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Rachel Gershon

@otherrbg.bsky.social
122 followers 336 following 78 posts

Lawyer and Medicaid/Medicare/SNAP/SSI nerd. I've helped people navigate health insurance and public benefits since 2004. We need to make it easier. Views my own.

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Reposted by Rachel Gershon
National Immigration Law Center @nilc.org · 09/06/2026
More patients are arriving at health care facilities accompanied by ICE or CBP officers, forcing medical staff to navigate difficult situations. 🧵Learn how medical staff can: - Protect patient rights - Prioritize emergency care - Ensure patients can communicate about care, and more
Title reads "Advocating for Patients in Immigration Custody: A Resource for Health Care Providers & Medical Staff." The text highlights guidance for medical workers caring for patients with ICE or CBP officers present. A medical worker in scrubs and a mask adjusts headwear. The NILC logo is in the corner.The image is a poster with text discussing the challenges hospitals face due to "Trump's mass deportation agenda." It mentions patients arriving in custody of ICE or U.S. Customs and Border Protection. The poster highlights the need for medical staff to navigate situations involving legal rights, emergency care, and patient communication. It includes a section labeled "Scenario-Based Scripts" and a disclaimer about the informational purpose. The NILC logo is at the bottom right.
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Rachel Gershon @otherrbg.bsky.social · 01/02/2026
Pencil drawing of a barred owl
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Rachel Gershon @otherrbg.bsky.social · 25/01/2026
The snow is starting here
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Rachel Gershon @otherrbg.bsky.social · 19/01/2026
Hiiii Jamaila!
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Rachel Gershon @otherrbg.bsky.social · 19/01/2026
Sometimes I learn it is snowing in the Boston area by reading your feed before looking out my own window LOL
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Reposted by Rachel Gershon
Justice in Aging @justiceinaging.org · 05/12/2025
170,000 Americans are at risk of losing their homes under a plan to cut the federal government’s largest homeless assistance program. 📢 Take action by reminding lawmakers that older adults in your community rely on these programs to keep a roof over their heads.
to.justiceinaging.org
Act Now to Save Housing for Older Adults
The U.S. Department of Housing and Urban Development (HUD) is moving to gut funding for permanent supportive housing (PSH), putting more than 170,000 people –
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Reposted by Rachel Gershon
Justice in Aging @justiceinaging.org · 18/11/2025
Imagine your patient shows up at her cardiologist in January only to learn her Medicare Advantage plan no longer covers that doctor. Plans change their provider networks every year, so it's essential to review your coverage during Medicare open enrollment, happening now through December 7.
justiceinaging.org
Open Enrollment for 2026 Coverage through Medicare & the Marketplace—Basics for Advocates - Justice in Aging
Learn about the Medicare and Marketplace Open Enrollment Periods (OEPs) for the 2026 plan year and get tips for choosing affordable coverage options for older adults.
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Reposted by Rachel Gershon
Jeff Yang @originalsp.in · 15/11/2025
You were incredible, Alice Wong, and it was a blessing to have collaborated with you on projects, to have read your words and to have heard your voice, as full of life and passion and joy and rage as it was. You made a difference—so much of a difference. Rest always in peace, and always in power.

This is Alice's friend Sandy Ho, posting. 

Per Alice's wishes, this message is being shared at the time of her passing.

