Democrats Debate Priorities After Passage of Government Funding Bill

March 17, 2022

On Tuesday President Biden signed the $1.5 trillion government spending bill into law. The law failed to include $15 billion in COVID-19 relief aid due to disagreements over how to pay for that provision, but did increase non-defense spending by six percent, including a $6 million increase for home and community-based services. The law provided more funding for biomedical and behavioral research and increased funding for the Centers for Disease Control and Prevention. Funding for public and behavioral health initiatives, including mental health resources for children and youth also saw a significant increase. Under the law, more funding was allocated to create 25,000 new Housing Choice Vouchers for low-income individuals and families at risk of homelessness. The law funds the government until the fall, but Congress is expected to begin work on the next funding bill as soon as they receive the President’s budget framework, which is expected by early April.

Meanwhile, Democrats are still hoping to salvage something from the Build Back Better Act. Debate within the party is focused on whether to pursue a general framework set out by Sen. Manchin to pass an “economic reconciliation package” to address inflation and the deficit or focus on passing any provisions from the Build Back Better package that can win bipartisan support. There remains a lot of uncertainty over the next steps, and we are unlikely to see a major breakthrough for several months.

With the government funding bill passed, other major developments included:

  • The response to Russia’s invasion of Ukraine: Following an address by Ukrainian President Volodymyr Zelenskyy to a Joint Session of Congress, President Biden announced a large increase in military aid amid growing pressure to transfer warplanes or even implement a no-fly zone over the country.
  • President Biden signed the Reauthorization of the Violence Against Women Act.
  • The Senate unanimously passed the Sunshine Protection Act, which would make daylight savings time permanent across the country.
  • On Wednesday the Federal Reserve increased the federal funds interest rate by .25 percent, launching the first in what will likely be a series of rate hikes meant to fight inflation.
  • Shalanda Young was confirmed in a 61-36 vote as the first Black woman to lead the White House Office of Management and Budget.

Congress Prepares for the President’s Budget

March 24, 2022

Congress is only a couple weeks removed from passing the $1.5 trillion government spending bill but is already anticipating the official release of the President’s Fiscal 2023 Budget request next week. The release of the President’s Budget request traditionally kicks off the annual appropriations season on the Hill and although Congress ultimately decides the size and scope of the final bill, it serves as a blueprint to understand the Administration’s policy priorities. With Democrats’ human infrastructure package stalled for the time in Congress, the President’s Budget framework will help set the policy agenda for the rest of the legislative session. Lutheran Services in America will be on the look out to see how much funding the Administration is requesting for home and community-based services and workforce development.

While Congress awaits the President’s Budget framework, other major developments included:

  • The response to Russia’s invasion of Ukraine: President Biden arrived in Europe for an emergency NATO Summit and announced a new round of sanctions.
  • The Senate Judiciary Committee held the Confirmation hearing for Judge Ketanji Brown Jackson to be an Associate Justice on the U.S. Supreme Court.
  • The Administration announced that the U.S. would accept 100,000 Ukrainian refugees through family-based visas and humanitarian parole, as well as some through the U.S. refugee program
  • The Securities and Exchange Commission (SEC) proposed a rule to require companies to report on how their operations affect the climate and the formation of carbon emissions.

Wisconsin and the Upper Peninsula Prepare to Welcome Ukrainian Newcomers

March 30, 2022

From Afghanistan to Ukraine, newly arrived refugees share a common story of perseverance in the face of adversity, punctuated by a ray of hope as they build new lives in the United States.

The team at Lutheran Social Services of Wisconsin and Upper Michigan is preparing to welcome refugees from these regions and provide the support they need to adjust to their new communities, including housing, education and job placement. LSS groups and volunteers take an active role in securing essential resources, from household supplies to transportation, as each person and family works toward self-sufficiency.

LSS staff members are committed and prepared to support some of the 100,000 Ukrainian refugees the United States has pledged to receive but also understand the hardship of the road ahead.

