Key Issues



Waivers submitted by states and approved by The Centers for Medicare and Medicaid Services can change the basic structure of Medicaid, including payment mechanisms and user access. A waiver in one state can serve as a "template" for other states to make similar changes which could have a huge impact across the network of Medicaid providers and people who receive care under the program. Read more here.

Congress and the Administration have both recently acted to make changes to improve oversight of and reporting on nursing home quality standards. Read more here.

The Family First Prevention Services Act

The landmark, bipartisan Family First Prevention Services Act (FFPSA) became law in February 2018 government. This new law may have implications for your accreditation requirements and it may impact reimbursement eligibility for services you currently provide or those that you may choose to provide in the future. Read more here.

The Chronic Care Act & Medicare Advantage

Some important changes were recently made to the Medicare Advantage (MA) program through both the passage of the Chronic Care Act and new rules published by The Centers for Medicare and Medicaid Services (CMS). Learn more here.

People with Disabilities

LSA's advocacy for people with intellectual and developmental disabilities (ID/DD) is carried out by its Disability Network (LSA-DN). LSA-DN believes that people with ID/DD should be full participants in the community, with the right to determine where they live and work, and how they contribute to society. Individuals with ID/DD should have a real choice about how and where they receive quality supports and services. This means the transformation of the Medicaid structure so that individuals are equally entitled to home and community-based services (HCBS) that meet their individual needs as they are to institutional care. Learn more about LSA-DN here.

Immigration and Refugee Services

LSA looks to its partners at Lutheran Immigration and Refugee Service (LIRS) for advocacy on issues related to immigrants and refugees. For LIRS staff and supporters, seeking justice for migrants and refugees means bold advocacy to create systemic change in how the United States treats immigrants and refugees. In coalition with other faith-based, service, ethnic, and immigrant rights organizations, LIRS works with the White House, Congress, and federal agencies to promote fair and humane policies that welcome newcomers to the United States. Learn more about LIRS advocacy here.