Hi everyone, it looks like I ran out of time. I have so many dreams that wanted to fulfill and plans to create new stories for you. There are a few in progress that might come to fruition in a few years if things work out. I did not ever imagine I would live to this age and end up a writer, editor, activist, and more. As a kid riddled with insecurity and internalized ableism, I could not see a path forward. It was thanks to friendships and some great teachers who believed in me that I was able to fight my way out of miserable situations into a place where I finally felt comfortable in my skin.
We need more stories about us and our culture.
You all, we all, deserve the everything and more in such a hostile, ableist environment. Our wisdom is incisive and unflinching. I'm honored to be your ancestor and believe disabled oracles like us will light the way to the future. Don't let the bastards grind you down. I love you all.
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Reposted by Rachel Gershon
s. e. smith @sesmith.lol · 15/11/2025
‘Death remains my intimate shadow partner. It has been with me since birth, always hovering close by. I understand one day we will finally waltz together into the ether. I hope when that time comes, I die with the satisfaction of a life well-lived, unapologetic, joyful, & full of love.’ —Alice Wong
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
14. Food stamp participation associated with improved reading and mathematics scores among children in early elementary school. Frongilo 2006: pubmed.ncbi.nlm.nih.gov/16549482/
pubmed.ncbi.nlm.nih.gov
Food Stamp Program participation is associated with better academic learning among school children - PubMed
Household food insecurity is associated with multiple adverse outcomes in children and adolescents, including poor school performance. U.S. federal food assistance programs such as the Food Stamp Program (FSP) aim to help prevent household food insecurity and its outcomes. Program participation may …
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
13. Seniors dually enrolled in both Medicaid and Medicare are less likely to need nursing facility care when enrolled in SNAP. Szanton 2017: pubmed.ncbi.nlm.nih.gov/28738897/
pubmed.ncbi.nlm.nih.gov
Food assistance is associated with decreased nursing home admissions for Maryland's dually eligible older adults - PubMed
SNAP is underutilized and may reduce costly nursing home use among high-risk older adults. This study has policy implications at the State and Federal levels which include expanding access to SNAP and enhancing SNAP amounts.
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
12. Seniors on SNAP were 4.8 percent less likely to skip taking their prescribed medication due to cost. The effect was even bigger for seniors threatened by hunger, who are 9.1 percent less likely to skip taking medications due to cost when on SNAP Srinivasan 2018: pubmed.ncbi.nlm.nih.gov/29267062/
pubmed.ncbi.nlm.nih.gov
Cost-Related Medication Nonadherence for Older Adults Participating in SNAP, 2013-2015 - PubMed
Findings point to a spillover "income effect" as SNAP may help older adults better afford their medications, conceivably by reducing out-of-pocket food expenditures. When prescribing treatment plans, health systems and payers have a vested interest in connecting older patients to SNAP and other reso …
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
11. Among children, SNAP receipt associated with better self-reported health and less emergency department use. Sonik 2023: pubmed.ncbi.nlm.nih.gov/36710646/
pubmed.ncbi.nlm.nih.gov
SNAP Participation and Emergency Department Use - PubMed
We found SNAP participation was associated with lower likelihoods of emergency department use, that better food hardship and health statuses mediated this association, and that effect sizes were larger among children with SHCN. Food hardship relief may improve outcomes for vulnerable children and th …
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
10. Seniors dually enrolled in both Medicaid and Medicare saw a decrease in hospitalization following receipt of SNAP benefits. Samuel 2018: www.digitalbenefitshub.org/resources/do...
digitalbenefitshub.org
Does the Supplemental Nutrition Assistance Program Affect Hospital Utilization Among Older Adults? The Case of Maryland - Digital Government Hub
Accounting for the strong effects of health care access, this study finds that SNAP is associated with reduced hospitalization in dually eligible older adults. Policies to increase SNAP participation ...
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
9. Seniors enrolled in SNAP more likely to take prescribed diabetes medication. Pooler 2019: jamanetwork.com/journals/jam...
jamanetwork.com
Supplemental Nutrition Assistance Program and Medication Nonadherence in Older Adults With Diabetes
This cross-sectional study uses National Health Interview Survey data to investigate participation in the Supplemental Nutrition Assistance Program (SNAP) and its association with cost-related medicat...
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
8. Higher SNAP benefit amounts are associated with fewer emergency department visits for hypertension. Ojinnaka 2018: www.sciencedirect.com/science/arti...
sciencedirect.com
Supplemental Nutrition Assistance Program size and timing and hypertension-related emergency department claims among Medicaid enrollees
The Supplemental Nutrition Assistance Program (SNAP) is a public policy program that aims to reduce food insecurity—a social determinant of health tha…
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
7. Increases in SNAP benefits associated with fewer delays in getting health care for children due to cost. Morrissey 2020: pubmed.ncbi.nlm.nih.gov/31785378/
pubmed.ncbi.nlm.nih.gov
Supplemental Nutrition Assistance Program Participation Improves Children's Health Care Use: An Analysis of the American Recovery and Reinvestment Act's Natural Experiment - PubMed
