JAHF Congressional Briefing Recording: How the One Big Beautiful Bill Act’s Implementation Affects Older Adults and Family Caregivers
The John A. Hartford Foundation held a virtual, nonpartisan policy briefing on September 21, exploring the effects of H.R.1, otherwise known as the One Big Beautiful Bill Act, on older adults and family caregivers and how federal and state policymakers can address them. The slides from the briefing are available to download.
The discussion included:
- Which provisions are implemented and what is ahead
- How changes, including Medicaid work requirements, are affecting older adults and family caregivers
- What choices state governments and Medicaid agencies are grappling with given budget implications
- What federal and state policymakers can do to ensure support for older adults and caregivers
Speakers:
- Kate McEvoy, JD, Executive Director, National Association of Medicaid Directors
- Natalie Kean, JD, Managing Director, Health Advocacy, Justice in Aging
- Olivia Umoren Ezeuko, MPH, Director, Public Policy and Advocacy, USAging
- Rani E. Snyder, MPA, President, The John A. Hartford Foundation (moderator)
Watch the recording here:
Access the resources from the briefing below:
- CMS: Community Engagement Requirements Information
- GW Milken Institute School of Public Health: Home and Community-Based Services Impacts Tracker Project
- Justice in Aging: How H.R. 1 Impacts People Dually Eligible for Medicare and Medicaid
- Justice in Aging: Medicaid Home- and Community-Based Services for Older Adults: A Primer
- Justice in Aging: Medicaid Community Engagement Requirements and Older Adults: Frequently Asked Questions
- KFF Health News: Cost-Saving Medicaid Meal Deliveries Threatened by Cuts, Policy Uncertainty
- KFF: Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements
- National Alliance for Caregiving: Understanding Medicaid's New Community Engagement Requirements and What This Means for Family Caregivers
Watch the briefing recording.
Download the briefing slides.
original post 9/8/26 updated 9/22/26
