Building Stronger Communities for Seniors: A Year in Review

August 5, 2025

At Santa for Seniors, we remain steadfast in our mission to enhance the social well-being
of older adults by addressing the social determinants of health. Over the past year, we’ve
expanded our reach with more hands-on activities in targeted senior communities and
started meaningful new volunteer opportunities. Together, we are combating isolation,
building intergenerational connections, and creating more inclusive, connected
communities.

As our national presence continues to grow—especially in Oregon, Minnesota, and
Alaska—we’ve also strengthened regional efforts. The Bellingham program in northern
Washington has expanded significantly, and our long-standing Tri-Cities partnership
remains robust and impactful. Highlights of what we accomplished over the past 12
months include distribution of over 7,650 fall safety kits, 15, 619 holiday gifts, and 8,880
spring gifts in four states. Volunteers created over 12,309 handmade cards and 4,000
ornaments, allowing us to acknowledge and honor seniors as far as Florida and Texas
during the holidays.

Our Time to Talk project expanded from middle school students to include University of
Washington-Tacoma nursing students. We continue to nurture our community
partnerships with other school districts, park systems, and local utility companies.
We welcome new partners to help us grow this community impact. Every card, gift, and
moment of connection helps us continue our work of combating isolation and creating
joyful moments for seniors across the country. As we look ahead, we’re excited to build on
this momentum and reach even more seniors together.

Lutheran Services in America Partners with The SCAN Foundation to Elevate Rural Older Adult, Dual-Eligible Voices in National Policy

July 24, 2025

What the Budget Bill Means for Medicaid and our Network

July 17, 2025

On July 4, President Trump signed into law a sweeping budget reconciliation package that was passed in the Senate on July 1 and House on July 3 on party-line votes of 51–50 and 218–214, respectively. The law contains a number of provisions that will impact our network in several areas.

  • Healthcare:
    • Medicaid: The law imposes more stringent work reporting requirements for “able-bodied” adults between 19 and 64; lowers the allowable rate for state provider taxes for some provider types, with specific carve-outs for nursing homes and intermediate care facilities; grants states new authority to offer HCBS through standalone waivers that don’t require individuals to meet institutional-level of need.
    • SNF minimum staffing: Prohibits implementation of the SNF minimum staffing regulation for 10 years.
    • Rural hospitals: Includes a $50 billion rural hospital stabilization fund designed to support states with approved rural health transformation plans, allocating $10 billion annually from 2026 to 2030.
    • Medicare: The CBO projects that the law will trigger future cuts to Medicare totaling nearly $500 billion due to the Statutory Pay‑As‑You‑Go Act of 2010 (S-PAYGO). This law kicks in when legislation increases the deficit and would trigger an estimated $45 billion in Medicare cuts for fiscal year 2026.
  • Housing: Creates a permanent 12% allocation increase in low-income housing tax credits (LIHTC) starting in 2026, while also permanently reducing the 50% bond financing threshold test to 25% beginning in 2026, lowering a barrier to affordable housing production.
  • Refugees: It institutes a permanent ban on refugees and other humanitarian-status immigrants from getting Medicaid.
  • Nonprofit tax provisions:
    • Charitable deduction: It establishes a non-itemizer deduction for charitable contributions at $1000 for individuals and $2000 for joint filers;
    • Excludes two provisions we opposed: one putting nonprofit status in jeopardy if an organization was deemed to have ties to a “terrorist” group and a second levying UBIT on transportation and fringe-benefit related costs.

The focus now turns to implementation of the law, with much of the impact depending on which state is being discussed. For example, the Kaiser Family Foundation has prepared a state-by-state analysis of the impact of Medicaid spending reductions.

Looking ahead, we anticipate another budget reconciliation bill in the fall. In a recent interview, House Budget Committee Chair Jodey Arrington (R-TX) said that majority Republicans seek deeper cuts to Medicaid and spending reductions in Medicare that weren’t included in the first bill. They also plan to cut funding for states that fail to enforce existing laws against Medicaid benefits for undocumented immigrants and reimbursement rates for “healthy, able-bodied adults” added to Medicaid under President Barack Obama’s Affordable Care Act.

