Explaining Budget Reconciliation: The Congressional Process and Impacts of Medicaid Changes on Older People
Recorded On: 06/30/2025
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Join GSA for a discussion on the ongoing federal budget reconciliation process, along with significant and far-reaching impacts of proposed Medicaid cuts on older people. Aging and disabilities policy expert and Washington insider Natalie Kean, Director of Federal Health Advocacy at Justice in Aging, will shed light on the reconciliation process and how proposed cuts could significantly change healthcare access and essential support services for older people. We will delve into the projected $1 trillion in healthcare cuts, including substantial reductions to Medicare, Medicaid and ACA funding, and explore the consequences for older people relying on long-term care, medical transportation, and home and community-based services. Attendees will gain a deeper understanding of the specific provisions in the proposed bill, including changes to retroactive coverage, nursing facility staffing, home equity limits, and the mandate of work requirements for adults.
Brian Lindberg, MMHS (Moderator)
GSA Public Policy Advisor
Vice President, Health and Aging Policy, Healthsperien LLC
Brian Lindberg is a Washington, DC-based advocate, policy educator, and lobbyist. He serves as a public policy advisor to several organizations, including the Gerontological Society of America and the National Association for Geriatric Education. Brian has served on many boards and advisory panels, including for the Institute of Medicine, CMS, NAIC, and the Planning Committee for the National Quality Forum (appointed by Vice President Gore). Currently, Brian serves on the Board of Visitors of the College of Public Health at Temple University. Brian worked in Congress for ten years on the House Select Committee on Aging and the Senate Special Committee on Aging. He holds a Bachelor of Social Work degree from Temple University and a Master’s degree in Management of Human Services from Brandeis University. He studied at the University of Stockholm’s International Graduate School.
Natalie Kean, JD
Director of Federal Health Advocacy
Justice in Aging
Natalie leads Justice in Aging’s legislative and administrative health care advocacy in Washington, DC. Since joining Justice in Aging in 2017, Natalie has been advocating to strengthen health care programs that help older adults live at home and stay connected to their communities. Natalie holds a JD with a Certificate in Health Law from Saint Louis University and a BS in Economics from the University of Wyoming.
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