Accessibility

AARP has released an update from their Public Policy Livable Communities division, which explains that communities need to encourage more accessible homes for older adults and their families by requiring that single family homes meet visitability requirements with features such as having an entrance without steps, kitchen counters set at multiple heights, and half-bathrooms at the ground level.

This brief, a product of the Complex Care Innovation Lab made possible by Kaiser Permanente Community Benefit, outlines the current state of Medicaid NEMT services, its challenges, and opportunities for improvement. It explores alternative transportation models piloted by states and health plans across the country, including the use of transportation network companies, such as Uber and Lyft, to augment NEMT services.

The National Council on Disability (NCD) released a new report on implementation of the Affordable Care Act (ACA) and disabilities. This is the second of three reports on the subject. This report includes a review of the literature that studies the impact of ACA implementation on people with disabilities, qualitative interviews with key informants from ten states, an analysis of the ACA implementation choices seen in many states, and recommendations for future research on this topic.

The National Center for Health Statistics (NCHS) has four new reports available from the National Study of Long-Term Care Providers (NSLTCP). The data briefs and state tables use survey data from NCHS’ 2014 NSLTCP. NSLTCP provides reliable, accurate, relevant, and timely statistical information to support and inform long-term care services policy, research, and practice.

This is a report on the lifelong disparities that exist among older American Indian (AI) and Alaska Native (AN) populations when compared to the general United States population of older adults. The report includes a definition of who falls into the category of American Indian, identifies where these populations generally live in the U.S., and compares AI/ANs generally with the rest of the population of older adults and also specifically compares health coverage.

The Federal Transit Administration released a report that examines the accessibility, cost efficiency, and effectiveness of public transit for passengers with disabilities. The report provides an assessment of public transit and offers suggestions for improvements that align with the Americans with Disabilities Act standards. This report uses 12 case studies to analyze the state of current paratransit practices and highlight the most successful models.

This report is a study of the severe housing affordability problems experienced by people with disabilities. Priced Out calculates the difference between what an individual receiving Supplemental Security Income (SSI) can reasonably afford to pay for housing costs and the average cost of modest housing units. The report confirms that non-elderly adults with disabilities living on SSI confront an enormous housing affordability gap across the entire nation.

This technical assistance document aims to help State and local government offices understand how Title II of the Americans with Disabilities Act (ADA) applies to their programs, activities, and services. The illustrated guide outlines general nondiscrimination requirements, like provisions regarding communication with people with disabilities or service animals. The guide also tells how the 2010 ADA Standards for Accessible Design apply to the built environment.

This report addresses: 1) federal programs that fund HCBS and supports for older adults, in particular in-home and nutrition services, affordable housing, and transportation; 2) how HCBS and supports are planned and delivered in selected localities; and 3) agencies’ efforts to promote a coordinated federal system of HCBS for older adults.

Research from the AARP Public Policy Institute/Urban Institute shows the uninsured rates for 50- to 64- year-olds dropped 31% between December 2013 and December 2014. In states that expanded their Medicaid programs, the drops were greater. The analysis uses preliminary data from the second open enrollment period of the Affordable Care Act.