We will be tracking both implementation of the current law and further legislative efforts carefully and will update you as needed.

Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.

Here We Stand: Advocating for People, for Care, for Medicaid

July 17, 2025

Our members continue to be at the forefront of advocacy in defending Medicaid, grounded in our unified, faith-based message: Here We Stand. For People. For Care. For Medicaid.

Across our network, members have demonstrated commitment through advocacy, outreach, and a willingness to share their stories.

  • Our members came to Washington to join in three Capitol Hill fly-ins to make their voices heard, resulting in over 80 meetings (cumulatively) with key members of Congress.
  • Our calls to action engaged more than 700 individuals, including 128 from the Lutheran Services in America network, expanding our reach to new partners and advocates.
  • In partnership with 4media Group, 34 advocates were trained in media engagement and eight earned media pieces, such as op-eds and letters to the editor, were written, collectively reaching an audience of more than 3 million.
  • Our Here We Stand video and paid ad campaign ran in more than a dozen reputable websites, including USA Today, Forbes and broadcast television news sites. The campaign yielded more than 381,000 impressions, exceeding our goal of 250,000, and garnered nearly 233,000 completed views—an above-industry benchmark video completion rate of 70 percent.
  • Coverage included TV, statewide radio and earned media, including KenCrest, Genacross Lutheran Services, and enCircle.

The breadth of our engagement reflects the power of faith-rooted advocacy and the impact of our collective voice in protecting care for millions.

Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.

Lutheran Services in America Announces Partnership with NORC Walsh Center for Rural Health Analysis to Advance Rural Aging Solutions

July 7, 2025

Statement on the Passage of the Budget Reconciliation Bill

July 3, 2025

Time to Talk: Creating Intergenerational Connections

June 2, 2025

The 2020 pandemic exposed the devastating effects of social isolation across all age groups. In May 2023, the U.S. Surgeon General recognized loneliness, isolation, and lack of connection as an urgent public health crisis. This issue is particularly significant for seniors, who often face barriers such as limited mobility, lack of transportation, and financial constraints. In fact, one in four Americans aged 65 and older is considered socially isolated.

As part of the Santa for Seniors program by Lutheran Community Services Northwest, “Time to Talk” was developed to foster intergenerational connections, promote the physical and mental well-being of older adults, and cultivate empathy and awareness among youth. In partnership with local private school Annie Wright, middle school students engage with seniors on a weekly basis.

Before their visits, students participate in Senior Sensitivity Training, where they experience some of the mobility, hearing, and vision challenges seniors often face. They are then paired with a senior living in a local senior community.

Each session is structured to encourage meaningful interactions. Students receive a set of conversation prompts, an icebreaker, and an activity—such as origami—to enjoy together.

Questions may include: Where did you grow up? Did you have pets? What was your first job? Do you have any words of wisdom? Depending on their grade level, students may also design their own interview questions or activities. At the end of the semester, they create a keepsake for their older adult partner, capturing the stories and insights shared during their time together.

This program offers invaluable benefits for both students and older adults. Students build confidence in conversing with others, practice note-taking and interview skills and gain a deeper appreciation for different life experiences. Older adults, in turn, enjoy engaging activities that bring them out of their apartments, create shared experiences, and offer a meaningful opportunity to pass down their stories.

The impact of “Time to Talk” is best reflected in the words of its participants. One older adult shared, “Seniors get to talk and share and feel like they belong to something.” Another emphasized the importance of intergenerational connections, stating, “It’s important to
stay connected to younger people because when you don’t have that, you don’t enjoy all that life has to offer.”

Students, too, have expressed the program’s value. One participant reflected, “I think it’s a really valuable experience because you don’t really understand the struggles elderly people face every single day.” Another student shared, “Thank you for giving us the opportunity to hear others’ life stories and experiences.”

