Tell Congress: Time is Running Out to Help Older Adults!
In the remaining weeks of 2022, Congress must not leave key supports and services for older adults unfinished.

Congress must enact an omnibus package of final spending bills and needed aging services priorities this year. 

Severe shortages in the aging services workforce and affordable senior housing, coupled with inefficient and burdensome Medicare Advantage (MA) prior authorization processes that often result in inappropriate care denials, mean that older adults do not have access to needed services and support.

Congress can and must take action to address these crises before it adjourns.

Urge your senators and representatives to enact key aging services priorities before Congress adjourns!
Take Action Today! 

Enact an omnibus package this year:

  • Congress must finalize the fiscal year 2023 appropriations bills and the other aging services priorities, as outlined below, this year.

Fix MA Prior Authorization Processes:

  • Improve older adults' timely access to care and services and reduce aging services staff burden by enacting the ‘‘Improving Seniors’ Timely Access to Care Act of 2022’’ (H.R. 3173).

Strengthen the aging services workforce:

  • Enact the Direct CARE Opportunity Act (S. 2344, H.R. 2999) to provide competitive grants for recruitment and staffing wage subsidies.
  • Enact the bi-partisan Health Care Workforce Resilience Act (S. 1024, H.R. 2255) to recapture unused employment-based immigrant visas and make them available to 40,000 foreign nurses and doctors.
  • Enact the Citizenship for Essential Workers Act (S. 747, H.R. 1909) to create a pathway to citizenship and permanent residency status for aging service workers deemed “essential” during the COVID-19 public health emergency.
  • Enact the final fiscal year 2023 Labor-HHS Appropriations bill to provide:
    •  $303 million for the Registered Apprenticeship Program
    • $10 million for Direct Care Workforce Recruitment and Retention Grants
    • $5.7 million for an analysis of the skilled workforce needs of a rapidly aging U.S. population.
    • $30 million to support activities to prevent burnout and behavioral health conditions among healthcare providers.

Address the shortage of affordable senior housing:

  • Enact the final fiscal year 2023 Transportation-HUD Appropriations bill to at least provide:
    • $323 million for about 3,500 new Section 202 Supportive Housing for Elderly homes.
    • 25 million for new, grant-funded Service Coordinators.
    • $31 million for budget-based rent increases for Service Coordinators in communities with Project-Based Rental Assistance.
    • $10 million to support successful Rental Assistance Demonstration conversions for 202/PRACs.
    •  $275 million to support certain communities with Project-Based Rental Assistance.
    • Full renewal funding for Section 202 Project Rental Assistance Contracts and Section 8 Project-Based Rental Assistance.
  • Take two critical steps to expand the Low Income Housing Tax Credit:
    • Increase the Housing Credit by 50%. At a bare minimum, Congress should reinstate the 12.5% cut to the Housing Credit authority, adjusted for inflation.
    • Lower the bond financing threshold from 50% to 25% to make more efficient use of existing Private Activity Bond resources and significantly expand rental housing production.




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