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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsALERT - Referral Of Medicaid To States Will Burden Offspring W/ Parents Long Term Care.
One little known side effect of giving Medicaid to the states means that the states could pass laws that will force the children of parents to pay for nursing home care. Right now federal law prohibits states from taking the assets of children to pay for nursing home care of parents after death. Only the assets of the parents are effected now.
Before 1970 the states had the ability to BILL the children of parents in nursing homes for their parent care. It was a LEGAL debate like a mortgage or car loan. The meant the state could use all the debt collection methods available to take assets of the children.
Now I have posted this information in the past. And I know about it from my family experience with it. My grandmothers daughters had to pay money from their paychecks to help pay. Their property could have liens put on if they did not pay.
Wellstone ruled
(34,661 posts)Told the kids today,get ready to lose your butts,cause when the Bank roll goes,we are coming.
marybourg
(12,633 posts)MFM008
(19,816 posts)see my parents house is in my name.
My dad is gone but a nursing home or rehab center for my mom..and she has heart failure
would cause us to lose the house.
I so want to see the maggot drop dead.
WillowTree
(5,325 posts)Medicaid is already a state run program.
TheMastersNemesis
(10,602 posts)There is some Medicare coverage in a rehab nursing home facility. But that coverage is very short term and is usually for rehab back to home. Medicaid comes into play when there is a permanent nursing home placement. In that case the assets of the individual have to be liquidated to pay for the care. Once ALL assets are gone the individual goes onto Medicaid coverage.
Now presently the assets of the children cannot be touched. If Medicaid is given to the states the children's assets could be affected.
milestogo
(16,829 posts)What do you mean "if Medicaid is given to the states"?
Medicaid as it stands is jointly funded by the state and federal governments and is managed by the states.
pnwmom
(108,980 posts)The Rethugs want to lump Medicaid into block grants to the states, and let the states decide what to spend the money on. That means the states would no longer be required to use the Federal funds to pay for nursing home care for the indigent. They could use the money for other purposes and go back to requiring adult children to pay for their parents nursing home costs.
TheMastersNemesis
(10,602 posts)Medicaid is funded by the federal government. The states still pay a portion of the over all cost. Even though it is a joint venture the Medicaid law is administered under "federal' guidelines. Now the states run the program at their level. However, they must run the program based on "federal guidelines".
What that means is that the federal law essentially sets up the rules. There are things that the states are not allowed to do under the federal guidelines.
NOW HERE IS THE MOST IMPORTANT PART OF THE MANDATES. Under federal law the states CAN ONLY take or claw the assets of the individual and their estate upon death to pay for the nursing home care if Medicaid has paid for the care. To first qualify all assets like savings, investments, and liquid capital must be used and liquidated before Medicaid pays. The person must be down to $2000 except for real estate. The real estate usually has a lien filed against it until the person passes. After all expenses are paid back to the state any remaining money goes to heirs. THERE USUALLY IS NONE LEFT.
Under present law passed by Republicans it is very difficult to sign property over to the children. It used be if a property was signed over 36 months before person went to nursing home that could NOT be touched. It is no longer the case now.
HERE IS THE KICKER. When the Medicaid program is sent back to the states under a block grant the federal mandate that protects the assets of the children is NO LONGER IN EFFECT. That means the state can force the children to pay if their parent has to go on Medicaid. States could make the offspring use THEIR assets and pay checks to help pay. What would likely happen is that each child would have to pay so much of their income based on how much they make to take care of their parent.
Giving Medicaid to the states to do what they want creates a lot of problems for the children potentially.
Before Medicaid the children were responsible for paying for long term care for their parents who were broke.
milestogo
(16,829 posts)I had no idea that children had been responsible. I guess that explains why so many people had elderly parents living with them in the past and that does not happen as often now.
So people who are trying to pay for their children's education, pay off their student loans, and save for their own retirement will now be responsible for paying for their parent's care too.
Yeah, that sounds like a disaster for the 99%.
pnwmom
(108,980 posts)And the Federal Medicaid law overruled then existing state laws that made children responsible for the debts of their parents, including nursing home debt.
pnwmom
(108,980 posts)This article includes data from 2011, when the Rethugs were pushing for the same changes they're pushing for now.
http://www.medicareadvocacy.org/what-happens-to-current-nursing-home-residents-if-the-house-budget-resolution-becomes-law/
TheMastersNemesis
(10,602 posts)Or bus station. Sick parents were even abused and who knows how many were neglected to die even. We could go back to that era.
pnwmom
(108,980 posts)Another thing this article points out is that nursing homes are currently held to Federal Standards. Without the Federal Medicaid law, nursing homes wouldn't be subject to those standards, and many states would return to their own looser standards.
Also, the Federal government pays only its Medicaid rate to every participating nursing home -- which charge much more to private pay patients. Families that were given this responsibility would be expected to pay the full private pay rate.
scarletlib
(3,412 posts)I worked in Medicaid in Florida for many years and specifically the programs for the elderly. Many people do not realize that the greatest majority of Medicaid funding goes to Nursing Home programs for the Elderly.
If Medicare funding is reduced via a voucher program for insurance and Medicaid funding block granted to the States, you can be sure that many Seniors will be left with insufficient coverage for their medical needs.
What does this mean for the families? For Seniors it may mean having to give up their own homes to meet medical expenses, living with their children, etc. For the children, if they are decent human beings, it can mean an additional financial burden as they try to care for their elderly relatives.
Either that or as one poster stated a lot more homeless and abandoned elderly.