Jay Rockefeller: “I am pleased to introduce ``A First Step to Long-Term Care Act of 2002.'' This is a targeted long-term care package--a…”

“I am pleased to introduce ``A First Step to Long-Term Care Act of 2002.'' This is a targeted long-term care package--a first step in the direction of long-term care reform. This legislation is about protecting assets, expanding home care, and modestly expanding Medicare to address the need for adult day health care. Government coverage for nursing home care operates primarily, and most substantially, through the Medicaid program the safety net for the poor. Despite what many Americans believe or hope, Medicare is not designed or financed to cover long-term care needs. Medicare is, in fact, the universal health care program for the elderly, which covers all health care needs, save prescription drugs and long-term care. Just this morning, I testified before the Senate Special Committee on Aging about the need to find real solutions to attack the issue of long-term care coverage. This legislation is a step in that direction. Today, the home care benefit under Medicare offers skilled care and possibly home health aides on a part-time or intermittent basis. Beneficiaries also must be confined to the home, despite the fact that many could leave the home with assistance. ``A First Step to Long-Term Care Reform'' retains the requirement that leaving the home requires a considerable and taxing effort, but it obviates the difficult choice that patients face: either be imprisoned in their home or risk losing Medicare coverage.”