The Independence At Home Act

1483 Words6 Pages
The 2012 Independence at Home Act, written to improve chronic care coordination, continues with similar exclusionary zoning practices that may extend to residential based home care health services. Even with these protective legislative acts, the needs of the community do not always translate into universal support for nursing homes in residential areas. Many courts continue to make case-by-case decisions concerning community efforts to manage eldercare facilities and services and hospice care with zoning regulations. Regulations that put limits on: (a) square footage, (b) the number of permits based on the distance between facilities, (c) restricting any administrative space on premises, (d) 0ccupancy turn-over rate, (e) aesthetic…show more content…
“Not in my back yard” (NIMBY) has reached a point in some communities where it’s difficult to put community facilities anywhere. Some cities are responding by encouraging nursing home construction in specific residential areas based upon density bonuses. Density bonuses are granted for projects in which the developer agrees to include a certain number of affordable housing units. For every one unit of affordable housing a developer agrees to build, there’s a greater number of market rate units. Density bonuses vary from project to project. If these zoning and land use issues continue unabated, Medicare reimbursement rates persist in their decline, and elderly populations also increase, many communities may find themselves without enough new modern community facilities to respond to the needs of same-sex elderly couples, seniors with varying faiths, chronically ill, and disabled seniors. Zoning can work against the person-centered and community based medical model designed to improve quality of care and lower the cost of health care. The Independence at Home Act encourages this health care service model. The number of communities that hold on to exclusionary zoning codes could be a measure of the failure of the Independence at Home Act. Whereas, measuring the number of communities that adopt inclusionary codes can be a measure of its success. One Answer to Why Given the need for quality and modern nursing homes with a well balanced mix of services and amenities in
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