How the Healthcare Reform Bill Will Offset Disability Equipment Costs

Regardless of where you fall on the political spectrum,Services and Supports). Here are some startling
no one can deny the historical impact of this paststatistics provided by the Democratic Policy
week with the passing and signing of Obama'sCommittee:
Healthcare Reform Bill. Much debate has already taken- Long-term supports and services are not affordable
place and will continue to take place in the comingor accessible for millions of Americans.
months, as the first steps are taken to implement this- An estimated 65 percent of those who are 65 today
giant Patient Protection and Affordable Care Act bill.will spend some time at home in need of long-term
Many of the most significant parts of the bill will notcare services, at an average cost of $18,000 per year.
even go into effect until 2014, with others slated as far[Inquiry, 2005; Department of Health and Human
out as 2018. So, needless to say, it will be a long timeServices, 10/22/2008]
before the success or failure of this legislation can be- Five million people under age 65 living in the
determined, and there are many holes to plug andcommunity have long-term care needs and over
tweaks to make along the way.70,000 workers with severe disabilities need daily
The impact of this bill will be felt by all Americans, butassistance to maintain their jobs and their
the group that arguably engages the healthcareindependence.
system the most is the disabled community. This- One and a half million people are in nursing homes
community has many faces. The young disabledtoday. Roughly 9 million elderly Americans will need
veteran returning from Iraq and receiving care fromhelp with activities of daily living (ADLs) during the
the Veterans Administration (VA). The elderlycurrent year, and by 2030 that number will increase to
grandmother who has had to experience the panic of14 million.
realizing that any nonmedical related needs she might- Many people who need long term services and
have following a severe illness, such as help bathing orsupports rely on unpaid family and friends to provide
safely accessing various parts of her home, Medicarethat care, but ultimately are forced to impoverish
will not cover. With nearly 50 million Americans havingthemselves to qualify for Medicaid, which remains the
a disability, and about two-thirds of these individualsprimary payer for these services. These statistics are
having a severe disability, it's easy for an individual'sknown as the Persistent Long-Term Care Gap, and
struggle with the healthcare system to get lost inaffects not only this country's elderly, but anyone who
translation. So how will the new legislation affecthas a catastrophic accident or illness and requires
people with disabilities?long-term care. Under the CLASS Program, every
Some of the better known parts of the bill includesingle American will be able to voluntarily participate in
discrimination and the denial of coverage forthis self-funded, insurance program. Individuals qualify
pre-existing conditions. This legislation will make beingfor benefits after paying premiums for five years, and
denied insurance because of a pre-existing condition amust have worked for at least three of those five
thing of the past, which will be of particular benefit toyears. Beneficiaries receive a lifetime cash benefit,
persons with disabilities who have long struggledwhich is expected to pay roughly $75/day or more
against these obstacles. Other parts of the bill thatthan $27,000 per year. Because this is a cash benefit,
hope to lower the cost of healthcare for millions, couldthe money can be used to maintain independence at
inadvertently help people with disabilities byhome through home modification equipment, cover the
hypothetically creating more expendable income in thatcosts of home care services or assisted living, or even
community and enable people with disabilities tobuy a wheelchair accessible van in order to meet the
purchase the mobility equipment and servicesneeds of daily life. Those who object to the Healthcare
necessary to live a full and productive daily life.Reform Bill due to tax increases will also be relieved to
A lesser discussed provision to the Healthcare Reformknow that there is an absolute prohibition on the use of
Bill, is known as CLASS (Community Living Assistancetaxpayer dollars to pay for this provision's benefits.