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Partial Part D Co-Pay Fix Included In Health Care Reform Law  
Partial Part D Co-Pay Fix Included In Health Care Reform Law
Contact: Lisa Gelhaus, Public Affairs, (202) 898-2825


Washington D.C.—The National Center for Assisted Living (NCAL) is proud to announce that the health care reform law enacted recently includes a provision that will eliminate Medicare Part D co-pays for about 60 percent of the low-income seniors receiving assisted living services under Medicaid waivers. Passage of the Medicare Part D co-pay provision culminates a four-year effort spearheaded by NCAL that included the creation of a coalition of 40 national stakeholder organizations.

Under the legislation, Part D cost sharing will be eliminated for dual eligibles—individuals eligible for both Medicare and Medicaid—covered under Medicaid or Section 1115 waivers, Medicaid managed care plans and the Section 1915 (i) state plan amendment. The provision takes effect on a date to be specified by the Secretary of Health and Human Services no earlier than January 1, 2012. NCAL will continue working to pass legislation to eliminate Medicare Part D cost sharing for dual eligible assisted living residents not covered by this provision.

“NCAL thanks all its members and our coalition partners who held meetings, sent e-mails and letters to their Senators and Representatives in support of legislation to fix this gap in the Medicare Part D Program. Your voices were heard,” says Dave Kyllo, NCAL’s executive director. “While we are thankful for the passage of the legislation, NCAL will continue to work with members of Congress to extend Part D cost-sharing for the remaining low-income seniors who were not covered under this provision.”

The National Center for Assisted Living (NCAL) represents more than 3,500 not-for-profit and proprietary assisted living and residential care communities dedicated to improving lives by delivering solutions for quality care for seniors and individuals with disabilities. NCAL is the assisted living voice of the American Health Care Association.