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July 16.2025
2 Minutes Read

How Medi-Cal’s Housing-Related Services Can Combat Older Adult Homelessness

Older woman discussing Medi-Cal housing services outdoors.

Addressing Older Adult Homelessness in California

California’s senior population is experiencing alarming rates of homelessness, particularly among those aged 50 and older. This demographic is facing unprecedented housing instability, driven by factors such as the high cost of living, inadequate affordable housing, and the health-related challenges that come with aging. Elderly individuals experiencing homelessness frequently face rapid health deterioration, increased functional impairment, and an urgent need for institutional care...

Medi-Cal’s Lifeline: Community Supports Explained

Medi-Cal has responded to these growing challenges through its California Advancing and Innovating Medi-Cal (CalAIM) initiative, which encourages Medi-Cal Managed Care Plans (MCPs) to provide Community Supports. These supports are vital non-medical services aimed at supporting members in achieving housing stability, which is a pressing social determinant of health. Such services include housing transition and navigation, housing deposits, and tenancy sustaining services...

Understanding Community Supports: A Look at Available Services

Medi-Cal offers several pre-approved Community Supports designed to assist older adults at risk of homelessness. For example, Housing Transition and Navigation Services help seniors secure housing by guiding them through applications and finding suitable places to live. Other services, like Recuperative Care, provide short-term medical respite, allowing older adults to recover from injuries or illnesses in a safe environment...

The Importance of Housing in Health Outcomes

Research indicates that housing stability directly correlates with improved health outcomes for older adults. When seniors have a stable place to live, they experience a range of benefits—from enhanced health and well-being to a higher quality of life. This makes the Medi-Cal Community Supports not just a matter of housing but a critical public health issue...

Future Implications: Ensuring Housing Security for Older Adults

Looking ahead, addressing older adult homelessness in California will require robust support from local and state entities, as well as ongoing advocacy for increased availability of affordable housing. As Medi-Cal expands its Community Supports, it will play a pivotal role in ensuring that older adults can access the necessary resources. Ensuring that these services are well-promoted and accessible will be vital...

Making the Most of Medi-Cal’s Services: Practical Steps

For seniors, advocates, and service providers, understanding how to leverage Medi-Cal’s Community Supports is essential. Older adults at risk of homelessness should actively seek out housing transition services through their MCP to access assistance with housing applications, deposits, and tenancy sustaining services. With comprehensive support, we can work toward preventing homelessness among California’s aging population...

As we reflect on the critical role that housing stability plays in the lives of older adults, it's clear that Medi-Cal’s housing-related services represent a vital step toward enhancing the well-being and quality of life for California’s seniors. By addressing housing as a priority, we can foster a healthier, more secure aging community.

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01.15.2026

Navigating Medicare Coverage for Transgender Older Adults: Essential Insights for Advocates

