medicaid and Medicare and the alternatives for private LTC financing.
  • Directs the HHS Secretary to evaluate ways to . . .
1. Expand LTC insurance coverage

2. Solicit ideas from listed stakeholders on ways toreduce state and federal Medicaid expenditures

3. Consider block granting Medicaid LTC

4. Study the effectiveness of Medicaid asseteligibility rules, estate recovery, and transfer of assets penalties.

5. Ascertain potential savings from policy optionsevaluated.
  • Requires the HHS Secretary to report to Congress no later than January 1, 2014 with recommendations based on the policy options considered in the preceding reviews.
  • Requires the Secretary to consult with a list of experts including the Center for LTC Reform.
  • Mandates the Director of the Congressional Budget Office to report on . . .
1. The percentage of middle class people who will rely in the next 20years on Medicaid for LTC services compared to the percentage that will relysolely on private financing from savings, home equity or insurance.

2. The cost of such reliance on Medicaid.

3. The likely impact of potential policy options such as reducingMedicaidís home equity exemption to $200,000 or $50,000; extending the transferof assets look back period to 10 years; expanding the use of liens to preserveproperty for later estate recovery; and allowing LTC insurance to be includedin employer ďcafeteria plans.Ē

4. The potential savings from such policy options if Medicaid were blockgranted to the states.
  • Precludes any proposal that requires the enrollment of individuals in a specific program or insurance product.
What do our nationís Governors thinkof the Medicaid Long-Term Care Reform Actís objectives? Thatís what the billíssponsors seek to find out in a letter mailed to Governors on September 14,2012, a sample of which weíve provided below.

After laying out some facts andprinciples about Medicaid and long-term care financing, the letter asksGovernors these questions:
  • Should the federal government give states greater flexibility to consider assets, including substantial home equity, when determining eligibility for long-term care coverage through the Medicaid program? Why or why not?
  • Please provide examples of barriers to effective Medicaid estate recovery programs and tools that might help states in this area.
  • Should state and federal governments encourage middle-income Americans to anticipate and plan for their future long-term care needs, instead of relying on Medicaid, a safety net for the poor? Why or why not?
  • Do you consider Medicaid estate planning to be a significant problem that takes resources from the truly needy in your state? Please explain and provide examples.
Interested in your Governorís reply?Why not forward this LTC Bullet to him or her and ask? You can find alist of the Governorsí email addresses here: http://www.conservativeusa.org/mega-cong.htm.

Who can object to saving Medicaidfor those in need? Certainly not advocates on the left who represent the poor.Not financial conservatives on the right who seek fiscal responsibility.Targeting Medicaidís scarce LTC resources to people in need and encouragingothers to plan responsibly for long-term care just makes objective sense,regardless of oneís political orientation or ideology.




------------------------------------
Arthur Rudnick, LTCP, CLTC
[email protected]
914-946-5695
  Reply With Quote to The Medicaid Long-Term Care Reform Act of 2012

Old 10-08-2012, 09:31 PM   #2
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State: asher is an Insurance Agent from Florida
The Medicaid Long-Term Care Reform Act of 2012 Re: The Medicaid Long-Term Care Reform Act of 2012
Thank you for sharing this!
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  Reply With Quote to The Medicaid Long-Term Care Reform Act of 2012
Old 10-09-2012, 10:35 AM   #3
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Join Date: Jan 2011
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State: Arthur Rudnick is an Insurance Agent from New York
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The Medicaid Long-Term Care Reform Act of 2012 Re: The Medicaid Long-Term Care Reform Act of 2012 Arthur Rudnick is the thread starter for: The Medicaid Long-Term Care Reform Act of 2012

previously posted by asher


Thank you for sharing this!
You're welcome. You can visit the Center's website at
Center for Long-Term Care Reform

------------------------------------
Arthur Rudnick, LTCP, CLTC
[email protected]
914-946-5695
  Reply With Quote to The Medicaid Long-Term Care Reform Act of 2012
Reply to The Medicaid Long-Term Care Reform Act of 2012 

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