Miami Dade College Community Living Assistance Services and Supports Responses

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Discussion I:

Community Living Assistance Services and Supports (CLASS Act)

Establishes a new, voluntary, self-funded public long?term care insurance program, to be known as the CLASS Independence Benefit Plan, for the purchase of community living assistance services and supports by individuals with functional limitations. Requires the Secretary to develop an actuarially sound benefit plan that ensures solvency for 75 years; allows for a five?year vesting period for eligibility of benefits; creates benefit triggers that allow for the determination of functional limitation; and provides cash benefit that is not less than an average of $50 per day. No taxpayer funds will be used to pay benefits under this provision.

Creates a new national insurance program to help adults who have or develop functional impairments to remain independent, employed and stay a part of their communities.

  • Financed through voluntary payroll deductions (with opt-out enrollment similar to Medicare Part B), this program will remove barriers to independence and choice (e.g., housing modifications, assistive technologies, personal assistance services, transportation) by providing a cash benefit to individuals unable to perform two or more functional activities of daily living.

This information came from the website.  Not sure if it helps to point you in the right direction or not.

Federal Regulatory Guidance and Actions: Community Living Assistance Services and Supports (CLASS Act). (2010, May). In National Conference of State Legislators. Retrieved from https://www.ncsl.org/research/health/community-liv…

Discussion II:

Three components of the Affordable Care act include: Improvements of insurance coverage for most Americans, the expansion of options for Americans, and increase of insurance coverage for Americans (J., M, et al, 2015). The ACA will impact nursing and medicine by hopefully improving who and how health care workers provide services to the community. The ACA offers coverage without discrimination of gender, age, current and past health status, and disability. The insurance rating variability or the out-of-pocket rates will only be based on age, family composition, geographic location and tobacco use (J, M, et al, 2015). The act will limit the rating based on health or gender. The act will also certify patient safety initiatives through best clinical practice by requiring quality reporting to the HHS in relation to the coverage benefits and provider reimbursements (J, M, et al, 2015). However, the cost can greatly affect a family of four. According to J.,M, et al (2015), for coverage for a family of four who make forty-seven thousand dollars annually will pay up to two-hundred and forty-seven US dollars a month. When adding house payment, car and home insurance, daily necessities, groceries, emergencies, this is still not affordable to low-income families. Moving on to the impact on nursing, the ACA authorizes but does not mandate funding for nurse-managed healthcare centers to serve as training for students who want to expand their practice (J, M, et al, 2015). This means the encouragement for the continuation of education and emphasis on the need for APRN.  

Reference 

J., M. D., B, G. D., Freida, H. O., & T., O. E. (2015). Policy & politics in nursing and health 

care (7th Edition). Elsevier Health Sciences 

(US). https://online.vitalsource.com/books/9780323241441 (Links to an external site.)

Reply to each discussion 

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