Natalie Kean
@nataliekean.bsky.social
I ❤️ Medicaid, Medicare, the ACA and Obamacare. This and other opinions are my own.
Director of Federal Health Advocacy at Justice in Aging
https://justiceinaging.org/cutting-medicaid-harms-older-adults/
Director of Federal Health Advocacy at Justice in Aging
https://justiceinaging.org/cutting-medicaid-harms-older-adults/
Pinned
Natalie Kean
@nataliekean.bsky.social
· Dec 18
Medicaid Facts: 59% of U.S. adults say they, their families or close friends had #Medicaid coverage at some point. #healthpolicy
www.kff.org/medicaid/pol...
www.kff.org/medicaid/pol...
🙋🏻♀️I have family and close friends who have #Medicaid for both primary health coverage and long term care. How about you? We all need to #ProtectMedicaid!
Reposted by Natalie Kean
“It’s dual-pronged. Not only are you contributing to increased homelessness, but you’re also preventing individuals from being able to escape poverty by maintaining that critical asset,” Diamond said. “You’re also punishing people for being poor.”
Our top story, from @juliepoole.bsky.social: After suffering a stroke, their mother, Marilyn, spent two and a half years in a nursing home paid for by Medicaid. Now the state wanted its money back.
“It was like wild animals pouncing on meat.”
“It was like wild animals pouncing on meat.”
One Woman's Fight Against Texas' Medicaid Estate Recovery Program
Her mother had been in a nursing home paid for by Medicaid. Now, the state wanted its money back: “It was like wild animals pouncing on meat."
www.texasobserver.org
October 24, 2025 at 11:48 PM
“It’s dual-pronged. Not only are you contributing to increased homelessness, but you’re also preventing individuals from being able to escape poverty by maintaining that critical asset,” Diamond said. “You’re also punishing people for being poor.”
Reposted by Natalie Kean
New Census data reveals rising poverty among older adults—over 9 million seniors (15%) live in poverty, with rates higher in communities of color. These aren’t just stats; they’re our parents, grandparents, neighbors, and keepers of our culture, all deserving to age with dignity.
Seniors are the only age group with growing poverty. It could get worse
Seniors are the only age group that saw a rise in poverty in 2024, Census Bureau data show. Without government help, it could get worse, experts say.
www.usatoday.com
September 25, 2025 at 10:56 PM
New Census data reveals rising poverty among older adults—over 9 million seniors (15%) live in poverty, with rates higher in communities of color. These aren’t just stats; they’re our parents, grandparents, neighbors, and keepers of our culture, all deserving to age with dignity.
Reposted by Natalie Kean
When a Medicaid enrollee who received long-term care dies, states attempt to collect the costs of care from the enrollee's remaining property or savings.
Here's how advocates can explain why this policy is harmful:
Here's how advocates can explain why this policy is harmful:
Communicating the Harm of Medicaid Estate Recovery - Justice in Aging
This messaging guide provides recommendations to help advocates explain the harms of Medicaid estate recovery to policymakers and the public.
justiceinaging.org
September 15, 2025 at 7:48 PM
When a Medicaid enrollee who received long-term care dies, states attempt to collect the costs of care from the enrollee's remaining property or savings.
Here's how advocates can explain why this policy is harmful:
Here's how advocates can explain why this policy is harmful:
Reposted by Natalie Kean
We filed a FOIA request along with @justiceinaging.org, @nilc.org, and @rcusa.bsky.social seeking transparency as the “Big Beautiful Bill” strips thousands of lawfully present immigrants of Medicare, regardless of how long they worked and paid Medicare taxes.
Coalition Seeks Transparency as 100,000 Lawfully Present Immigrants Face Loss of Medicare Coverage - Center for Medicare Advocacy
Washington, DC – A coalition of national advocacy organizations has filed a Freedom of Information Act (FOIA) request with the Social Security Administration and the Centers for Medicare and Medicaid ...
medicareadvocacy.org
September 18, 2025 at 12:47 AM
We filed a FOIA request along with @justiceinaging.org, @nilc.org, and @rcusa.bsky.social seeking transparency as the “Big Beautiful Bill” strips thousands of lawfully present immigrants of Medicare, regardless of how long they worked and paid Medicare taxes.
Reposted by Natalie Kean
Join us on Tuesday, 9/16, for a deep dive into recent federal and state policy changes that will impact older Californians' access to Medi-Cal, Medicare, and other vital health care programs.
