Rural Voices 2025: Accelerating Equitable Policy Change for Older Americans in Rural Communities

August 19, 2025

Lutheran Services in America has launched Rural Voices 2025 from a generous investment from The SCAN Foundation. The project expands on Lutheran Services in America’s longstanding commitment to rural aging and its national Rural Aging Action Network.

Rural Voices 2025 kicked off at the end of July in rural South Dakota and Minnesota — two states where older adults are underrepresented in policy and disproportionately impacted by provider shortages, limited infrastructure, and fragmented healthcare systems. In partnership with Public Policy Lab, Lutheran Social Service of Minnesota, and Lutheran Social Services of South Dakota, human-centered interviews were conducted with older adults who are dual-eligible (receiving Medicare and Medicaid) to learn what rural older adults need to age in place, the barriers they face in navigating healthcare systems, and how faith-based nonprofit services contribute to their wellbeing.

This initiative uplifts the lived experiences of low-income, rural older adults by gathering firsthand insights to inform national policy and improve systems of care. Findings will be shared with policymakers, advocates, faith and aging partners to advance solutions that honor the dignity of aging in place regardless of where someone calls home.

For more information contact Regan McManus.

Regan McManus is Director of Aging Initiatives at Lutheran Services in America.

Implementation of Budget Reconciliation Law Moves Ahead as Senate Advances Housing Bill

August 18, 2025

By Sarah Dobson

As Congress continues to shape key domestic policy priorities, two major developments are advancing that directly impact our network: the implementation of the budget reconciliation law and renewed bipartisan momentum on federal housing legislation. Each presents challenges and opportunities for engagement. Below, we provide updates on what’s unfolding, how your input is essential, and where we’re focusing our advocacy efforts in the weeks ahead.

Budget Reconciliation: Implementation Timeline and Feedback on Impacts

Following the enactment of the sweeping budget reconciliation law on July 4, our policy and advocacy focus has turned to the effects of its implementation, 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. Further, many of the law’s provisions do not take immediate effect, instead rolling out over the course of the next five years. The Center on Budget and Policy Priorities has prepared a helpful interactive timeline showing the various effective dates. Click on the snapshot below to view the full timeline.

In addition, in order to most effectively communicate the impact on our network of healthcare related changes in the law, we are asking for your feedback on a brief series of related questions.  We realize not all questions will be relevant to everyone in our network—feel free to respond to only those questions that relate to your organization. Sample questions include: “What changes included in the law do you consider to be the highest priority for your organization to address?” and “Have you completed any analysis about how the law will impact your community?”

SHARE HOW BUDGET RECONCILIATION WILL IMPACT YOU

Thank you for your ongoing engagement with us in raising our unified faith-based voice with lawmakers and administration stakeholders. We will continue tracking both implementation of the current law and further legislative efforts carefully and will update you as needed.

Bipartisan Senate Housing Bill Moves Forward

On July 29, the Senate Committee on Banking, Housing, and Urban Affairs held a unanimous vote to pass the bipartisan “Renewing Opportunity in the American Dream (ROAD) to Housing Act” (S. 2651) out of committee. This is the first bipartisan housing bill markup in over a decade, following introduction of the legislation by committee chair Tim Scott (R-SC) and ranking member Elizabeth Warren (D-MA.) The ROAD to Housing Act includes 40 provisions that cover financial literacy, housing supply, manufactured housing, homeownership, program reform, veterans’ housing, and oversight and coordination of housing program and agencies.

Related to specific housing policy priorities of our network, the bill includes:

  • the provisions of the Rural Housing Service Reform Act, bipartisan legislation that would improve federal rural housing programs, cut red tape, and strengthen the supply of affordable housing by improving and strengthening several Department of Agriculture rural housing programs
  • reauthorization and improvement of the Home Investment Partnerships Program (HOME); creation of a competitive pot of highly flexible funding for communities that can be used to support affordable or mixed-income housing
  • a requirement for interagency coordination between the Department of Housing and Urban Development, USDA, and the Department of Veterans Affairs for the purposes of sharing data, streamlining processes, and increasing collaboration

Senators from both parties acknowledged the potential impact of recent substantial cuts at HUD on the future success of the bill but affirmed their support for moving forward. We anticipate that the House will hold a committee markup on the legislation this fall, and we will be tracking its progress and updating accordingly as we advocate for inclusion of additional needed provisions.

For more information, please contact Sarah Dobson, senior director of public policy and advocacy.

Uniting in Sioux Falls to Advance Equitable Outcomes for Families

August 15, 2025

Last week, we had the opportunity to visit Lutheran Social Services of South Dakota in Sioux Falls, South Dakota, as part of our Family Stabilization Initiative. The site visit created valuable space to connect with staff and leadership around key priorities including community engagement, sustainability, and cross-sector partnerships.

Through our collaborative learning model approach, we reviewed data and outcomes to date, engaged in scenario-planning to address current challenges, and discussed innovative strategies to better support families and mobilize the broader community. These conversations allowed us to continue building on our Family Stabilization Initiative Sustainability Toolkit, which has helped to inform our Community Building Framework set to be released this fall in partnership with Chapin Hall.

With the support of these tools, we explored efforts to strengthen family engagement and community partnerships, and ensure fidelity as the team works towards advancing equitable outcomes for all families in South Dakota.

Renada Johnson is Senior Director of Children, Youth & Family Initiatives and Elizabeth Vetter is a Program Manager at Lutheran Services in America.

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

July 24, 2025

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

July 7, 2025

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.