Update Understanding Medicare Coverage for Transgender Older AdultsTransgender older adults face unique challenges in navigating health systems, particularly Medicare. Recent updates in policy and advocacy work aim to ensure they receive equitable health care. This article delves into what this means for advocates and older adults alike, providing essential insights into Medicare coverage tailored for those who identify as transgender.Your Gender Identity and Medicare: Know the BasicsIt’s crucial to understand that while a client's gender identity may not be printed on their Medicare card, it is nonetheless a part of their Medicare records linked to their Social Security identification. According to federal regulations, an individual's gender or identity should not impact their Medicare eligibility. However, changes to gender markers have become more complicated due to recent Social Security Administration policy revisions. As of 2025, the ability to alter sex markers with the SSA has been significantly restricted, meaning previously approved changes will continue to be honored, but no new changes can be processed.The Importance of Coverage Options for Transgender IndividualsChoosing the right Medicare plan is critical for transgender older adults, given their specific health care needs. Various options are available, including Medicare Advantage plans and Traditional Medicare, and the choice can greatly influence access to trusted providers and culturally competent care.When evaluating plans via the Medicare Plan Finder, it's essential to scan for details such as premiums, coverage of critical medications, and whether a provider is in-network. Understanding the nuances of these plans can make a significant difference in the quality and cost of care.Accessing Health Services: The Role of State Health Insurance Assistance Programs (SHIPs)Unfortunately, many transgender individuals encounter discrimination within the health care system. Federal law offers protection against such bias based on gender, but healthcare organizations may not always adhere to these regulations. State Health Insurance Assistance Programs (SHIPs) serve as a valuable resource for Medicare beneficiaries, offering free, personalized assistance in navigating their coverage options. Counselors can help individuals identify the best plans for their needs and guide them toward accessible care, reinforcing the importance of community support in achieving health equity.Transition-Related Care: What's Covered?Medicare has made strides in coverage for gender-affirming care. Hormonal treatments can be covered under Medicare Part D, but they often require prior authorization to ensure medical necessity. Notably, medically necessary gender-affirming surgeries also have a designated process for coverage under Medicare, which evaluates requests based on strict guidelines set forth by the World Professional Association for Transgender Health (WPATH).The Path Forward: Advocating for Transgender Rights in Health CareAs organizations strive to combat discrimination, it is essential that advocates remain informed about current policies affecting transgender health care. Continuous education on Medicare policies and active advocacy can empower older adults to know their rights and receive the care they need without bias.Moreover, even with the growing accessibility of Medicare for transgender individuals, advocates must remain vigilant and prepared to support their clients, especially in cases of denied coverage. There are established appeal processes available, and understanding these can be pivotal for older adults who may have experienced discrimination.Taking Action: Your Role as an AdvocateTo make a difference in the lives of transgender older adults, advocates can play a vital role by spreading awareness about Medicare policies and available resources. Connecting with local SHIP counselors, sharing accurate information, and offering emotional support can help reframe the experiences of many within the transgender community. This comprehensive approach will foster a more inclusive health care environment.ConclusionFor transgender older adults, navigating Medicare is fraught with challenges, but knowing one's rights and the available resources can facilitate better health outcomes. Advocates are essential in this journey, helping clients access the care they deserve while promoting awareness and equality in health care for all.

01.10.2026

Federal Court Blocks HUD Funding Cuts: What Seniors Need to Know

Update Federal Court Blocks HUD Funding Changes Affecting Seniors In a recent legal victory for advocates of older adults, a federal district court issued a preliminary injunction that halts the Department of Housing and Urban Development's (HUD) proposed funding cuts aimed at its primary homeless assistance program. The HUD's controversial plan sought to restructure the Continuum of Care (CoC) program by significantly reducing funding for permanent supportive housing (PSH), which could have dire consequences for older Americans—who represent the fastest-growing segment of the homeless population. The court's ruling serves as a temporary measure to provide stability as Congressional debate continues over the renewal of current CoC grants for another year. A renewed appropriation could not only ensure that vital support services remain funded but also offer a lifeline to older adults who depend on these resources for housing stability and support. Implications of the HUD Injunction for the Elderly With the rise in homelessness among seniors, the need for robust funding of PSH is critical. Advocates emphasize that the proposed cuts could potentially undo years of progress aimed at reducing elderly homelessness. Efforts to lobby Congress are now more crucial than ever, highlighting that funding for these support programs is not merely a budgetary item but a lifeline that affects the dignity and quality of life for many. House Passes Bill to Extend ACA Tax Credits: A Necessary Lifeline In another significant development for older adults, the House of Representatives approved a bill this week that extends the Affordable Care Act's enhanced premium tax credits (ePTCs) for an additional three years. This follows the expiration of the ePTCs on December 31, which led to drastically increased costs for many low- and moderate-income families seeking health insurance. By securing this extension, the House aims to alleviate some of the financial burdens on older adults who often face high healthcare costs. Despite the House's action, the bill still faces potential hurdles in the Senate. Advocates are urging constituents to contact their Senators to support this critical legislation to ensure that older adults and their families maintain access to affordable health coverage. As healthcare costs continue to escalate, the impact of this extension could be profound. Concerns Over Immigrant Data Sharing with DHS A recent ruling from the U.S. District Court for Northern California has authorized the sharing of certain Medicaid data between the Center for Medicare and Medicaid Services (CMS) and the Department of Homeland Security (DHS). This allows DHS to access information pertaining to some immigrant Medicaid enrollees. Critics worry about the potential consequences for vulnerable populations, especially older immigrants, who may hesitate to seek necessary medical care fearing repercussions related to their immigration status. This data-sharing decision underscores the ongoing ethical and practical debates regarding the intersection of healthcare access and immigration policy. It also affects approximately 20 states that have challenged this directive, posing challenges to the confidentiality and trust in healthcare systems. Medicare Legislation in the Spotlight Meanwhile, the discourse around Medicare continues to advance with recent hearings convened by the House Energy & Commerce Health Subcommittee focused on several bills that align with Justice in Aging’s priorities. One notable piece of legislation is the bipartisan Senior Savings Protection Act, which seeks to extend funding for outreach and enrollment assistance for low-income Medicare beneficiaries. The push for increased transparency in Medicare data through proposed legislation established by Rep. McClellan focuses on fostering an environment where beneficiaries can make informed choices without navigating complicated healthcare systems alone. These legislative efforts are vital in safeguarding the health and well-being of older adults. What This Means for Seniors The evolution of these legislative measures pinpoint a crucial moment in American policy as it pertains to the aging population. As the demographics shift, stakeholders from various sectors—including medical, housing, and legal—are ensuring that older adults remain at the forefront of policy considerations. By encouraging active advocacy and engagement, seniors and their families can influence the dialogue to protect and enhance the services they rely on. As you reflect on these changes, consider how they impact your community. It's vital that older adults remain empowered and informed about these issues. Your voice matters in the conversation about policies affecting housing stability and healthcare affordability. For further information on how to get involved in advocacy efforts, including writing your representatives about crucial legislation, visit the Coalition on Human Needs. Your actions can help drive change and ensure a robust support network for all seniors.

