State Legislation
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State legislatures across the country are convening to pass legislation to resolve many of the issues that arose during the Covid-19 pandemic. We are actively tracking aging-related legislation with the help of our state partners and following the 2023 State Legislative Calendar.
The sampling of state legislation below is intended to provide a snapshot of aging services-related legislation in statehouses across the country. The information is organized into 10 categories with bills relevant to that topic. The map below has all of the aging services legislation LeadingAge state partners are following. You can also click below to see bills by topic. If you have any questions please email eabbasi@leadingage.org
Summary from 2021
Summary from 2022:
Search State Legislation By Topic
Life Plan Community (LPC) and Assisted living facilities (ALF) are not federally regulated. States are responsible to develop guidelines and regulate these services to meet the needs of the aging population. LeadingAge’s state partners monitor and lead a number of legislative efforts on LPC and ALF. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
COVID-19 fundamentally changed life in the United States and the world. Providers who serve older adults continue to need relief – funding, staff, and supplies – and will require additional support to maintain their ability to serve older people, evolve based on lessons learned from COVID, and be ready for the next crisis. Our state partners are monitoring a number of legislative initiatives that impact the operations of aging providers and the wellbeing of older adults. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
Home and community-based services (HCBS) providers are at an inflection point. Over the last decade, significant improvement has been made in the availability of and public investment in these critical long-term care providers. Our state partners are closely monitoring a number of legislative efforts on HCBS. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
LeadingAge state partners are closely monitoring legislative efforts on hospice and palliative care. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
Medicare and Medicaid are critical revenue sources for most aging services providers and provide coverage to older adults who need post-acute care and/or long-term services and supports. These programs provide coverage to over 100 million Americans, including millions of older adults. There are continuous amendments to these programs at the state level to meet the needs of our aging population. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
Nursing homes are an essential element of the long-term services and support system, serving individuals with serious functional impairments who are unable to live independently in the community. Although fewer than 4% of those over 65 will ever live in a nursing home, these settings provide treatment and care in a safe, home-like community that supports a quality of life when aging in the community is no longer an option. Our state partners have engaged in a number of legislative initiatives on nursing homes – click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
LeadingAge State partners are following a number of legislative efforts that impact the aging population and the providers that support their wellbeing, such as mental health, liability, tax credit, Alzheimer’s, and medical cannabis. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.
There have been massively increased flexibilities to utilizing technology to deliver all types of care, particularly in the Medicare program. Telehealth became an essential lifeline for health care systems during a time of unparalleled challenges and strains. The coronavirus pandemic has increased the use of technology to deliver appropriate and timely care to keep people safe, healthy, and well-connected. States across the country continue to introduce legislation that provides flexibilities in telehealth.
Recruitment and retention of professional caregivers in the aging services workforce have long been the perennial, critical issue for nearly every provider member of LeadingAge. As the coronavirus pandemic raged on throughout 2020, it exacerbated and exposed these widespread staffing challenges to a broader audience. Entering 2021, aging services providers across the continuum are finding new sources of workers by engaging in a number of legislative efforts. Click on the highlighted states to see more information about the bills, including sponsors, latest action, and their status.