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LGBT Older Adults and Long-Term Care Under Medicaid

September 2010 | Services & Advocacy for GLBT Elders (SAGE), Movement Advancement Project (MAP)

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Medicaid generally pays for older Americans requiring long-term institutional or home-based care. Only individuals with low assets and income can qualify for Medicaid, but Medicaid qualification rules also include a series of "spousal impoverishment protections" that aim to prevent requiring a healthy spouse to live in poverty in order to qualify a sick spouse for Medicaid. Unfortunately, these spousal impoverishment protections do not apply to same-sex couples, which can leave the same-sex partner of a Medicaid recipient homeless, penniless, and without a living-wage income. One of eleven issue briefs based on the SAGE/MAP report Improving the Lives of LGBT Older Adults. Note: This publication was created before the June 2013 US Supreme Court decision overturning Section 3 of DOMA, so some information contained herein may no longer be applicable.


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Improving the Lives of LGBT Older Adults: Large Print Version

This report examines the unique challenges LGBT older adults face as they age and how these challenges make it harder for LGBT elders to achieve three key elements of successful aging: financial security, good health and health care, and social support and community engagement. Note: This is the large-print version of the report. MORE >


See more: Aging / General Issues, Aging Providers, LGBT Organizations, LGBT Older Adults