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January 31.2026
3 Minutes Read

Congress Funding Deadline Looms: Key Updates for Seniors on HR 1 and Medicaid

Justice in Aging logo with tagline, light blue background.

Crunch Time: Congress Faces Funding Deadline

As January 30, 2026, looms, Congress is racing against time to finalize a Fiscal Year (FY) 2026 funding package, crucial for vital agencies such as the Department of Health and Human Services (HHS) and the Department of Housing and Urban Development (HUD). With funding set to expire, a partial government shutdown appears imminent unless a bipartisan agreement can be reached. Currently, the Senate has blocked the House-passed funding package due to contention over the Department of Homeland Security (DHS) spending allocations and recent actions by Immigration and Customs Enforcement (ICE).

However, hopes for a resolution are on the horizon, as Senate leaders have proposed to separate the DHS bill from the broader appropriations package. If successfully amended, the Senate's version will head back to the House for yet another vote. This legislative back-and-forth raises anxiety among many, particularly seniors who depend on these services.

What’s on the Agenda? HR 1 Implementation Updates

In parallel developments, significant strides are being made to implement HR 1, the 2025 budget reconciliation bill. The Centers for Medicare and Medicaid Services (CMS) has unveiled the inaugural disbursement of funding under the Rural Health Transformation Program (RHT). This funding aims to bolster health services in rural communities across every state. For 2026, each state is poised to receive a share, showcasing a commitment to enhance accessibility to health care for older adults.

The Kaiser Family Foundation (KFF) has also initiated a tracker to help monitor Medicaid work requirements—a sentiment echoed in discussions surrounding the upcoming webinar hosted by Justice in Aging on February 5. This session will cover strategies to alleviate potential harm from new Medicaid work requirements, illustrating the need for advocacy and education around these changes.

Critical Resources for Seniors

Justice in Aging continues to be a vital resource, offering numerous tools and insights. Recently, they alerted the community with valuable updates, including a fact sheet about upcoming Medicare deadlines and another detailing critical info for transgender older adults.

In their ongoing commitments to the community, Justice in Aging is readying a comprehensive toolkit designed to empower stakeholders in advocacy efforts concerning devastating attacks on disability rights.

The Larger Context: Medicaid Challenges Ahead

The backdrop of this governmental wrangling is a climate of uncertainty surrounding Medicaid. With Medicaid reform slated to intensify in 2026, policymakers and advocates face potential upheavals in access to care. Reports suggest that recent legislation could lead to an influx of individuals losing coverage—predominantly caused by new work requirements affecting a large section of Medicaid enrollees.

Recent analyses highlight that up to 7.5 million Americans could be uninsured by 2034 due to these changes, emphasizing a critical juncture for health policy going into the mid-2026 elections. Some states are already taking proactive steps; Nebraska, for instance, plans to implement federal work requirements earlier than mandated, commencing May 1, 2026.

The Road Ahead: What Seniors Should Watch For

As the legislative landscape shifts, seniors must stay informed on several critical issues:

  • How states manage Medicaid work requirements and their impact on enrollment.
  • The influence of federal legislation on state budgets and healthcare quality.
  • The broader implications for healthcare access as new laws are implemented.

An awareness of these factors will help older adults navigate the uncertain waters ahead, ensuring they are well-prepared to advocate for their rights and needs amid legislative changes.

Your Voice Matters: Take Action!

To stay informed and to contribute to the discussion around protecting the rights of seniors, consider participating in the upcoming webinar and exploring the myriad resources offered by Justice in Aging. Being proactive is crucial to safeguarding access to essential services.