Findings suggest that even a small increase in household resources leads to reductions in outstanding health care needs due to affordability, particularly among children.
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
6. Access to food stamps in childhood associated with reduced incidence of metabolic syndrome. Hoynes 2016: www.aeaweb.org/articles?id=...
aeaweb.org
Long-Run Impacts of Childhood Access to the Safety Net
(April 2016) - We examine the impact of a positive and policy-driven change in economic resources available in utero and during childhood. We focus on the introduction of the Food Stamp Program, which...
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
5. Reduced SNAP benefits associated with worse child and caregiver health, and higher rates of food insecurity. Ettinger De Cuba 2019: www.healthaffairs.org/doi/10.1377/...
healthaffairs.org
Health Affairs Journal
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
4. Higher enrollment by older adults in SNAP is associated with fewer hospital and long-term care admissions as well as emergency room visits – and an estimated Medicaid cost-savings of $2,360 per person annually. Berkowitz 2021: pubmed.ncbi.nlm.nih.gov/34662150/
pubmed.ncbi.nlm.nih.gov
Supplemental Nutrition Assistance Program Participation and Health Care Use in Older Adults : A Cohort Study - PubMed
National Institutes of Health.
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
3. "SNAP-eligible youth who experience food insecurity have significantly healthier outcomes compared to food-insecure youth just over the income eligibility threshold." Alfano-Hudak 2022: pubmed.ncbi.nlm.nih.gov/35807936/
pubmed.ncbi.nlm.nih.gov
SNAP and Cardiometabolic Risk in Youth - PubMed
Increasing numbers of children and adolescents have unhealthy cardiometabolic risk factors and show signs of developing metabolic syndrome (MetS). Low-income populations tend to have higher levels of risk factors associated with MetS. The Supplemental Nutrition Assistance Program (SNAP) has the pote …
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
2. "participation in SNAP led to a population-wide reduction of 1–2 percentage points in mortality from all causes and a reduction in specific causes of death among people ages 40–64." Heflin 2019: www.healthaffairs.org/doi/10.1377/...
healthaffairs.org
Health Affairs Journal
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
1. The roll-out of the food stamps program in the 1960s and 1970s was associated with a 1.1 year gain in life expectancy, and increased economic self-sufficiency. Bailey 2023: academic.oup.com/restud/advan...
academic.oup.com
Is the Social Safety Net a Long-Term Investment? Large-Scale Evidence From the Food Stamps Program
Abstract. We use novel, large-scale data on 17.5 million Americans to study how a policy-driven increase in economic resources affects children's long-term
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Rachel Gershon @otherrbg.bsky.social · 02/11/2025
No one should go hungry. SNAP (formerly known as food stamps) is a particularly powerful program for making lives better:
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Reposted by Rachel Gershon
Edwin Park @edwincpark.bsky.social · 28/06/2025
One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
7. Reconciliation cuts off multiple access points to health coverage for lawfully present immigrant older adults, including breaking the Medicare promise and disenrolling older adults who have met their 40 work quarters paying into the system. justiceinaging.org/broken-promi...
justiceinaging.org
Broken Promises: Republicans’ Budget Reconciliation Bill Would Cut Medicare - Justice in Aging
The OBBBA takes direct aim at Medicare, gutting eligibility and restricting access to benefits, while also cutting Medicaid in ways that would harm people who are dually eligible for both programs. Fo...
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
6. Reconciliation drops Medicaid coverage for people who are eligible and need time getting paperwork together, including when an older adult is in a nursing home. www.justiceinaging.org/wp-content/u...
justiceinaging.org
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
5. Reconciliation makes it harder for older adults to access long-term care and keep their homes. justiceinaging.org/states-recou...
justiceinaging.org
When States Recoup Medicaid Costs by Seizing Family Homes, Poor Families Suffer While State Budgets Are Barely Affected - Justice in Aging
The burden of Medicaid recovery can push families into poverty or homelessness, while any “recovered” funds cover only a small portion of Medicaid expenditures.
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
4. Reconciliation stops a rule that would have saved an estimated 13,000 lives in nursing homes annually. www.warren.senate.gov/imo/media/do...
warren.senate.gov
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
3. Reconciliation stops a rule that makes it easier for older adults and people with disabilities to pay for Medicare, leading to avoided care, worse health, and higher mortality. news.bloomberglaw.com/health-law-a...
news.bloomberglaw.com
‘Big Beautiful Bill’ Threatens Medicare, Medicaid Enrollees
Nearly 1.4 million medically fragile, low-income dual Medicare and Medicaid enrollees could find it harder to retain a valuable prescription drug subsidy if the Republican House reconciliation bill be...
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
2. Reconciliation shifts billions in costs to states; historically this action has led to home care support cuts for older adults across the country. www.healthaffairs.org/content/fore...
healthaffairs.org
History Repeats? Faced With Medicaid Cuts, States Reduced Support For Older Adults And Disabled People | Health Affairs Forefront
Cutting federal Medicaid spending would have such negative consequences on older adults and people with disabilities because reductions in Federal reimbursements to states would leave states with toug...