Connections and friendships between generations are essential for keeping seniors engaged and happy while helping students develop empathy and a greater understanding of the world. “Time to Talk” strengthens these bonds, honoring seniors by giving students the chance to learn from their wisdom and experiences.

The Latest on Medicaid

May 27, 2025

The U.S. House of Representatives Passes Budget Reconciliation Bill with implications for Medicaid, Non Profit Charitable tax-exempt organizations and Medicare. Action now moves to the Senate.

The House of Representatives voted on May 22 to pass their version of a budget reconciliation package with a vote of 215-214 that includes $715 billion in cuts to Medicaid, while adding over $2-3 trillion to the deficit (based on various estimates).  The measure includes work requirements targeted at the adult expansion population beginning in December 2026. It also includes caps to provider taxes – which is the way a significant majority of states pay for their share of Medicaid – making it hard for states to fill the gaps in funding  The non-partisan Congressional Budget Office projects that roughly 10 million Americans will lose coverage as a result of the cuts.

Action now moves to the Senate where Majority Leader John Thune (R-SD) has signaled they will look for $600 billion in cuts to Medicaid to pay for the expiring Tax Cuts and Jobs Act. The Senate is expected to pass a budget reconciliation package before the July 4 recess, which means that it will be important to meet with your Senators to ask them to protect Medicaid from cuts.

Our new campaign, Here We Stand. For People. For Care. For Medicaid. Includes resources to support outreach to members of Congress and the media in your local and state markets.

House Budget: Charitable Non-Profit Tax and Medicare Implications

The recently passed House version of the Budget Reconciliation Bill includes implications for nonprofit charitable organizations and Medicare.

Nonprofit Charitable Tax Status: What is NOT included/out

  • The House passed bill does NOT include the provision that would revoke nonprofit status from “terrorist supporting organizations”:
    • House Republicans removed a provision from the bill that would have granted authority to the Treasury Secretary to revoke nonprofit status from “terrorist supporting organizations,” without requiring the Secretary to share full evidence or ensure due process.

What IS included/in: 

  • Charitable Act at $150/300 (single/joint filer) – urge Senators to support;
    • The House bill creates a non-itemizer tax deduction up to $150 for individuals and $300 for married couples, regardless of whether the tax filers claim an itemized deduction (Section 110112).
  • Limits on charitable donations – urge Senators to oppose;
    • These proposals (Section 110011 and Section 112027) discourage charitable donations made by corporations and individuals, ultimately leaving nonprofit organizations with fewer resources to serve their community.
    • Adds new limits on itemized deductions, including the charitable deduction. If enacted, this provision would significantly reduce the value of itemized deductions for high-income taxpayers, disincentivizing charitable giving.
    • Section 112027 creates a 1% floor for charitable contributions made by corporations. In doing so, this provision would discourage corporate giving, if such donations amount to less than 1% of their taxable income.
  • New or expanded taxes on non-profits and foundations – urge Senators to oppose;
  • These proposals (Section 112022 and Section 112024) divert scarce resources away from essential services, undermine the ability of charitable nonprofit organizations to meet needs in their communities, and put greater strain on government.
  • Increases and expands Unrelated Business Income Tax (UBIT) to include any qualified transportation fringe benefit, such as transit benefits or parking benefits, for charitable organizations.  Note: The provision also carves out an exception for church-affiliated organizations.
    • In essence, this provision applies an income tax on an expense. This provision was previously passed in 2017 and subsequently repealed due to the confusing nature of applying an income tax on an expense and difficulty of quantifying the expense of certain benefits such as the cost of a parking spot already owned by a charitable organization.