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02.03.2026

Why Rescinding the Nursing Home Minimum Staffing Rule Is Dangerous for Seniors

Update Why The Nursing Home Staffing Rule MattersThe recent decision by the Trump administration to rescind minimum staffing requirements for nursing homes has raised significant concerns among advocates for the elderly and those working in the industry. With more than 1.2 million Americans living in nursing homes, adequate staffing levels are essential for ensuring proper care and safety for residents. This rollback of regulations is critiqued heavily due to the potential increase in neglect and lapses in care that could follow.The Shocking Impact of Staffing LevelsRecent studies indicate a direct correlation between staffing levels and quality of care in nursing homes. For instance, researchers from the University of Pennsylvania estimate that maintaining required staffing levels could save approximately 13,000 lives annually. This startling fact underscores the grave risks posed by insufficient staffing: when care professionals are stretched thin, residents can suffer from preventable complications such as dehydration, malnutrition, or untreated infections.Understanding the Rationale Behind the RollbackAdvocates for the rollback argue that the staffing requirements impose an untenable financial burden on nursing homes, especially in rural and underserved areas where hiring qualified staff remains a persistent challenge. The 2021 regulations instituted under the Biden administration required facilities to maintain a registered nurse 24/7 and provide an average of 3.48 hours of direct care for each resident per day. Critics of the rollback argue that economic concerns should not come at the expense of vulnerable populations' well-being and dignity.What the Experts Say: Diverse OpinionsVarious organizations, including AARP, have rallied against the decision, asserting that minimum staffing standards are critical for protecting residents' safety and dignity in care facilities. On the flip side, industry representatives highlight the operational difficulties that come with stringent requirements, suggesting that flexibility could allow for better responses to local workforce dynamics. This raises an important question: where should the line be drawn between regulatory oversight and operational feasibility?What This Means for Caregivers and ResidentsThe ramifications of this decision extend beyond nursing home owners to the caregivers and families relying on these facilities for quality care. As staffing levels decline, many caregivers may feel the pressure of increased workloads and emotional burnout. Families concerned about their loved ones' health should be especially vigilant and proactive in communicating with care providers about staffing levels and care quality.Call to Action: Policies for Improved CareWith the nursing home industry poised for change amid broader healthcare reforms and the aging population challenging current systems, it’s critical for families, seniors, and advocates to voice their concerns. Engaging in policy discussions and pressing for better regulations can contribute to a lobbying effort that demands attention to quality care standards. Consult with local advocates or organizations such as AARP to get involved in advocating for policies that ensure resident safety and dignity remain paramount in nursing home care.

01.31.2026

Celebrating Black History Month: A Tribute to Heritage and Community for Seniors

Update Embracing the Legacy: Understanding Black History MonthEvery February, Black History Month presents an opportunity for individuals and communities to reflect on the rich heritage and contributions of African Americans throughout history. This month serves not just as a celebration, but as a reminder of the struggles and triumphs that have sculpted American society. For seniors, this period is especially poignant; it is a time to remember the past, learn from it, and carry forward the lessons into future generations.Why Honoring Our Heritage MattersUnderstanding one's heritage is vital for personal identity, and for seniors, this can bring comfort and meaning. Black History Month acts as a catalyst for remembering the struggles against oppression, celebrating achievements, and promoting respect across communities. Local events such as informational sessions, film screenings, and community art exhibits provide engagement opportunities for all ages, helping seniors feel connected and valued. According to research highlighted in the Picture This blog, historical awareness fosters a sense of belonging, making elders feel empowered in their narratives.Engaging Through Stories: Learning from the PastStories of significant historical figures, like Harriet Tubman and her incredible journey as an abolitionist, serve as powerful examples during Black History Month. Such stories humanize history, allowing seniors to revive or enhance their understanding of the past. According to Atlas Obscura, films like "Something Good-Negro Kiss" from William Selig, rediscovered recently, showcase early depictions of love amidst a paradigm of racism. These narratives not only enrich our history but also promote teachings that foster connection and understanding among diverse groups.Local Celebrations and Community ConnectionsVarious localities host events that resonate with the senior community during Black History Month. These events often include discussions, performances, and art showcases designed after the contributions of African Americans. Participating in these activities can re-energize seniors, providing chances to meet others and exchange cultural stories, ensuring they remain active participants in their communities.Exploring Black Joy and ResilienceWhile it’s essential to confront the harsh realities of the past, Black History Month also allows space to celebrate the joy and resilience present within the African American community. The murals painted across neighborhoods, each telling stories of hope and unity, emphasize that the legacy is not just of sorrow but also of celebration. Initiatives like the Black Panther Mural Project aim to highlight aspects of Black joy, inviting all ages to reflect on the progress made and potential ahead.Looking Ahead: Preserving Stories And CultureAs we honor Black History Month, it’s crucial to engage in preserving the stories and culture as they pertain to our seniors. Organizations across the nation focus on archiving narratives of local Black communities, ensuring that these pivotal moments are not lost to time. The work of historians and researchers enriches our understanding and keeps the conversation alive, encouraging young people to learn from today’s seniors.Conclusion: A Call to Remember and ActIn conclusion, Black History Month stands as a significant reminder of the importance of heritage and shared experiences. It offers seniors a platform to share their wisdom, to remember collective histories, and to impart lessons to younger generations. As we observe this month, let us encourage our local seniors to engage in these vital conversations, share their stories, and deepen the understanding of our shared American experience.