01.08.2026

Medicaid Estate Recovery's Burden: How It Deepens Poverty for Families

Update Unpacking Medicaid’s Estate Recovery: More Than Just PolicyIn a landscape where health care is fast becoming a battleground of economics and ethics, the current Medicaid estate recovery policies are a double-edged sword for vulnerable populations, particularly seniors and people with disabilities. Federal law mandates that states seek reimbursements from the estates of deceased Medicaid beneficiaries to cover certain costs. While the intention is to protect fiscal integrity within Medicaid, the implications are stark for families surviving loved ones who relied on this critical support system. Such policies, inadvertently, play a crucial role in perpetuating poverty and widening socioeconomic gaps.The Hidden Costs of Estate RecoveryTraditionally aimed at ensuring that Medicaid benefits are responsibly managed, estate recovery has, in practical terms, often led to unintended consequences. For many low-income families, the prospect of losing their family home can deter them from seeking much-needed Medicaid support. As a Missouri advocate poignantly stated, "Estate recovery asks [people] to make an impossible choice between their health and the financial security of their loved ones." The outcome here is not merely financial; it’s an erosion of familial legacies that could otherwise serve as a stepping stone for future generations.Disparities in Impact: Who Is Affected?Disparities emerge notably along racial and economic lines, as communities of color face compounded challenges. The Medicaid landscape reveals staggering statistics: 75% of seniors enrolled in Medicaid have net wealth of less than $48,500 at the time of death, with Black and Hispanic families typically holding even less. The ramifications are severe—families facing financial insecurities are often forced to liquidate assets, which undermines the ability to pass down wealth. The systemic barriers to wealth accumulation become even more pronounced in the context of familial wealth transfer, with other Medicaid beneficiaries fearing the repercussions of asset recovery. As emphasized in recent discussions and analyses, estate recovery creates a cycle that not only threatens immediate security but also destabilizes the long-term prospects of entire families.Actionable Insights: Advocacy and Changes on the HorizonThe conversation surrounding estate recovery is evolving. Recent proposals aim to modify or entirely eliminate these policies. Notably, H.R. 7573 would abolish estate recovery programs entirely, while H.R. 8094 seeks to protect the family home if transferred to eligible individuals or those under poverty thresholds. A growing coalition of advocates from various political backgrounds is joining forces to bring these issues to the forefront. Equity-driven solutions such as expanding hardship waivers or re-evaluating financial thresholds are essential steps toward mitigating the adverse effects of estate recovery.What Can You Do?For seniors and families navigating the complexities of Medicaid, understanding your rights and potential avenues for advocacy is paramount. Engage with local organizations focused on senior care and rights. Demand policy reforms to your state representatives and share personal stories to underscore the human impact of these laws. The more voices that join the chorus for change, the stronger the movement to create a more equitable health care system for all.

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