All States/Territories

This report is a follow-up to NCD's 2012 report discussing Section 14(c) of the Fair Labor Standards Act. This 2018 report assesses the status of Section 14(c) employment, explores trends regarding American workers with disabilities being paid below minimum wage, and highlights recent policy changes impacting this employment model. NCD also makes recommendations for building capacity for supported employment services and changing pay structures.

This brief summarizes how recent changes to Medicare Advantage may enable AAAs and other CBOs to form new partnerships with Medicare Advantage plans. These partnerships can be used to provide supplemental benefits, such as home-delivered meals and transportation, to beneficiaries. The updated brief covers additional guidance from CMS on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.

AARP's Public Policy Institute (PPI) publishes a monthly update on employment numbers for people ages 55 and over. This report draws from monthly data released by the Bureau of Labor Statistics. AARP PPI has recently released its September 2018 version of the digest. The unemployment rate for people ages 55 and older declined to 2.8 percent, but the percentage of long-term unemployed ages 55+ increased to 34.6 percent.

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

This report discusses the results of a poll investigating how AAAs measure the value of their services. The poll also examined if AAAs' value proposition development has led to successful partnerships. In addition to highlighting the findings of the poll, this report also reviews key informant interviews from AAAs who have successfully used value measurement to strengthen partnerships.

This recently released white paper explains the barriers to employment faced by people with disabilities and highlights areas where governors can help people with disabilities overcome the challenges they may face in seeking employment. The strategies in this paper were developed following a learning lab meeting with states to discuss ways to take advantage of pools of untapped talent and ensure that workforce development and hiring policies are inclusive of people with disabilities.

This report highlights elder justice legislation from February to August 2018. The legislation referenced in the report was elicited using NCEA's Listserv as well as independent websites. This particular edition compiles updates from twenty-one states and also includes policy news at the national level.

This study reviews literature on fall risk factors and prevention strategies. It uses peer-reviewed research from between 1994 and 2017 to estimate the number of medically treated falls that could be prevented and the direct medical costs that could be adverted. The estimates were created by looking specifically at evidence-based fall interventions in clinical settings.

This is the first study to forecast Alzheimer's Disease by race and ethnicity and reveals disparities along both lines. It is predicted that by 2060, the burden from Alzheimer’s disease and related dementias (ADRD) will double. Therefore, the information from this study is critical in supporting the necessary public health planning and the development of appropriate support for the ADRD population and caregivers.

This report assembles opioid-related information from the Surgeon General’s Report on Alcohol, Drugs, and Health. This allows the general public and the family and friends of people with an elevated risk of opioid overdose, opioid misuse, and/or opioid use disorder to view all of this information in one place. The report goes over the current landscape, reviews the neurobiology of substance use, and discusses the continuum of care and the role of health care systems.