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Advocacy in Action August 9, 2019

Posted By Jennifer Gill, Friday, August 9, 2019
Updated: Thursday, August 8, 2019
August 9, 2019

Medical Care Commission Legislation Approved by North Carolina House
The North Carolina House of Representatives approved Senate bill 537 earlier this week. The bill includes language providing for a formal seat on the North Carolina Medical Care Commission for an individual affiliated with a nonprofit continuing care retirement community. Finding a formal seat for a CCRC representative on the Commission is a key part of our 2019 Public Policy Priorities. There was no opposition to the bill. The legislation is now back on the Senate side where it awaits appointment of a conference committee to take up differences between the House and Senate versions.


Certificate of Need Legislation Continues to Await House Action
House Bill 126, approved two weeks ago by the Senate and which would grant an exemption to CCRCs from the Certificate of Need review process for Medicare-certified home health, awaits consideration by the House and appointment of a committee of House and Senate conferees to attempt a compromise.


Retirement Savings Bill Awaits U.S. Senate Action
The SECURE Act – Setting Every Community Up For Retirement Enhancement – approved by a vote of 417-3 in the U.S. House, still awaits action by the U.S. Senate.  The bill makes significant changes that will impact most Americans who are preparing for retirement. There are three important changes: required minimum distributions can start at age 72 instead of 70½, stretch IRAs will be shortened, and individuals can continue to make tax deductible contributions until 72.  Other provisions in the bill will benefit families. Up to $10,000 can be withdrawn from a 529 plan to pay down student loans which will help make a dent in the nation’s student loan debt epidemic. The bill also allows new parents to withdraw up to $5,000 without being penalized from their IRAs or 401k plans to help defray birth and adoption expenses. A major change is the ability of employers to now offer annuities as an investment option in their employer sponsored 401k plans. This change gives participants a way to protect capital and provide a guaranteed income for life, once they retire. The bill will no longer allow IRA holders to pass their IRAs to heirs over the heirs‘ lifetime (spouses and minor children are excluded).  Additionally, the bill stipulates that upon death, the IRA must be liquidated within ten years. The Senate is expected to soon take up this bill for discussion. Assuming they pass a comparable bill, it will go through a reconciliation committee and then will be sent to the President for signature. At this point, most people believe the Senate and President support these changes.  To learn more about this, click here.


CMS Publishes Final Rule on Arbitration
CMS published a final rule on arbitration agreements in nursing facilities on July 18, 2019.


ROP Phase 3 Revisions: Side-by-Side Comparison
LeadingAge National has created a handy document to walk you through how the new proposed ROP rule impacts implementation of Phase 3, which is scheduled for November.


LeadingAge National Provides Information on PPS Final Rule
This week, CMS released the final rule updating the Medicare skilled nursing facility prospective payment system (PPS). This includes the final payment update based on current data as well as the wage index.


Registration Opens for NC Coalition on Aging Annual Meeting and Luncheon
The 2019 annual meeting and luncheon of the NC Coalition on Aging will take place on Friday, September 27, at the NC State University Club Raleigh, with the program beginning at 12:00 noon. This year’s keynote speaker is Governor Roy Cooper. Registration information is posted on the Coalition’s website.


What Have We Done For You Lately? – July 2019
With Washington, DC, temperatures hovering in the 90s for most of July, you’d think the month of November would be the last thing on the minds of LeadingAge team members. Click here for an update on all the things LeadingAge national did for us in July.

LeadingAge North Carolina
222 N. Person Street Suite 205 | Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 | www.LeadingAgeNC.org


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