An alliance of health and consumer advocacy groups in the Granite State is working to create a coordinated system of long-term care for healthy aging.

New Hampshire has one of the fastest-growing aging populations in the U.S. - and a majority of people say they'd prefer to "age in place" rather than enter an assisted-living facility or nursing home.

Jennifer Delaney, associate state director of advocacy and outreach for AARP New Hampshire, said new legislation would expedite access to home- and community-based services and give more people a choice in their long-term care.

"Folks can get Medicaid services without waiting for the application to process," said Delaney. "That's one of the big things that sends folks directly to nursing homes, because a lot of the home-care agencies aren't able to absorb that cost."

Delaney says AARP is also working to strengthen the state's Service Link hotline, which connects older adults to a wide range of support services.

Legislation known as the "Systems of Care for Healthy Aging" bill would create a new long-term systems of care director position to ensure oversight and accountability.

Delaney said AARP has teamed up with groups like the New Hampshire Alliance for Healthy Aging and Alzheimer's Association on the bill.

It also advocates strengthening New Hampshire's Prescription Drug Affordability Board, which was created in 2021 to bring greater transparency to how drug prices are set.

When it comes to prescription pricing, Delaney said, sunlight is always the best disinfectant.

"So, it sheds light on how the manufacturers set prices," said Delaney, "so that will hopefully lower prices for drugs across the board in New Hampshire."

Delaney added that no one should have to choose between buying prescription drugs or putting food on the table, and she said she thinks the board can serve as a model for other states looking to reduce potential price-gouging for life-saving medications.

The board has already faced legislative challenges to dismantle or reduce its ability to do just that.

A Nevada bill would make changes to adult guardianship by prioritizing less restrictive approaches.

Sen. Melanie Scheible, D-Las Vegas, the bill's sponsor, explained Nevada law promotes "supportive decision-making," a contract between a protected person and a supportive partner. She said the approach allows people to keep a level of independence and power when making important legal, financial and health care decisions.

Scheible pointed out the new measure would require Nevada courts to first explore the option or other less restrictive alternatives before a guardian is appointed.

"It requires the judge to put on the record, why, if they are going to appoint a guardian, they are doing that in lieu of a supportive decision-making agreement," Scheible outlined. "What about this person's capabilities makes them unfit to be in a supportive decision-making arrangement?"

The legislation would also require the review of guardianships being transferred from outside the state into Nevada. Backers of the bill said state standards are not all the same and want to ensure guardianship is truly warranted. The bill was heard in the Assembly Judiciary Committee this week and has not faced opposition so far.

Jonathan Norman, advocacy, outreach and policy director for the Nevada Coalition of Legal Services Providers, said he supports the measure because he wants people in the state to retain as many rights as they can when receiving medical care.

"SB 346 will lead to fewer unnecessary guardianships," Norman contended. "Many adults and seniors with disabilities find themselves facing the rest of their lives in a court-ordered guardianship, not because they need it but because less restrictive alternatives were not fully explored."

Ellen Marquez is the mother of Alysa Marquez, 22, who has Down syndrome. She said guardianship has been "the default" for too long. She believes while guardianship has its place, it can also strip people of their rights.

"If we all rely on guidance from trusted sources, why shouldn't individuals with disabilities and older adults have the same opportunity?" Marquez asked.


get more stories like this via email

Oregonians have saved nearly $350 million for retirement through OregonSaves, a program allowing employees without workplace plans to automatically contribute to an individual retirement account.

Now, more than 60% of Oregon workers have access to a retirement savings plan, one of the highest rates in the country.

Bandana Shrestha, state director of AARP Oregon, said the group helped launch OregonSaves in 2017, the first program of its kind in the nation.

"It really is very wonderful that we were able to innovate and lead the country in a program that's so meaningful and so impactful," Shrestha emphasized. "I hope that people really take advantage of it."

Although more than 1 million private sector workers across the country have enrolled in state retirement savings programs, research shows nationwide one in five Americans over age 50 has no retirement savings.

Ryan Mann, executive director of the Oregon Treasury Savings Network, which oversees OregonSaves, said research shows people are 15 times more likely to save when it happens through a payroll deduction at their job.

"OregonSaves is attempting to fill that gap by providing a free way for employers to help their employees save," Mann explained. "Once they're enrolled in the program, an easy way for the workers to have it happen automatically."

Shresthra said retirement savings are not only important for individuals, they can also alleviate some of the financial pressures extended family or friends may feel who are providing care as people age, which can be costly.

"It gives you choices," Shresthra pointed out. "Both in terms of how you lead your life, but also how you are able to extend generosity and to give to your community, to your family. "

Research shows women, people of color and lower-wage workers are all less likely to have access to a traditional retirement account, and Mann said OregonSaves is designed to help close intergenerational wealth gaps. State residents can sign up and find more information at OregonSaves.com.

Pennsylvanians over age 50 are voicing concerns about the Department of Government Efficiency plans to cut 7,000 jobs from the U.S. Social Security Administration as part of its efforts to shrink the federal government and curb what it describes as waste and fraud.

More than one in five Pennsylvanians get monthly Social Security payments, according to AARP, almost 3 million people.

Nora Dowd Eisenhower, volunteer state president of AARP Pennsylvania, said all the changes have left many beneficiaries confused and worried about potential office closures, employee layoffs and reduced services.

"We are working to make sure that Americans receive the Social Security they have worked hard for and paid for over their entire working lives," Dowd Eisenhower emphasized.

Social Security benefits contribute almost $63 billion a year to Pennsylvania's economy through retirement, survivors and disability payments, according to AARP, all of which boost consumer spending, business sales, and job creation across the state.

Dowd Eisenhower pointed out the Social Security Administration had planned big changes to its phone services in March that would have caused delays and hassles but the decision was reversed this month after intense pushback. She noted AARP members have long been vocal about the need for better customer service from the Social Security Administration.

"Last year, four out of five older Americans, across party lines, supported increased funding for the Social Security Administration as a way to improve customer service," Dowd Eisenhower reported.

President Donald Trump's senior adviser Elon Musk claims Social Security could be cut by $500 billion to $700 billion without reducing benefits.

Dowd Eisenhower added AARP is urging Congress to make sure the Social Security Administration makes payments on time, as it has for nearly 90 years, and provides quality customer service by phone, online and in person.