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ARTICLE | CAREGIVER SUPPORT LEGISLATION

The Case for Caregiver Support: Insights from Senator Markey’s Legislative Push

Photo of the capital building.

Key Takeaways:

  • Senator Ed Markey’s “Caring for Caregivers” agenda addresses the economic, physical, and emotional challenges faced by family caregivers through comprehensive legislative measures.

  • The agenda includes initiatives such as the CARE Act, FINANCE Act, and Peer Support Act, aimed at providing respite care, financial planning, and peer support for caregivers, especially those from underserved communities.

  • This legislative push underscores the need for national action to support caregivers, recognizing their crucial role in the healthcare system and aiming to alleviate the burdens they face.

As a team dedicated to building accessible infrastructures of support for family caregivers, it’s encouraging to see that this effort has also come up in policy initiatives over the past few years.

Our leaders are recognizing that caregiving has a deep and wide-reaching impact on American life. Caregiving is not a partisan issue, it’s a human issue. Across the political spectrum, millions of families are impacted by the physical, emotional, and financial toll of caring for loved ones. Similarly, we are coming to a collective understanding that the care families provide directly impacts health outcomes and costs. We are heading toward an impending crisis unless we take aggressive action to support families around their caregiving needs.

When family caregivers are involved and engaged in care plans, hospital readmissions decrease by 25%. These figures emphasize the pivotal role that caregiver support plays in enhancing overall health outcomes for patients.

Caregiving Policy

Historically, caregiver support has had bipartisan support. An example is the Alleviating Barriers for Caregivers Act, introduced in 2023. This bipartisan bill was co-sponsored by Senators from both parties, including Edward Markey (D-MA), Shelley Moore Capito (R-WV), Kyrsten Sinema (I-AZ), Susan Collins (R-ME), Bob Casey (D-PA), and Thom Tillis (R-NC). The bill aimed to simplify and streamline policies and procedures for family caregivers navigating Medicare, Medicaid, CHIP, and Social Security.

As a Massachusetts-based organization, we were proud to see Senator Ed Markey’s recent introduction of a new legislative agenda designed to support family caregivers. This “Caring for Caregivers” initiative reflects a commitment to ensuring that caregivers receive the resources, support, and recognition they deserve. Senator Markey is the Chair of the Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Security and member of the HELP Committee Older Americans Act reauthorization working group.

“This seven-bill agenda not only recognizes the tremendous contributions of family caregivers, but ensures they are paid and trained for their labor; can easily access benefits and services by eliminating red tape and leaning on peers who have been in their shoes; and will see their loved one’s health improve through healthy homes and food.”

A Personal Cause

Sen. Markey’s focus on the challenges family caregivers face also comes from personal experience, watching his father care for his mother during her 13 year journey with Alzheimer’s.

“When my mother suffered from Alzheimer’s, my father was her caregiver in our home in Malden for thirteen years,” said Senator Markey. “Family caregivers, such as my father, work around the clock doing the physical, health, financial, and other household work to support their loved ones’ ability to remain in their homes and communities. Caregivers are serving on the frontlines of the health care system, often to the neglect of their own health and wellbeing. My ‘Caring for Caregivers’ agenda will ensure that family caregivers economic, physical, and emotional health and wellbeing are front and center.”

Sen. Ed Markey

The "Caring for Caregivers" Agenda

Caregiving is often perceived as a personal issue but it is a broader economic challenge that impacts healthcare, employee productivity, and financial security. Senator Markey’s legislative agenda seeks to address major pillars of caregiver support currently lacking. 

Let’s dig into the major pieces of this legislation below 👇

  • Respite Care and Resources for Everyone (CARE) Act, legislation to support the development or establishment of integrated settings where family caregivers can receive respite care simultaneously with other supportive services. This would improve the accessibility of both respite care and supportive services. These supportive services under the Older Americans Act include counseling, financial planning, nutrition literacy, and information about other available programs for older adults and their caregivers.

    • We know from our own user data that caregivers are juggling several needs and responsibilities at once, making it difficult to prioritize needs such as respite and emotional support. Existing support resources are also highly fragmented and hard to find, making it near impossible for caregivers to find and leverage them appropriately. By consolidating as many resources as possible into one point of contact or physical site, we can ensure that caregivers get the support they need more often.

       

  • Financial Services Improving Noble and Necessary Caregiving Experience (FINANCE) Act, legislation to support grants through the Older Americans Act for financial planning for family caregivers including budgeting and saving, debt and bankruptcy, and referrals to legal assistance for estate and will planning and to information published by the National Resource Center on Women and Retirement Planning.

    • Financial burden is one of the most overlooked challenges of caregiving. AARP estimates that family caregivers spend an average of 26% of their income on caregiving activities.

      From budgets to health insurance claims, negotiating medical bills, costs of medications, facility placement, will planning and other legal considerations, the costs of being a family caregiver add up quickly. While our database and Navigator team point caregivers to financial support resources like financial aid programs, this is still an underfunded population of people. By offering more grants and creating programs for legal assistance, we can impact the rate of bankruptcy and debt among caregivers.

       

  • Family Caregiver Peer Support Act, legislation that would authorize $10 million annually for grants to develop or expand peer support programs for family caregivers, with priority for programs that serve low-income, BIPOC, immigrant, LGBTQ+, and/or disabled caregivers.

    • Peer support is less frequently talked about, but can be a huge source of emotional support for caregivers. We’ve found that caregivers continuously attend our live training and support sessions to share their experiences with peers, ask questions, and get advice from others in similar situations.

      If not provided in a convenient location for caregivers, this source of support can be tricky to find and rely on.

       

Convenient Care for Caregivers Act, legislation to support pilot projects through the Older Americans Act for individuals with Alzheimer’s disease and related dementias and their family caregivers to receive health care and other supportive services at the same time and location. This pilot project would collect and report data on health measures to the Administration on Community Living and the Centers for Medicare and Medicaid Services to determine the effectiveness of this type of care.

  • Nearly three-quarters (72%) of caregivers reported that they had not gone to the doctor as often as they should, and more than half (55%) had missed doctors appointments. (source)

 

 

We know that caregivers often neglect their own physical and mental health needs in order to properly care for their loved one.

In Conclusion

Senator Ed Markey’s “Caring for Caregivers” legislative agenda represents a significant step towards addressing the multifaceted challenges faced by family caregivers. This comprehensive approach encompasses financial support, respite care, peer support programs, and integrated healthcare services. By recognizing the economic, physical, and emotional toll of caregiving, these initiatives aim to provide much-needed resources and support to caregivers, particularly those from underserved communities.

The agenda not only acknowledges the crucial role caregivers play in our healthcare system but also seeks to improve their quality of life and the care they provide. As we continue to build supportive infrastructures for caregivers, such policy initiatives complement and reinforce the importance of caregiver support on a national level.

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