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SUMMARY:Provider Readiness and Response: Real World Implications of HR1 in 2027 and Beyond
DESCRIPTION:Federal changes and requirements under HR1 are creating new challenges and uncertainties for senior care providers as states prepare for 2027 and 2028 upcoming budget cycles. This webinar will examine key policy changes\, including provider taxes\, state-directed payments\, Medicaid eligibility and work requirements\, and potential implications for Medicaid funding. Using Illinois as a case study\, presenters will discuss state-level considerations\, potential financial impacts\, and opportunities for provider advocacy. \nLearning Objectives\n\nIdentify key policy changes under HR1\, including provider taxes\, state-directed payments\, eligibility requirements\, and work requirements\nDescribe potential implications of federal Medicaid changes on state funding structures and reimbursement for senior care providers\, including examples of state provider tax models\nIdentify opportunities to engage with legislators and advocate for policies that support Medicaid funding and the financial sustainability of senior care providers\n\nPresenters\nJennifer Boese\, Director\, Health Care and Life Sciences\, (CliftonLarsonAllen LLP) \nSuccessful thought leader\, legislative\, public policy\, and government relations leader with decades of experience at both the state and federal level. Deep understanding of the health care market and environment\, health care organizations\, stakeholders and health care policy. Strategic and visionary\, I enjoy designing new structures\, approaches and programs with the goal of providing cohesion and a clear line of sight to organizational goals. I am innovative\, creative and enjoy new challenges. I am frequently called upon to lead initiatives and am successful in improving results and delivering increased value. I am highly skilled in persuasive communications and public speaking. I am a driven leader who enjoys engaging and empowering others to work towards a common mission. \nChad Kunze\, Principal\, Health Care and Life Sciences\, CLA (CliftonLarsonAllen LLP) \nChad is a principal in healthcare and life sciences\, as well as the affordable housing industry at CLA. Chad focuses his time on serving senior living and care\, as well as affordable housing clients throughout the country. He leads the senior living and care healthcare and life sciences practice in Chicago\, Illinois\, and surrounding states.  He is also the leader of the affordable housing industry for the firm. Chad is a certified public accountant with more than 30 years of experience in public accounting\, auditing\, and business consulting devoted entirely to the healthcare and life sciences and affordable housing industries. He provides regular consultation regarding financial\, operational\, and strategic planning services for various healthcare and life sciences\, as well as affordable housing providers in Greater Chicagoland and throughout the country. \nMatthew Werner\, Consultant\, Werner Consulting \nExpertise in Illinois Medicaid and other healthcare issues specifically: finance\, rate setting and methodologies\, state budget issues\, data analytics\, legislation\, state and federal policy.
URL:https://leadingagemissouri.org/event/provider-readiness-and-response-real-world-implications-of-hr1-in-2027-and-beyond/
CATEGORIES:Governance,Leadership,Management
ATTACH;FMTTYPE=image/jpeg:https://leadingagemissouri.org/wp-content/uploads/2026/11/pexels-sora-shimazaki-5668835.jpg
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DTSTART;TZID=America/Chicago:20270211T103000
DTEND;TZID=America/Chicago:20270211T113000
DTSTAMP:20261020T232110Z
CREATED:20261010T021309Z
LAST-MODIFIED:20261020T232110Z
UID:10000131-1802341800-1802345400@leadingagemissouri.org
SUMMARY:The HCBS Settings Rule in a Shifting Olmstead Landscape: What Assisted Living & Adult Day Providers Need to Know
DESCRIPTION:More than a decade after CMS finalized the Medicaid HCBS settings rule\, its requirements continue to shape how assisted living and adult day providers design\, deliver\, and document services. At the same time\, the federal legal framework behind community integration is changing quickly. In 2026 the Department of Justice reinterpreted the integration mandate under Section 504 of the Rehabilitation Act and title II of the Americans with Disabilities Act\, as well as the holding of Olmstead v. L.C. and stepped back from its longstanding enforcement guidance\, and in September a federal court in Texas v. Kennedy vacated the community integration provisions of the Department of Health and Human Services’ 2024 Section 504 rule.\nThis session gives providers a high-level walkthrough of the setting rule\, including the qualities every HCBS setting must have\, the added conditions for provider owned or controlled residential settings\, person-centered care planning\, and heightened scrutiny. We will look closely at the provisions that most often raise questions in assisted living and adult day. We will then explain what DOJ’s recent actions and the Texas v. Kennedy ruling do and don’t change\, followed by commentary on what they may mean for state oversight\, Medicaid HCBS policy\, and provider operations. \nObjectives\n\nSummarize the core requirements of the Medicaid HCBS settings rule.\nIdentify the provisions most relevant to aging services provider\, such as residency agreements\, privacy\, control of schedule\, visitors\, access to food\, and community access. Distinguish how modifications must be supported through the person-centered plan.\nDescribe DOJ’s 2026 actions on the integration mandate\, Olmstead\, and the outcome of Texas v. Kennedy\, distinguishing what has changed in federal regulation and enforcement from what remains in law.\nAssess the practical implications for compliance\, state oversight\, and advocacy in their own state.\n\nSpeakers\n\nClarette Yen – cyen AT leadingage DOT org\nGeorgia Goodman – ggoodman AT leadingage DOT org \n\nClarette Yen serves as the Vice President\, Legal Affairs at LeadingAge. She previously spent 21 years as an attorney with the federal government. She started her federal career with the U.S. Department of Labor\, where she drafted and reviewed regulations relating to foreign labor certifications and handled administrative litigation before the Board of Alien Labor Certification Appeals. She continued to develop her regulatory expertise at the U.S. Department of Justice\, where she worked on regulation and guidance implementing the Controlled Substances Act\, Americans with Disabilities Act\, and Section 504 of the Rehabilitation Act. She helped lead Section 504 coordination efforts to ensure consistency in interpretation and enforcement across federal agencies. She concluded her federal career at the Government Accountability Office\, where she provided legal support on performance audits in the areas of human capital\, regulation\, and tax policy. She is excited to continue her work in these areas (in addition to learning new ones) to support LeadingAge’s federal advocacy efforts. \nCEUs\nPENDING: 1 hour – Nursing Home Administrator \nContact Debbie Klindt for the latest information regarding Missouri continuing education units.
URL:https://leadingagemissouri.org/event/the-hcbs-settings-rule-in-a-shifting-olmstead-landscape-what-assisted-living-adult-day-providers-need-to-know/
CATEGORIES:Governance,Leadership,Operations
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