“It’s a daunting task, and there’s a lot of heartbreak,” said LSS program manager Mary Flynn in a local television interview. “We are in the business of welcoming people that have had to flee a lot of violence and terror.”

The new Ukrainian arrivals come as the organization just finished resettling more than 160 Afghan refugees in the area. “Afghans came in a very short time and now the Ukrainians might come in a fairly short time,” Mary said.

Mary is an optimist and is holding out hope that the crisis in Ukraine changes for the better, saying, “I would love to be put out of business by a wave of peace.”

Lutheran Social Services of Wisconsin and Upper Michigan is a member of Lutheran Services in America, a national network of 300 Lutheran health and human services organizations that lifts up one in 50 people in America each year.

Learn more about Lutheran Social Services of Wisconsin and Upper Michigan and find out how you can help.

The Dawn After the Dark: God’s Big Plans for Concordia Life Plan Community

April 6, 2022

We all know that COVID-19 changed the world, but few of us know the extent of the immense challenge to the elderly community. While the younger generation adapted quickly, utilizing technology and resources, those living in care centers were isolated from their loved ones and the world as they knew it during the early months of the pandemic.

Providing for seniors within the community

While the world turned upside down, senior living CEOs and leaders needed to quickly implement and adapt COVID-19 protocols on a daily, even hourly basis, to keep the aging population safe. During the peak of the pandemic, Paige Mills-Haag, Director of Fund Development at Concordia Life Plan Community and one of five Concordia Community Foundation Board members, experienced a significant shift in daily responsibilities, where the focus shifted from fundraising for a chapel expan and benevolent care program, to applying for FEMA COVID-19 public assistance, making daily resident welfare phone calls and communicating ever-changing COVID protocols to residents and families to ensure the safety of our most vulnerable population.

The pandemic brought many challenges for senior living providers across the globe, and Concordia was no exception. It was during that moment that Concordia’s CEO and Board of Directors decided to turn to their friends at Lutheran Church Extension Fund (LCEF) for an extra helping hand.

“Concordia’s partnership with LCEF is an invaluable one,” said Danny Eischen, CEO, Concordia Life Plan Community. “Our relationship with LCEF—the organization’s deep understanding of our mission, ministry and community—continues to inspire us and gives us the ability to carry out our work for the betterment of others. Over the last year, we felt God’s presence again and again, specifically through this partnership.”

In the midst of the worst days of COVID-19, LCEF sprang into action to provide borrower relief and a loan to Concordia, a thriving retirement community in the Oklahoma City area.

Growing together in a multitude of ways

The facility faced an obstacle as demand for spiritual space increased, and they often exceeded capacity in the current chapel. Through the determination of board members, pastors, LCEF and God’s faithfulness, Concordia Community Foundation, the philanthropic arm and foundation to support the programs and services of Concordia Life Plan Community, developed a plan to raise funds to expand the chapel to accommodate a larger number of residents.

The pandemic “took a toll on social and spiritual life,” says Mills-Haag. During these hardships, it was crucial that their senior residents were provided with the care they deserved and needed: physically, emotionally and spiritually. At Concordia, the focus on benevolent care is a vital part of the community’s foundation and a ministry offered to residents if they should outlive their resources through no fault of their own. Concordia offers a variety of care ranging from independent living, assisted living, memory care and a skilled nursing facility for rehabilitation.

“These levels of care are all offered under the same roof,” says Rev. Barrie Henke, Lutheran Church—Missouri Synod Oklahoma District president, when speaking about the full life care that is provided to the residents at Concordia.

Unfortunately, the pandemic aggravated many needs of the residents, the most prevalent being their need for a space for their spiritual care. The Kamman Chapel is not large enough to accommodate the number of residents who want to attend weekly chapel services and other events held in the chapel. Currently, the space can accommodate forty to forty-five people and Concordia serves nearly 200 residents in all levels of care. The most practical solution to the lack of available space is to expand the chapel. That is what Concordia plans to do with the support of residents and families, engaged constituents, local congregations and national Lutheran-affiliated organizations.