Register: to.justiceinaging.org/K9rgqgC
Register: to.justiceinaging.org/K9rgqgC
Webinar | H.R.1 and State Budget Impacts: Updates for Aging and Disability Advocates
This webinar will cover federal and state policy changes related to Medi-Cal, Medicare, and other health care programs serving older adults in California.
to.justiceinaging.org
September 12, 2025 at 11:05 PM
Join us on Tuesday, 9/16, for a deep dive into recent federal and state policy changes that will impact older Californians' access to Medi-Cal, Medicare, and other vital health care programs.
Register: to.justiceinaging.org/K9rgqgC
Register: to.justiceinaging.org/K9rgqgC
🙏
September 12, 2025 at 2:44 AM
🙏
Reposted by Natalie Kean
Mayor Gaskins calls for federal, state audits to assess impact of new federal mandates
www.alxnow.com/2025/08/14/m...
www.alxnow.com/2025/08/14/m...
Mayor Gaskins calls for federal, state audits to assess impact of new federal mandates | ALXnow
Alexandria Mayor Alyia Gaskins is urging state and federal leaders to conduct expedited audits of Virginia's readiness to implement new federal requirements affecting Medicaid and food assistance programs....
www.alxnow.com
August 14, 2025 at 7:38 PM
Mayor Gaskins calls for federal, state audits to assess impact of new federal mandates
www.alxnow.com/2025/08/14/m...
www.alxnow.com/2025/08/14/m...
Check out our new HR 1 explainer and implementation timeline on the law’s changes to Medicaid, Medicare, and the ACA impacting older adults justiceinaging.org/budget-recon...
August 14, 2025 at 2:52 AM
Check out our new HR 1 explainer and implementation timeline on the law’s changes to Medicaid, Medicare, and the ACA impacting older adults justiceinaging.org/budget-recon...
Reposted by Natalie Kean
Join @nataliekean.bsky.social & Gelila Selassie on August 13th to discuss the impact of Medicaid cuts on older adults as a result of the passage of the budget reconciliation bill. Register here: us06web.zoom.us/webinar/regi...
Welcome! You are invited to join a webinar: Medicaid Cuts in H.R.1 - Updates for Aging Advocates. After registering, you will receive a confirmation email about joining the webinar.
In early July, President Trump signed H.R.1 also known as the “One Big Beautiful Bill Act” after narrowly passing both the House and the Senate. The bill cuts over a trillion dollars from Medicaid, Me...
us06web.zoom.us
July 28, 2025 at 7:30 PM
Join @nataliekean.bsky.social & Gelila Selassie on August 13th to discuss the impact of Medicaid cuts on older adults as a result of the passage of the budget reconciliation bill. Register here: us06web.zoom.us/webinar/regi...
Reposted by Natalie Kean
Wed 8/13 @ Noon, @slulaw.bsky.social alum Natalie Kean @nataliekean.bsky.social, Director of Federal Health Advocacy at @justiceinaging.org, joins the webinar Medicaid Cuts in H.R.1 – Updates for Aging Advocates to break down changes to Medicaid & Medicare. Register: us06web.zoom.us/webinar/regi...
Welcome! You are invited to join a webinar: Medicaid Cuts in H.R.1 - Updates for Aging Advocates. After registering, you will receive a confirmation email about joining the webinar.
In early July, President Trump signed H.R.1 also known as the “One Big Beautiful Bill Act” after narrowly passing both the House and the Senate. The bill cuts over a trillion dollars from Medicaid, Me...
us06web.zoom.us
July 22, 2025 at 2:35 PM
Wed 8/13 @ Noon, @slulaw.bsky.social alum Natalie Kean @nataliekean.bsky.social, Director of Federal Health Advocacy at @justiceinaging.org, joins the webinar Medicaid Cuts in H.R.1 – Updates for Aging Advocates to break down changes to Medicaid & Medicare. Register: us06web.zoom.us/webinar/regi...
The #ADA was won by people with disabilities who demanded justice and refused to be ignored. #ADA35
@sanders.senate.gov
@sanders.senate.gov
July 21, 2025 at 9:18 PM
The #ADA was won by people with disabilities who demanded justice and refused to be ignored. #ADA35
@sanders.senate.gov
@sanders.senate.gov
Reposted by Natalie Kean
Want the know the numerous ways that OBBBA terrorizes immigrants?
-Taking away health care and food aid
-Unaffordable fees
-Unprecedented funding for ICE and detention camps
-Raising taxes
We have it all in our new explainer
-Taking away health care and food aid
-Unaffordable fees
-Unprecedented funding for ICE and detention camps
-Raising taxes
We have it all in our new explainer
The Anti-Immigrant Policies in Trump’s Final “Big Beautiful Bill,” Explained
Learn how the One Big Beautiful Bill Act slashes access to health care, nutrition, and tax credits, expands immigration enforcement, and harms low-income and immigrant communities—putting the U.S. eco...
www.nilc.org
July 8, 2025 at 9:49 PM
Want the know the numerous ways that OBBBA terrorizes immigrants?
