LeadingAge says a bill introduced by Democratic Sen. Ben Cardin of Maryland and Republican Sen. Chuck Grassley of Iowa would establish a new Community-Based Institutional Special Needs Plan (CBI-SNP) demonstration program.

The Community Based Independence for Seniors Act (S. 309) would target home and community-based services for low-income, Medicare-only beneficiaries who need help with two or more activities of daily living. The benefit would include long-term care services and supports that the secretary of HHS determines appropriate for the purpose of the program. They include:

  • Homemaker services
  • Home delivered meals
  • Transportation services
  • Respite care
  • Adult day care services
  • Non-Medicare-covered safety and other equipment

The demonstration would initially operate in up to five states, building on Medicare Advantage plans that have experience caring for this population. The plans would tailor services to beneficiaries, depending on individual needs.

LeadingAge is encouraging members to reach out to their senators to encourage them to co-sponsor the bill, which will be assigned to the Finance Committee.