“It was LCEF’s provision that both sustained us and allowed us to pursue the Kamman Chapel expansion,” stated Eischen. “A project that profoundly aligns with our mission to offer residents community, belonging and a haven for faith. LCEF understands Concordia; that understanding gives us latitude to grow, despite the challenges and demands of COVID. What’s more, Concordia’s partnership with LCEF has allowed us to focus with hope and faith on a better tomorrow.”

Finding new hope

“The Kamman Chapel expansion will be a blessing to the residents at Concordia,” says Henke, a beloved and respected board member for Concordia Community Foundation. The chapel does not only serve as a place of worship, but as Henke stated, it is also a place of fellowship, community and belonging.

Mills-Haag said, “The Bible calls us to care for widows and orphans,” which is exactly what the community is doing by building a new, larger chapel and providing benevolent care for aging residents. The chapel expansion will allow for multiple events to occur at the facility, including larger weekly worship services, and advance the ministry offerings at Concordia to include all residents and their families and guests, as well as host faith-based and community groups from the greater Oklahoma community.

“It is my hope for the future of Concordia that more families will discover and take advantage of the Christian environment, the excellent care and the safe haven offered by Concordia Life Plan Community,” says Henke. The capital campaign is currently underway to raise $3.5M for a new chapel is a new beginning.

“It is the dawn after the dark,” Mills-Haag said, “and God has big plans for our community.”

 


This article was originally published by Interest Time, a Lutheran Church Extension Fund publication.

As Supreme Court History is Made, Democrats Plan For Another Legislative Push

April 7, 2022

On Thursday, the Senate confirmed Judge Ketanji Jackson Brown to serve as an Associate Justice on the Supreme Court. While the nation watched the historic confirmation of the first Black woman to the Supreme Court, Democrats were also preparing for another push to pass a slimmed down version of the Build Back Better Act. Democratic leaders plan to work closely with Sen. Manchin (D-WV) who has stated he is open to a smaller bill focused on raising taxes on the wealthy and large corporations to offset the cost. The current plan is for half of the money raised through such tax increases to go toward deficit reduction, and the other half to cover climate spending change programs and other social programs. No specific provisions of the legislation have been detailed, however, and significant hurdles remain, including a commitment from Sen. Manchin to support the final bill. Democrats have also not yet gained the approval of another key moderate, Sen. Kyrsten Sinema (D-AZ.)

The confirmation of Ketanji Brown Jackson received the most headlines, but other major developments included:

  • Following new evidence of war crimes committed by Russian in Ukraine, Congress passed legislation to revoke normal trade relations and ban oil imports from Russia.
  • Last Thursday, the House passed the Affordable Insulin Now Act, which would cap insulin prices at either $35 a month or 25% of an insurance plan’s negotiated price — whichever is lower.
  • On Wednesday the Senate unanimously passed the Ukraine Democracy Defense Lend-Lease Act, which would renew the World War II era Lend-Lease program and allow President Biden to more quickly send weapons and supplies to Ukraine.
  • On Wednesday the House to hold two former aides to President Donald Trump in contempt of Congress for refusing to comply with subpoenas related to the investigation into the Jan. 6, 2021, insurrection.
  • Senator Dick Durbin of Illinois and Tom Tillis of North Carolina announced they will restart negotiations to try and bring a bipartisan immigration reform bill to the floor.

Lutheran Services in America Urges CMS to Reconsider Skilled Nursing Facility Initiative

April 19, 2022

Lutheran Services in America Urges CMS to Reconsider Skilled Nursing Facility Initiative, Seeks Member Data

In response to the recently announced plan by the Centers for Medicare & Medicaid Services to establish a minimum staffing requirement that would increase staffing in skilled nursing facilities (without additional funding), along with expanded inspections and increased penalties and enforcement, Lutheran Services in America wrote a letter to CMS administrator Chiquita Brooks-LaSure outlining our concern about the lack of understanding of the workforce shortages facing skilled nursing providers and the result that older adults will not have access to the care they need. We also invited our members and their networks to participate in our advocacy campaign to Brooks-LaSure and members of Congress.