01.30.2026

Fight for Disability Rights: States Challenge Section 504 in 2026

Update Understanding the Renewed Attack on Section 504 On January 23, 2026, Texas and eight other states—Alaska, Florida, Indiana, Kansas, Louisiana, Missouri, Montana, and South Dakota—filed a renewed challenge against Section 504 of the Rehabilitation Act. This critical piece of legislation has historically mandated that individuals with disabilities receive services in the most integrated settings possible, overturning a long history of institutionalization. These states argue that the recent updates to Section 504 by the U.S. Department of Health and Human Services (HHS) are unlawful and unconstitutional, threatening the fundamental rights of disabled individuals. Historical Context: The Olmstead Decision The roots of the integration mandate can be traced back to the Olmstead v. L.C. decision by the U.S. Supreme Court in 1999. This ruling established that segregating individuals with disabilities can constitute discrimination under the Americans with Disabilities Act (ADA). Since then, advocates have worked extensively to ensure that disabled people have the right to live and participate in their communities. The 2024 updates to Section 504 aimed to strengthen these protections, emphasizing that entities could violate the law if they failed to provide integrated services. The Stakes: What a Counterattack Means for Disabled Communities If the states succeed in their challenge, the implications could be dire. Many disability advocates express concerns that such legal adjustments could lead to increased institutionalization rates. Alison Barkoff, a prominent disability rights attorney, noted that the right to community living is a hard-fought battle, saying, "Any efforts to weaken the integration mandate seriously concern me." Advocates fear that the rollback of these rights would push individuals requiring long-term care back into facilities that previously sidelined them from society. Seeking Support: The Role of Advocacy The backlash against Section 504 has mobilized various advocacy groups, urging people in the affected states to contact their governors and attorneys general. Activists believe that public pressure could help mitigate the impact of these legal challenges. Efforts such as those from Justice in Aging and The Arc underscore the importance of taking action to protect the autonomy and independence of disabled individuals. Citizens are encouraged to advocate for their rights and inform their local representatives about the potential consequences of dismantling Section 504's protections. Reflection on the Broader Implications for Disability Rights This renewed challenge against Section 504 isn't just a legal battle; it's a reflection of ongoing societal attitudes toward disability. The necessity for federal protection is underscored by historical prejudice and the struggle for inclusion that individuals with disabilities have faced for decades. It highlights the critical need for ongoing vigilance and advocacy to ensure that hard-earned rights are not dismantled under the guise of legal technicalities. Future Predictions: The Impact of Proposed Regulations As this legal process unfolds, experts speculate about potential outcomes that could redefine the future for disabled individuals. Should the states prevail, many may find themselves without adequate services or forced back into institutional care. Conversely, a ruling in favor of the continued enforcement of Section 504 would solidify the progress made in disability rights and ensure that individuals with disabilities can continue to thrive in their communities. Taking Action: How You Can Support Disability Rights Advocacy is crucial during this time of uncertainty. The disability community has long fought for strong rights protections, and now is the time to stand up and defend them. You can assist by educating yourself and others, contacting policymakers, and participating in community discussions that promote awareness of disability issues. If you reside in one of the affected states—Texas, Alaska, Florida, Indiana, Kansas, Louisiana, Missouri, Montana, or South Dakota—consider reaching out to your local elected officials and expressing your support for the enforcement of Section 504. To get involved and take concrete action, visit resources like DREDF.

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