MFP Bills

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UPDATE: Legislation Introduced to Permanently Fund MFP!

On December 6, 2019, Senators Chuck Grassley (R-IA) and Ron Wyden (D-OR) announced that permanent extensions of the MFP program and protections against spousal impoverishment for recipients of Medicaid Home and Community Based Services (HCBS) would be included in the updated version of their bipartisan drug pricing legislation, the Prescription Drug Pricing Reduction Act of 2019, introduced earlier this year.

The updated legislation would provide funding to states to continue efforts to transition people with disabilities and older adults from institutions back into their communities through the MFP program, which has been left uncertain following a recent short-term extension that expires December 31, 2019. Call your Member of Congress and ask them to vote to permanently fund MFP, to help people with disabilities move out of nursing homes and other institutions and into the community.  It is critical that Congress pass permanent funding for the program.

For more information, check out our fact sheet.

Money Follows the Person (MFP) Bills in the 116th Congress 

On Feb. 25, 2019, new versions of the EMPOWER Care Act extending the Money Follows the Person (MFP) program for five years were introduced in the House (H.R. 1342) and Senate (S. 548).  However, Congress has so far only passed extensions providing short-term funding for MFP, the latest of which will expire on December 31, 2019.

On August 6th, President Trump signed into law the Sustaining Excellence in Medicaid Act of 2019 (H.R. 3253) which provides extensions of the MFP provision and the HCBS Spousal Impoverishment provision only until the end of 2019.  H.R. 3253, originating in the House, was previously known as the Empowering Beneficiaries, Ensuring Access and Strengthening Accountability Act or the EMPOWER Care Act.  In June, the House passed H.R. 3253 and the Senate took the House bill up at the end of July, passing an amendment in the nature of a substitute. This renamed the bill the “Sustaining Excellence in Medicaid Act of 2019” and changed the original proposed MFP and HCBS Spousal Impoverishment provisions.  

On January 25, 2019, the Medicaid Extenders Act of 2019, a bill that includes short-term funding for the Money Follows the Person program, became law.  The bill included three months of funding for MFP that states had until September 31, 2019 to spend.  The bill also included an extension of the  spousal impoverishment protections for people receiving home and community based services to March 31, 2019.   

On April 18, 2019, H.R. 1839, the Medicaid Services Investment and Accountability Act, became law. This bill added additional short-term funding to the Money Follows the Person (MFP) program (an additional $20 million for use by the end of September 2019) and extended the expiring spousal impoverishment protections for people receiving Home and Community Based Services also through September 2019. 

MFP Funding is Crucial to Help People Transition Back to the Community

First authorized by President Bush in 2005 with strong bipartisan support, MFP gets individuals with disabilities and seniors – if they wish – out of nursing homes and back into their communities. MFP has assisted more than 91,000 individuals voluntarily move into a setting of their choice, and has helped 44 states improve access to community-based long-term care, also known as “home and community-based services” (HCBS). 

MFP Enhances Opportunities to Live Independently and Age with Dignity

Medicaid requires states to provide care in nursing homes, but HCBS is optional. MFP incentivizes investment in HCBS by providing federal funding for transitional services for individuals who wish to leave a nursing home or other institution. Thanks to MFP, over 91,000 seniors and people with chronic conditions and disabilities have voluntarily transitioned back into their communities.

MFP Rebalancing Demonstration is a Success Story that Improves Quality of Life and Care

In a 2017 evaluation, the Centers for Medicare and Medicaid Services (CMS) found strong evidence that beneficiaries’ quality of life and care improves when they transition from institutional long-term care to HCBS. MFP participants experienced increases across all seven quality-of-life domains measured, and the improvements were largely sustained after two years.

States Save with Money Follows the Person

Providing long-term care in the home costs less than institutional care. Average monthly expenses for MFP participants declined by almost 25 percent in the first year after transitioning from a nursing home to HCBS. CMS also found that MFP participants are less likely to be readmitted to institutional care than other beneficiaries who transitioned but did not participate in the program.

What You Can Do

Urge your Members of Congress to extend the Money Follows the Person Program.  

More Resources

CCD MFP letter to the House (Dec. 10, 2018)

CCD MFP Letter to the Senate (Dec. 7, 2018)

Joint Letter of support from State Medicaid, Aging and Developmental Disabilities Directors

Senate Sign On Letter

House Sign On Letter

EMPOWER Care Act One Pager (Sept. 2018)

EMPOWER Care Act one pager(Feb. 2018)

EMPOWER Care Act bill language (Senate)

EMPOWER Care Act press release from Senators Cantwell (D-WA) and Portman (R-OH)

EMPOWER Care Act press release from Congressman Guthrie (R-KY)

EMPOWER Care Act press release from Congresswoman Dingell (D-MI)

EMPOWER Care Act Letter of Support