-Taking away health care and food aid
-Unaffordable fees
-Unprecedented funding for ICE and detention camps
-Raising taxes
We have it all in our new explainer
-Taking away health care and food aid
-Unaffordable fees
-Unprecedented funding for ICE and detention camps
-Raising taxes
We have it all in our new explainer
Reposted by Natalie Kean
Reminder: This GOP tax bill is selling out the American people to pay for tax cuts for billionaires.
July 3, 2025 at 5:34 PM
Reminder: This GOP tax bill is selling out the American people to pay for tax cuts for billionaires.
Reposted by Natalie Kean
It doesn’t have to be like this. We don’t have to die at the hands of corrupt politicians, billionaires, and wealthy corporations. We can build a different world. While we do that, we have to care for each other and help each other survive this. We’ve done it before. @newdisabledsouth.org
July 4, 2025 at 1:01 AM
It doesn’t have to be like this. We don’t have to die at the hands of corrupt politicians, billionaires, and wealthy corporations. We can build a different world. While we do that, we have to care for each other and help each other survive this. We’ve done it before. @newdisabledsouth.org
Reposted by Natalie Kean
"Cutting Medicaid, Medicare, and SNAP is morally indefensible under any circumstance, but this budget bill is particularly cruel," said @kevinprindiville.bsky.social.
It endangers not only the lives of today’s older adults but future generations as well.
Read Justice in Aging's full statement:
It endangers not only the lives of today’s older adults but future generations as well.
Read Justice in Aging's full statement:
Justice in Aging's Statement on Final Passage of Budget Bill - Justice in Aging
The bill sets a dangerous precedent that Congress will use Medicaid, Medicare, and SNAP as a piggy bank for billionaires.
justiceinaging.org
July 3, 2025 at 9:27 PM
"Cutting Medicaid, Medicare, and SNAP is morally indefensible under any circumstance, but this budget bill is particularly cruel," said @kevinprindiville.bsky.social.
It endangers not only the lives of today’s older adults but future generations as well.
Read Justice in Aging's full statement:
It endangers not only the lives of today’s older adults but future generations as well.
Read Justice in Aging's full statement:
Let’s stop this bill before it:
Takes healthcare from 17 million low-income people
Cuts #Medicaid that enables older adults & disabled people to live in their own homes
Shutters nursing facilities
Penalizes people who lose their jobs by taking away their healthcare
Call now! AAPD.com/Medicaid
Takes healthcare from 17 million low-income people
Cuts #Medicaid that enables older adults & disabled people to live in their own homes
Shutters nursing facilities
Penalizes people who lose their jobs by taking away their healthcare
Call now! AAPD.com/Medicaid
AAPD Medicaid Defense Hub - AAPD
AAPD.com
July 2, 2025 at 10:43 PM
Let’s stop this bill before it:
Takes healthcare from 17 million low-income people
Cuts #Medicaid that enables older adults & disabled people to live in their own homes
Shutters nursing facilities
Penalizes people who lose their jobs by taking away their healthcare
Call now! AAPD.com/Medicaid
Takes healthcare from 17 million low-income people
Cuts #Medicaid that enables older adults & disabled people to live in their own homes
Shutters nursing facilities
Penalizes people who lose their jobs by taking away their healthcare
Call now! AAPD.com/Medicaid
Reposted by Natalie Kean
Please.
RIGHT. NOW.
RIGHT. NOW.
Call your representative and tell them to vote no.
202-224-3121
Tell everyone you know to do the same.
202-224-3121
Tell everyone you know to do the same.
The Senate just passed a dangerous and deeply unpopular budget bill that cuts health care and food assistance to pay for tax breaks for billionaires.
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
July 2, 2025 at 6:09 PM
Please.
RIGHT. NOW.
RIGHT. NOW.
Reposted by Natalie Kean
The horrible budget bill is now making its way to the House for final approval, and will likely be on the President's desk by the end of the week. Now is our last chance to speak out against this bill! Call your representatives at 202-224-3121!
The Senate just passed a dangerous and deeply unpopular budget bill that cuts health care and food assistance to pay for tax breaks for billionaires.
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
Justice in Aging Condemns Senate Vote to Gut Medicaid and SNAP - Justice in Aging
Justice in Aging condemns the Senate's passage of the budget reconciliation bill, which would cut health care and nutrition assistance that older adults,
justiceinaging.org
July 1, 2025 at 7:10 PM
The horrible budget bill is now making its way to the House for final approval, and will likely be on the President's desk by the end of the week. Now is our last chance to speak out against this bill! Call your representatives at 202-224-3121!
