DES MOINES, Iowa - The main focus of the Iowa Legislature in its remaining weeks is to craft the state budget. While most of the discussion is about dollars, one issue also gets to the heart of what many Iowa families are going through: caring for an aging loved one.

Anthony Carroll, state director for advocacy at AARP Iowa, said that requires some policy decisions to provide proper support for family caregivers.

"When you look at family caregivers, they are right now the backbone of health care, of long-term care, providing over two-thirds of the long-term care," he said. "How can we improve the quality, the comfort level, to provide the care they are already providing?"

AARP Iowa, the Alzheimer's Association and Older Iowans Legislature were among the groups calling for action at the Statehouse this week. According to AARP Iowa, nearly two-thirds of family caregivers assist their loved ones with complex tasks, but only half have the instruction or training to provide that care.

An effort to enact the CARE Act - Caregiver Advise, Record and Enable - failed this session. It would have helped families when loved ones are discharged from a hospital, and already is the law in more than a dozen states. But Carroll said the CARE Act's intent still could be incorporated into legislation.

"We're asking that our state insist that all adults, when you enter a hospital, have the option to designate and involve a family caregiver," he said. "And those family caregivers can go home with some assurance, some instruction and demonstration of the medical tasks that they need to perform."

Currently, he said, that in-hospital training happens only half the time. However, some hospitals say they already provide training if needed and don't want an additional requirement.

It's estimated that family caregivers provide care worth almost $4 billion in Iowa each year, which Carroll said makes more training and support for them vital.

"We specifically asked for our state leaders to include legislation aimed at improving the lives of Iowa's family caregivers as part of any health policy, any health budget discussions," he said.

Legislative leaders anticipate determining budget numbers within the next 10 days as they aim toward adjournment before April 19.

The CARE Act was House Study Bill 564 in 2016; it's online at legiscan.com. In 2015, it was Senate File 465, online at legis.iowa.gov.


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A new national survey says one in five Americans 50 and older has nothing in savings for retirement.

Wisconsin workers young and old are being urged to take action now, to avoid added financial stress in their later years.

The survey results were issued by AARP this month.

Just affording basic expenses right now is a concern for many. But AARP Wisconsin's Communications Director Jim Flaherty said you don't want to be caught off guard when retirement nears.

He acknowledged that it can be hard for younger adults to plan that far ahead, when they're juggling expenses like student loan debt - or for older individuals managing costly medications, and higher grocery bills.

"A lot of times, because they're just trying to get by and they do have to live paycheck-to-paycheck," said Flaherty. "But this is one way to say, 'Hey, if you can live with a little less from your paycheck every week, that will sure grow.'"

Researchers note that 57 million Americans don't have access to a retirement plan through their work.

Wisconsin has not yet joined the list of states that have created state-operated retirement accounts, where employers and their workers can contribute money each pay period.

Supporters hope the issue is revisited next legislative session.

Flaherty said a combination of individuals being proactive and policymakers easing household budget pressure can hopefully put more people on a path toward a healthy retirement.

He said making progress can deter them from looking elsewhere to spend their golden years.

"Let's have an infrastructure that makes drugs affordable, that makes healthcare affordable, that makes retirement savings something that's part of their plan," said Flaherty. "And that'll keep Wisconsinites here."

And groups like AARP have encouraged Congress to address long-term stability concerns for Social Security, so that younger workers can anticipate full benefits.

Some Republican lawmakers have floated cuts, but senior advocates contend any solutions to make the program stronger should not be tied to deficit talks.

Oregon is working to address the state's digital divide with hundreds of millions of dollars in funding.

Infrastructure presents the largest challenges for connecting people in Oregon to high-speed broadband internet.

Nick Batz, director of the Oregon Broadband Office, said there are more than 170,000 residencies in the state with no or slow internet access.

"Our goal through the broadband office and with all our stakeholders throughout Oregon is to provide access to all 112,000 unserved locations and as many of the 60,000 underserved locations as we can," Batz explained.

The state has received federal funding from a variety of sources, including nearly $690 million from the Broadband Equity, Access and Deployment program, and more than $150 million from the Capital Projects Fund approved in the American Rescue Plan Act from 2021.

Oregon's Digital Equity Plan has also been approved and along with it, nearly $10 million in funding.

Bandana Shrestha, state director of AARP Oregon, said there was a time when high-speed broadband internet was considered a luxury.

"Now, it's such a big necessity for everyone, including for older adults," Shrestha pointed out. "Because we know that if you don't have connectivity, you're not going to be able to see your doctor when you want to. Telemedicine is not going to be possible."

Batz added his office is working to ensure every Oregonian can get on the internet.

"It is an interesting challenge," Batz observed. "Nothing has been done like this in Oregon's history of trying to get internet access to everybody. So, it's going to be quite the challenge and it's absolutely going to require participation from everybody to make this happen."

Nursing homes across South Dakota will soon receive a boost in support, as part of the most recent legislative session.

Facilities caring for Medicaid recipients are reimbursed by the state for some of the cost. Reimbursement rates have been calculated based on patient needs, occupancy and funds available in the state budget. Last year, the South Dakota Legislature increased the rate from about 75% to 100%.

House Bill 1167 now allows the Medicaid reimbursement rate to be adjusted annually, to keep up with inflation and other changes.

Erik Nelson, advocacy director for AARP South Dakota, is glad lawmakers are giving nursing homes attention.

"We have seen a number of nursing homes close in recent years," Nelson pointed out. "Financial considerations were a factor in that, along with workforce and some other issues."

Since 2019, 15 nursing homes have closed across the state, with six of the remaining 98 on a federal list of facilities not meeting basic standards of care. In addition to a lack of funding, the average staff turnover rate is 54%.

State lawmakers also approved the use of $5 million in American Rescue Plan Act funding toward expanding telehealth services in facilities including nursing homes, allowing patients to receive some health care services remotely.

Nelson noted telehealth is one way to supply needed support.

"For not only the residents, but the family caregivers that are supporting their loved ones in the nursing homes," Nelson emphasized. "And of course, the staff of the nursing home that's in the community."

Census data show South Dakota's population is aging and by 2030, one-fifth of residents will be older than 65.