Discuss 10 major pieces of legislation, including names, years of passage…

Our society at present is composed somely of healed privates who needs recollective term bang. Over the last century, the types of illnesses that had affected the American time-worn had begun to change. The most common examples in the senior today imply arthritis (46 per centum), hypertension (38 percent), hearing impairments and heart conditions (28 percent each), visual and orthopedic impairments (14 percent each), and diabetes (8 percent). About 80 to 85 percent of those over 65 slang at least one chronic condition, and a substantial symmetry get down more than one such condition (Oktay, 1985).The federal official authorities had passed a number of police forces that have directly and indirectly affected the time-worn population as it relates to their long-term c be. These legislations will be discussed in this publisher to demonstrate how relevant it is to the caveat of the ancient. chairman Lyndon Baines Johnson subscribe the Housing bet of 1965 into just ness in 1965, which was a take up of the presidents big Society weapons platform (Listokin and Burchell, n. d). The bill created the program that made subsidies available for low- and remainrained-income renting units, and it similarly authorized the subsidy that fostered home ownership by the poor.The lodgement needs of inner-city areas were to be met by specially targeted subsidies. The best-known subsidy scheme was the Model Cities Program (authorized by the 1966 Demonstration Cities subprogram), which foc employ on upgrading the carnal ( admit, humanity facilities) as nearly as the social (education, speculate training) aspects of inner-city areas. It besides recognized the needs of older sight for non-institutional congregate housing sites, most of which were age related. There are several programs that provide supportive housing to the frail elderly.The Department of Housing and Urban Development (HUD) administers the Section 202 program, nether which subsidies are provided for the building and managing of rental housing for the elderly (Clark, 1996). This legislation offered refreshed work for the elderly to remain in their own homes and be cared for. The Medicare and Medicaid programs were gestural into law on July 30, 1965. hot seat Lyndon B. Johnson is pictured at the signing ordinance in Independence, Missouri at the Truman Library (Medicare2006). These are two U. S. disposal programs that guarantee health insurance for the elderly and the poor, respectively.They were formally en beted in 1965 as contend 10 major pieces of legislation, including names, years of qualifying Page 2 amendments (Titles XVIII and XIX, respectively) to the Social auspices Act (1935) and went into effect in 1966. Medicare is a federal health insurance program with a uniform eligibility and proceeds structure throughout the U. S. The program covers most persons entitled to Social Security benefits, persons under age 65 entitled to deterrent benefi ts, and some persons with end-stage nephritic disease (Clark, 1966).Medicare is designed to meet the health care needs of clear-sighted diseases rather than long-term care. Medicare benefits are provided under two parts quit A, Hospital Insurance and Part B, Supplementary Medical Insurance. Although most Medicare recipients observe benefits under remuneration-for-service arrangements, approximately 10 percent of Medicare beneficiaries are enrolled in managed care plans. Under current law, Medicare home health benefits under both part are targeted at persons recovering from an acute illness.The beneficiary must be homebound and run must be ordered and reviewed periodically by a physician. Medicaid is a federal- submit matching entitlement program providing health check assistance to low-income persons who are aged, blind, disabled, members of families with dependent children, or meet certain other criteria for need. Within federal guidelines, each acres designs and administe rs its own program. There is considerable variation from state to state in persons covered, benefits included, and amounts of ante upment for function.Medicaid finances home- and community-establish care under collar coverage options (a) home health care, (b) personal care, and (c) home- and community-based waiver services. Medicaid is more antiphonary to the long-term care of the elderly than Medicare especially for those who are poor and disadvantaged. President Lyndon B. Johnson signed the Older Americans Act into law on July 14, 1965. In summing up to creating the Administration on Aging, it authorized grants to States for community planning and services programs, as surface as for research, demonstration and training projects in the field of aging.Later amendments to the Act added grants to Area Agencies on Aging for local needs identification, planning, and backup of services, including that non limited to pabulum programs in the community as well as for those who are homebound programs which serve Native American elders services targeted at low-income minority elders health promotion and disease prevention Discuss 10 major pieces of legislation, including names, years of passage Page 3 ctivities in-home services for frail elders, and those services which protect the rights of older persons such as the long term care ombudsman program (http//www. vec. virginia. gov). This policy was an answer to many of the national difficulties of the elderly, it gave them supportive services that has been incorporated in the long-term care program of the elderly. The Age Discrimination in Employment Act of 1967 (ADEA) protects individuals who are 40 years of age or older from employment discrimination based on age. The ADEAs protections apply to both employees and job applicants.Under the ADEA, it is unlawful to discriminate against a person because of his/her age with respect to any term, condition, or privilege of employment, including hiring, firing, promo tion, layoff, compensation, benefits, job assignments, and training (The U. S. Equal Employment Opportunity Commission). The act was signed into law by President Lyndon Johnson on December 15, 1967. Through this policy, the employed elderly were protected from unjust employment practices, in relation to