Call your representative and tell them to vote no.
202-224-3121
Tell everyone you know to do the same.
202-224-3121
Tell everyone you know to do the same.
The Senate just passed a dangerous and deeply unpopular budget bill that cuts health care and food assistance to pay for tax breaks for billionaires.
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
@kevinprindiville.bsky.social characterized the bill as "a staggering betrayal of our nation's older adults."
Read our full statement:
Justice in Aging Condemns Senate Vote to Gut Medicaid and SNAP - Justice in Aging
Justice in Aging condemns the Senate's passage of the budget reconciliation bill, which would cut health care and nutrition assistance that older adults,
justiceinaging.org
July 2, 2025 at 2:51 AM
Call your representative and tell them to vote no.
202-224-3121
Tell everyone you know to do the same.
202-224-3121
Tell everyone you know to do the same.
Reposted by Natalie Kean
Two years ago today, Xiomara received a kidney from a generous donor and underwent a successful life-saving transplant surgery.
She has survived and thrived because of Medicaid.
Today, every U.S. senator has the power to #VoteNo to #ProtectMedicaid for medically complex disabled kids like mine.
She has survived and thrived because of Medicaid.
Today, every U.S. senator has the power to #VoteNo to #ProtectMedicaid for medically complex disabled kids like mine.
July 1, 2025 at 4:27 AM
Two years ago today, Xiomara received a kidney from a generous donor and underwent a successful life-saving transplant surgery.
She has survived and thrived because of Medicaid.
Today, every U.S. senator has the power to #VoteNo to #ProtectMedicaid for medically complex disabled kids like mine.
She has survived and thrived because of Medicaid.
Today, every U.S. senator has the power to #VoteNo to #ProtectMedicaid for medically complex disabled kids like mine.
Reposted by Natalie Kean
The latest episode @lastweektonight.com dives into the Senate reconciliation bill’s impact on health care and food assistance, including work requirements and red tape featuring CBPP analysis: youtu.be/vjFL-cBcjKc?...
Trump’s One Big Beautiful Bill: Last Week Tonight with John Oliver (HBO)
YouTube video by LastWeekTonight
youtu.be
June 30, 2025 at 5:11 PM
The latest episode @lastweektonight.com dives into the Senate reconciliation bill’s impact on health care and food assistance, including work requirements and red tape featuring CBPP analysis: youtu.be/vjFL-cBcjKc?...
Reposted by Natalie Kean
I'm on the Capitol steps with Senator Klobuchar and families who are speaking out against the bill that Republicans are trying to jam through that would take away health care from 17 million Americans.
We are not giving up in this fight.
We are not giving up in this fight.
June 30, 2025 at 1:08 AM
I'm on the Capitol steps with Senator Klobuchar and families who are speaking out against the bill that Republicans are trying to jam through that would take away health care from 17 million Americans.
We are not giving up in this fight.
We are not giving up in this fight.
Reposted by Natalie Kean
Nearly 1/2 of states are on the brink of a caregiving crisis yet policymakers from those very states are about to vote to gut #Medicaid to give massive tax breaks to the ultra rich... who are these people serving?
June 28, 2025 at 6:47 PM
Nearly 1/2 of states are on the brink of a caregiving crisis yet policymakers from those very states are about to vote to gut #Medicaid to give massive tax breaks to the ultra rich... who are these people serving?
Reposted by Natalie Kean
The reason that states have already capped existing 1915(c) #Medicaid HCBS waivers is due to cost. Now states will face massive financing cuts especially because of provider tax restrictions, new administrative burdens to implement work requirements & other cost-shifts like in SNAP (5/x)
June 28, 2025 at 5:33 PM
The reason that states have already capped existing 1915(c) #Medicaid HCBS waivers is due to cost. Now states will face massive financing cuts especially because of provider tax restrictions, new administrative burdens to implement work requirements & other cost-shifts like in SNAP (5/x)
Reposted by Natalie Kean
Reverse Robin Hood
The Big Bill is designed as a huge tax cut for the rich funded by spending cuts to safety net programs for the poor.
The Big Bill is designed as a huge tax cut for the rich funded by spending cuts to safety net programs for the poor.
June 28, 2025 at 8:40 PM
Reverse Robin Hood
The Big Bill is designed as a huge tax cut for the rich funded by spending cuts to safety net programs for the poor.
The Big Bill is designed as a huge tax cut for the rich funded by spending cuts to safety net programs for the poor.