Seventy percent of those who reach age 65 will need long-term care services or expensive in-home nursing care, and 42% of it nationwide is paid for by Medicaid.
With long-term care costing nearly $100,000 a year in Nebraska as of 2022, assets can quickly be wiped out.
Ann Mangiameli, an attorney in Omaha, said states are required to "recover" funds Medicaid spends on in-home or out-of-home nursing care for those 55 and older, but the Spousal Impoverishment program allows the healthy spouse to preserve a portion of their assets. It includes their house, if the spouse continues to live there.
She pointed out if one member of a couple may need nursing home care, they should request a "Spousal Impoverishment" assessment through the Department of Health and Human Services, which involves dividing their total assets in half.
"And then they look at the half of the assets that goes to the spouse that's going to be considered the one needing the nursing care," Mangiameli explained. "That person needs to spend their assets down to $4,000 in Nebraska to qualify for Medicaid."
Mangiameli noted the house is not considered when totaling the couple's assets. She said once the spouse needing care qualifies for Medicaid, the house should be transferred to the name of the spouse living there, referred to as the "community spouse." If it is not done, and the community spouse dies first, the house becomes eligible for Medicaid recovery since it is considered an asset of the spouse who's receiving Medicaid.
As of 2022, the "community spouse" can keep a maximum of roughly $137,000 and a minimum of roughly $27,000. They can also keep their income up to just over $3,400 a month, with amounts adjusted annually based on inflation.
Mangiameli emphasized by delaying the Medicaid assessment until the couples' assets have further dwindled, the community spouse may qualify to keep a lower amount. She also cautioned seniors assets given away within five years of applying for Medicaid -- the current "look-back" period -- will be considered when determining total assets. Although it will not permanently disqualify a person from Medicaid, it will result in a "penalty period."
"So, let's say you gave away $100,000, and the nursing home that you're going into is $10,000, you are ineligible for a period of 10 months," Mangiameli outlined. "It's the actual cost of the facility up to whatever that amount of money is."
Mangiameli added since 2017, the state law said all assets, with or without a probated will, and including those in a trust, may be eligible for Medicaid recovery.
Nebraska's Spousal Impoverishment Program and Medicaid Recovery both include a number of exceptions and special considerations, so Mangiameli urged seniors to consult with an elder law attorney and not delay seeking a Spousal Impoverishment assessment if they anticipate needing Medicaid in the future.
"People need to know that Medicaid Recovery is a thing; that they will get letters," Mangiameli stressed. "Nebraska is required to try to get paid back for any Medicaid payments, specifically once they are in nursing homes. And families usually don't know that until they get those letters in the mail."
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In 1968, Congress passed a law requiring the Food and Drug Administration to minimize people's exposure to wireless radiation, but the agency dropped the ball, according to a new petition filed by a coalition of consumer advocates.
The group wants the FDA to evaluate the public's exposure to radio-frequency radiation emitted by things such as cellphones, laptops, tablets, routers, game consoles and smart meters.
Doug Wood, founder and national director of Americans for Responsible Technology, spearheaded the petition.
"All those things that depend on and emit RF radiation fall under the purview of FDA," Wood explained. "It's the only agency right now, that has both the authority and the responsibility to protect the public health by trying to minimize those exposures as much as possible."
Wood wants the FDA to measure and analyze the public's exposure, especially kids in modern classrooms packed with wireless technology. Then the agency could develop and publicize best practices for minimizing exposure.
The FDA has said it relies on the industry RF radiation exposure standard developed in the 1980s and adopted in 1996 by the Federal Communications Commission. The FDA considers safe any device coming in under the limit.
Wood argued the standard is outdated, considering multiple studies -- including a huge one in 2018 from the National Toxicology Program -- found RF radiation from cellphones led to cancer in rats.
"So they're kind of caught between a rock and a hard place," Wood contended. "On the one hand, they've got a trillion-dollar worldwide industry, depending on them to not say this stuff is dangerous. And they've got a law from Congress saying you are required to protect public health by minimizing that exposure as much as possible."
Ellie Marks, director of the nonprofit California Brain Tumor Association, said her husband Alan is fighting brain cancer which developed right where he held his cellphone for many years.
"Had the FDA done their jobs and properly advised consumers, my husband and family would not have suffered as we have," Marks asserted. "And I know many others quite young who are now deceased from cancers related to their cellphone use."
The FDA has 180 days to evaluate the petition. If it is rejected, advocates would have the option to file suit.
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The Montana Legal Services Association has started a program to help young attorneys get started on a path to success - becoming community leaders, run socially conscious law firms, and maintain sustainable businesses.
The Rural Incubator Program for Lawyers creates a way for new attorneys to start their careers by helping connect them to rural clients with pro-bono and reduced-rate services.
Gillian Ellison, the incubator program coordinator, said it helps underserved people in Montana - while also giving lawyers a leg up on networking and kick-starting, or incubating, their careers.
"It's looking at the problem from both ways," said Ellison, "trying to get more attorneys in the rural places and also trying to facilitate the growth of new businesses that serve low-to moderate-income Montanans."
Montana Tribal members also stand to benefit from the rural lawyer incubator program, which requires the attorneys to perform 25 pro bono hours and 225 reduced rate service hours in exchange for training and assistance with business and client development.
Ellison said while the incubator program is especially helpful to underserved Montanans and members of the state's Indigenous tribes, it is also especially useful to lawyers who are just starting out and need the help that comes from more experienced attorneys - which can be difficult to get.
"Especially in a place like Montana where things are so spread out to have networking capacity because the networking and the mentoring is invaluable to a new attorney," said Ellison, "especially if you're not going to be working in a - or getting hired on to work in - a firm. "
The program also makes some tuition reimbursement assistance available for some lawyers who participate.
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Aiming to close the financial literacy divide among teens and young adults, one investment company has set a goal of reaching one million of them by 2025.
The National Center for Education Statistics reported among 15-year-olds, only one in four regularly discusses economics or financial matters with their parents.
The Edward Jones Financial Fitness program is one way to get the information to them.
Nolan Jeter, financial adviser for Edward Jones in Atlanta, said increasing a young person's financial knowledge is also a way to build and enhance their confidence and well-being.
"The biggest difference between people reaching their full potential and financial success is discipline," Jeter contended. "The sad truth is, most people don't know what those disciplines are."
Jeter pointed out the program tackles topics like saving strategies, how to start and use a 401(k) account, and planning for a secure future. To date, he said the program has helped more than 485,000 students, and is on track to double in two years.
A survey by the website WalletHub ranks Georgia 39th among states for overall financial literacy.
Jeter noted it is a common misconception money management skills are not needed if you do not have much to manage. He emphasized students can learn to handle whatever amount they have more effectively.
"This is one of the ways that we're really focused and delivering that impact to these communities," Jeter stressed. "We know that that's where we see the biggest gap between people and working with financial professionals. We know that there are underserved communities, particularly -- especially in the minority communities -- that just simply don't know."
State initiatives also have been set in motion to help increase financial literacy in teens. Last year, Gov. Brian Kemp approved a bill making financial literacy courses compulsory for high school students starting in the next academic year. All students in grades 11 and 12 must complete a half-credit course to be eligible for graduation.
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