long-term care it gave the elderly earning power and thus could pay for health insurance that would pay for their health care needs.The Americans with Disabilities Act (ADA) was signed into law by President Bush on July 26, 1990. The central purpose of this Act is to extend to individuals with disabilities civic rights protections similar to those provided to individuals on the basis of race, sex, national origin, and religion. Based on the concepts of the rehabilitation Act of 1973, the ADA guarantees equal opportunity for individuals with disabilities in employment, public accommodation, transportation, state and local government services, and telecommunications.The ADA is the mos t profound federal law ensuring the full cultured rights of all individuals with disabilities (Wodatch, 1990). This policy gave persons with disability the opportunity to become functioning individuals in society, however, The policy is really not that relevant to longterm care, wherein people with mild or moderate disabilities are the only ones who can benefit from this policy since those who need institutional care and long-term care cannot become fully functioning members of society.Signed into law by President Nixon in 1972, the Supplemental Security Income (SSI) program replaced a patchwork of state programs for the aged, blind, and disabled. SSI improves the Discuss 10 major pieces of legislation, including names, years of passage Page 4 quality of life for persons who are elderly or have a disability by providing financial support, incentives to work, and access to medical care (through Medicaid enrollment in SSI generally brings with it eligibility for Medicaid).These elem ents of the program have helped perform it possible for poor people who are elderly or have disabilities to gain freedom from destitution and institutional care (Sweeney and Fremstad, 2005). The policy makes the cost of long-term care more bearable for the elderly and the poor, it however increases the disposal of caring and nursing in the home rather than in institutions. On September 26, 1973, President Nixon signed the Rehabilitation Act of 1973 into law. This is a civil rights law to prohibit discrimination on the basis of disability in programs and activities, public and private that receives federal financial assistance.Section 504 states that no qualified individual with a disability in the United States shall be excluded from, denied the benefits of, or be subjected to discrimination under any program or activity that either receives Federal financial assistance or is conducted by any administrator agency or the United States Postal Service (Pfeiffer, 2002). This policy w as the primary to address the need and rights of persons with disabilities but was consequently met with opposition from the general public as it meant giving equal opportunity to persons with disability.The policy change magnitude the fill for rehabilitative services but at that time was limited. Title XX of the Social Security Amendments of 1974 authorized grants to states for social services. These programs included protective services, woman of the house services, transportation services, adult day care services, training for employment, information and referral, nutrition assistance, and health support (Oktay, 1985). The funds were distributed to the states according to the size of the population. States were to define the eligible population and design a package of services (many of which were mandated).While Title XX funds were not earmarked for the elderly, there are a number of services, which are targeted primarily to elderly populations, among them, homemaker service s. In FY 1982, the Title XX funds were replaced by the Social Services block grant which allowed the states to choose the programs and services that they want to spend on to alleviate the Discuss 10 major pieces of legislation, including names, years of passage Page 5 conditions of the needy. However, social services for the elderly who can take care of themselves maybe provided.Most states provide homemaker and task services as well as adult protective and tweak services for their elderly citizens, in order to prevent or let down inappropriate institutional care (Clark, 1996). On July 1, 1988, President Bush signed into law H. R. 2470, the Medicare Catastrophic Coverage Act of 1988 (MCCA). This law provided the most significant expansion of the Medicare program since its inception. It also contained numerous technical amendments to the Medicare and Medicaid programs, as well as three new Medicaid provisions.However, the following year, the President signed into law Public Law 10 1-234 that repealed the major expansions of the Medicare program enacted the previous year (Centers for Medicare and Medicaid Services). The act expanded Medicare coverage of inpatient hospital care and will also provide payment for outpatient prescription drugs and home i. v. therapy. For the prescription drug benefit, allowable and coinsurance payments will be phased in, and Medicare will establish payment limits. A per diem fee schedule will be established to pay for the supplies and services used in home i. . therapy. Providers of home therapy must have qualifications specified by the act (Grealy, 1989).The policy increased the demand for training of health-care providers that are home-based. It gave the elderly long-term care in their own homes rather than in hospitals or institutional facilities. It also paved the way for the employment boom of caregivers in the country. On July 26, 1990, President George H. W. Bush signed into law the Americans with Disabilities Act of 1990 (ADA) the worlds foremost comprehensive civil rights law for people with disabilities.The Act prohibits discrimination against people with disabilities in employment, in public services (Title II), in public accommodations and in telecommunications (U. S. Equal Employment Opportunity Commission). The policy enforced guidelines that called for states to review the funding they gave to long-term care. It also emphasized the desegregation of the mentally disabled from the rest of society. The act has brought a decrease of admittance to nursing and institutional facilities, and increased the demand for home-based healthcare services.