Key Issues


Our work is deeply embedded in communities across the country where we have provided services for over 150 years. The COVID-19 pandemic dramatically affects all of the people the Lutheran Services in America national network serves and the services we provide. Our 300 health and human service organizations are on the front lines caring for people while taking extraordinary steps to protect their staff and people served. Thank you for all you’re doing to care for others during this unprecedented time of crisis, and for your vital engagement with us in advocacy over the past several months.

Our Coronavirus Resources pages are being updated daily to provide you with timely resources in your vital work during this time. Please click here for related resources and Lutheran Services in America staff contact information tied to our collective work in Senior Services; Children, Youth & Families; Disabilities; Mission Leaders; and Federal Public Policy. 


New Medicaid Dashboard

The Modern Medicaid Alliance, of which Lutheran Services in America is a member, has released a newly updated Medicaid Dashboard, which serves as a one-stop clearinghouse for the latest, most comprehensive Medicaid enrollment research and polling data.  The Dashboard provides updated information on how each state’s Medicaid program is structured, how many people are covered, and levels of support for the Medicaid program and opposition to cutting Medicaid funding across all 50 states plus the District of Columbia.

Click here to check out this resource.

State Waivers

Waivers submitted by states and approved by The Centers for Medicare and Medicaid Services can change the basic structure of Medicaid, including payment mechanisms and user access. A waiver in one state can serve as a "template" for other states to make similar changes which could have a huge impact across the network of Medicaid providers and people who receive care under the program. Read more here.

The Family First Prevention Services Act

The landmark, bipartisan Family First Prevention Services Act (FFPSA) became law in February 2018 government. This new law may have implications for your accreditation requirements and it may impact reimbursement eligibility for services you currently provide or those that you may choose to provide in the future. Read more here.

The Chronic Care Act & Medicare Advantage

Some important changes were recently made to the Medicare Advantage (MA) program through both the passage of the Chronic Care Act and new rules published by The Centers for Medicare and Medicaid Services (CMS). Learn more here.

People with Disabilities

LSA's advocacy for people with intellectual and developmental disabilities (ID/DD) is carried out by its Disability Network (LSA-DN). LSA-DN believes that people with ID/DD should be full participants in the community, with the right to determine where they live and work, and how they contribute to society. Individuals with ID/DD should have a real choice about how and where they receive quality supports and services. This means the transformation of the Medicaid structure so that individuals are equally entitled to home and community-based services (HCBS) that meet their individual needs as they are to institutional care. Learn more about LSA-DN here.

Immigration and Refugee Services

LSA looks to its partners at Lutheran Immigration and Refugee Service (LIRS) for advocacy on issues related to immigrants and refugees. For LIRS staff and supporters, seeking justice for migrants and refugees means bold advocacy to create systemic change in how the United States treats immigrants and refugees. In coalition with other faith-based, service, ethnic, and immigrant rights organizations, LIRS works with the White House, Congress, and federal agencies to promote fair and humane policies that welcome newcomers to the United States. Learn more about LIRS advocacy here.