Now, as we prepare for meetings with the Biden administration and lawmakers, we are strengthening our message with more facts and data from the Lutheran Services in America network and invite our SNF members to complete our quick survey.

CMS Updates COVID-Related Rules on Vaccinations, CNA Training

On April 5, CMS issued revisions to its rule mandating COVID-19 vaccination for workers at skilled nursing facilities, stating that staff who have been suspended or are on extended leave won’t count against the providers as “unvaccinated staff.” The agency also clarified that providers who have made “good-faith efforts” to ensure all staff are vaccinated but have not achieved full compliance may receive relief in the form of less severe citations and penalties. The guidance included several examples.

Subsequently, on April 7, CMS also announced that it is restoring training requirements for nurse aides who work at skilled nursing facilities after temporarily waiving them due to COVID-19. Since March 2020, the waiver for nurse aide certifications had allowed SNFs and other nursing facilities to employ aides for longer than four months without the necessary training and certification. While some waivers will still be allowed in cases where training and testing programs are over capacity, the majority will now terminate on June 7.

Eventual End of COVID-19 Public Health Emergency Will Impact Providers, States

The U.S. Department of Health and Human Services declared COVID-19 to be a “public health emergency” (PHE) effective January 27, 2020. This declaration activated certain emergency authority measures and the Department has also subsequently issued several rules and regulations linked to the existence of a PHE. Relief legislation passed by Congress has also tied various provisions offering flexibility on Medicare and Medicaid rules to the PHE. A PHE declaration automatically expires after 90 days, but HHS has issued repeated renewals of the COVID-19 PHE, with the current declaration now running through July 15, 2022.

While the Biden administration has committed to providing states with 60 days’ notice prior to allowing the PHE to terminate, it is expected that the PHE will end at some point this calendar year. States and healthcare providers are encouraged to prepare themselves and those they serve for the consequences of the end of the PHE, so we have compiled a chart outlining the key flexibilities which are currently in effect that will come to an end when the PHE does or shortly thereafter.

Upcoming Congressional Town Hall Meetings

Members of Congress continue to hold virtual town hall meetings to address constituent concerns about coronavirus relief. Here is a look at upcoming sessions (click links below to find out how to join):

Member District Party Format Date & Time Link
Sen. Ron Wyden OR D Virtual (Gilliam County) Apr. 19, 11 am PT More
Sen. Ron Wyden OR D Virtual (Umatilla County) Apr. 19, 4 pm PT More
Rep. Chrissy Houlahan PA-6 D In person (Phoenixville) Apr. 19, 6:30 pm ET More
Rep. Lauren Underwood IL-14 D In person (Huntley) Apr. 19, 5:30 pm CT More
Rep. Byron Donalds FL-19 R In person (Sanibel) Apr. 19, 6 pm ET More
Rep. Elaine Luria VA-2 D In person (Virginia Beach) Apr. 19, 6:30 pm ET More
Sen. Ron Wyden OR D Virtual (Union County) Apr. 20, 10 am PT More
Sen. Ron Wyden OR D Virtual (Wallowa County) Apr. 20, 2:30 pm PT More
Rep. Derek Kilmer WA-6 D Telephone Apr. 20 More
Rep. Ayanna Pressley MA-7 D Virtual Apr. 20, 7 pm ET More
Rep. Lauren Underwood IL-14 D In person (Naperville) Apr. 20, 5:30 pm CT More
Rep. Kim Schrier WA-8 D In person (Wenatchee) Apr. 20, 5 pm PT More
Rep. Tom Cole OK-4 R Telephone Apr. 20, 6 pm CT More
Sen. Ron Wyden OR D Virtual (Morrow County) Apr. 21, 1 pm PT More
Rep. Cathy McMorris Rodgers WA-5 R Telephone April 27, 6 pm PT More