Medicare:

  • Triggers Medicare cuts under the Statutory Pay As You Go Act of 2010 that could include reductions in provider reimbursements. Because the bill would increase the budget deficit by $2.3 trillion, the CBO projects the White House Office of Management and Budget (OMB) would have to curtail Medicare spending by $45 billion in 2026 and $490 billion from 2027 to 2034.
  • Suspends a rule to facilitate enrollment in Medicare Savings Programs that cater to low-income people eligible for Medicare and Medicaid by pushing back the effective date to 2035. Savings are estimated to be $84 billion.
  • Ends Medicare eligibility for some lawfully present foreign nationals who currently qualify by limiting the program to permanent residents who are green card holders, from Micronesia, the Marshall Islands or Palau, or, in certain cases, from Cuba. This would save $132 million.

LSA will continue to provide updates and actions as the debate moves forward in the US Senate on Medicaid and broader issues.  Stay current on our public policy efforts by subscribing to our advocacy alerts.

Please contact LSA staff with any questions or for more information:

Voice. Evidence. Action.

May 23, 2025

Our strength as a trusted, community-centered national network comes not just from our size and scale, but from the intersections of our work where message, evidence, and action meet. Last week was a vivid example of that alignment as we launched the Here We Stand campaign, published a new issue brief, “Innovating Care Through Community Partnerships,” and hosted a Results Network convening with 50 leaders from across the country.

Together, these initiatives tell a story of collaboration, innovation, and a united, faith-based voice leading with purpose.

Medicaid is a cornerstone of our work and a lifeline for the people we serve in more than 1,400 communities nationwide. As policymakers at both the state and federal levels continue to debate the program’s future, Here We Stand gives voice to our shared values. It boldly affirms our unwavering commitment to the millions who rely on Medicaid and reflects our unique perspective as a network that works across the full spectrum of Medicaid stakeholders. This is more than messaging—it’s a public declaration of who we are and what we stand for.

That voice is rooted in real, on-the-ground innovation. Our new issue brief highlights how Lutheran Services in America members are transforming care by forging partnerships between Medicaid Managed Care and community-based organizations, showing how integration of behavioral health and non-medical services and supports are improving outcomes for children and families and strengthening communities. A future brief and forthcoming blueprint will spotlight similar innovation across the network including in aging services and the Disability Network.

These ideas don’t just live on paper. They come to life through our learning communities. From the Rural Aging Action Networks to the Disability Network and, just last week, the Results Network convening.

These aren’t parallel tracks—they are deeply connected. The message shapes the narrative. The evidence builds credibility. The convenings fuel collaboration, innovation, and momentum.

Together, they show what’s possible when we speak with one voice, ground our work in truth, and lead with courage and community. This is how change happens. This is how we light the way—united, unwavering, and filled with purpose.

Alesia Frerichs is the President & CEO of Lutheran Services in America.

Showcasing the Innovative Rural Aging Action Network Model at ASA’s On Aging 2025

May 16, 2025

Regan McManus, director of aging initiatives at Lutheran Services in America, recently highlighted the work of the Rural Aging Action Network (RAAN) at the 2025 On Aging annual conference, hosted by the American Society on Aging—the nation’s largest multidisciplinary conference on aging.

In two well-received sessions, Regan joined three RAAN leaders to share rural-relevant strategies for improving health outcomes in rural and frontier communities. Their presentations emphasized the importance of building cross-sector partnerships and expanding investment to drive sustainable, equitable solutions for older adults in these underserved areas. In a third session, Regan partnered with the National Council on Aging to explore practical approaches for overcoming barriers to partnership collaboration in rural communities.

In addition to presenting, Lutheran Services in America hosted an afternoon roundtable for RAAN members to reflect on the past three years of the program and to collaboratively plan for the future. The day concluded with a group dinner, celebrating connection, collaboration, and progress.

We were pleased to see RAAN leaders from Lutheran Social Service of Minnesota, St. John’s United, Immanuel Living, Missouri Slope and Lutheran Social Services of South Dakota join Regan in attendance.

With a growing focus on family caregiver services and supports, this next phase of RAAN promises to deepen its impact across the RAAN network.

Supporting
Our Neighbors,

TOGETHER.

Our shared Lutheran tradition of service to our neighbor is more vital than ever.

Join us as we work to ensure our network continues delivering essential services to all in need.