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
1. Reconciliation penalizes older adults age 50-64 who lose their jobs by taking away their Medicaid justiceinaging.org/fact-sheet-w...
justiceinaging.org
Work Requirements Would Cut Medicaid for Older Adults - Justice in Aging
Work requirements would create red tape and take away Medicaid coverage from many older adults, people with disabilities, and family caregivers.
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Rachel Gershon @otherrbg.bsky.social · 25/06/2025
Seven ways that the reconciliation bill will harm older adults: #Medicaid #Reconciliation #OBBB
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Rachel Gershon @otherrbg.bsky.social · 13/06/2025
2. Veronica, 36, lived in Arkansas. When her hours working as a housekeeper dropped too low, she found a new job at a factory. Unfortunately, the 90-mile round trip commute ate into her weekly wages. For Ms. Watson, the Medicaid work requirement only added stress and risk.
healthlaw.org
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Rachel Gershon @otherrbg.bsky.social · 13/06/2025
1. Sam, 52, juggles multiple part-time jobs while experiencing diabetes and debilitating nerve pain. Because he reduced his work hours due to pain, he couldn't get on Medicaid. Then he couldn't access medical care, he couldn't prove that he was disabled enough to get Medicaid through another path.
justiceinaging.org
No Exceptions: Examples Showing the Failings of Medicaid Work Requirement Exemptions for People with Disabilities - Justice in Aging
Disability-related eligibility processes for Medicaid are often lengthy and overly restrictive, ultimately creating barriers to enrollment
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Rachel Gershon @otherrbg.bsky.social · 13/06/2025
The reconciliation bill currently in the Senate will penalize people for having disabilities, for caregiving for loved ones, and for losing their jobs. Here are two stories of where these policies already caused stress and disability. #Medicaid #JobLossPenalty
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Amber Christ @amberchrist.bsky.social · 02/06/2025
Losing Medicaid's financial assistance & the cascading consequences of that loss, is just one of the myriad of ways in which, as @otherrbg.bsky.social states, the reconciliation bill finds "savings built on the backs of seniors and people with disabilities." news.bloomberglaw.com/health-law-a...
news.bloomberglaw.com
‘Big Beautiful Bill’ Threatens Medicare, Medicaid Enrollees
Nearly 1.4 million medically fragile, low-income dual Medicare and Medicaid enrollees could find it harder to retain a valuable prescription drug subsidy if the Republican House reconciliation bill be...
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Reposted by Rachel Gershon
Don Moynihan @donmoyn.bsky.social · 23/05/2025
They say never read the comments, but the responses to this piece underline just how difficult it is for people to maintain access to health insurance in America even before the GOP makes it even harder.
@Mike James Anyone who actually knows people who need Medicaid (not Medicare) and can't work knows that they often have a lot of trouble dealing with the paperwork and understaffed Medicaid offices. My own son, who had a severe mental disability in another city, went without Medicaid for long periods because he could not handle the paperwork. He couldn't keep jobs because of his condition, although to outer appearance he was "able-bodied." He got on Medicaid when he was taken by EMS workers to an emergency room and they signed him up. Later he lost it, until another EMS-assisted visit to the ER. He died at the age of 39 because of a cardiovascular condition that should have been caught years ago. Republican lawmakers are soulless enablers of tyranny wearing crosses while passing laws allowing millions to die.The eligible people who get kicked off because of paperwork will get not only sick, but sicker. They then end up in the ER, and possibly ICU, costing MORE money. I have a 50-year old disabled son who is on Medicaid and is able to work because as a cashier ($9.50per hour) because of corrective lenses provided by Medicaid. Because of seizure medication and a primary care physician and regular annual check-ups, he doesn’t visit the ER. Even with the current streamed-down paperwork, he needs help completing it. This possibility of increased paperwork makes me sick.As a nurse practitioner and primary care provider at a clinic with mostly Medicaid patients, I’d like to personally thank the U.S. congress for increasing exponentially the amount of paperwork in my life. 

Already burdened with completing 8-page forms to confirm patients qualify for food stamps, and now likely hundreds of additional forms confirming, or not confirming, that patients are able to work? More foolish politics fueling clinician burn out. Retirement (or just finding a new population to work with) can’t come soon enough.
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Reposted by Rachel Gershon
Natalie Kean @nataliekean.bsky.social · 21/05/2025
The invoice for the very bad deal. Call Congress before they vote to send the bill for their tax giveaways to seniors and other low-income people who rely on Medicaid and SNAP.
linkedin.com
Take from the poor, give to the rich. CBO distributional analysis of… | Jennifer Lav
Take from the poor, give to the rich. CBO distributional analysis of reconciliation bill lays it out. Those are decreases in household resources due to Medicaid and SNAP cuts for the lowest income 1...
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Reposted by Rachel Gershon
Eric Michael Garcia @ericmgarcia.bsky.social · 20/05/2025
The CBO finds that if the Reconciliation Bill goes through: -7.6 million people would lose coverage because of Medicaid changes -1 million would lose it because of changes to the ACA from E&C -2.1 million would lose it because of changes by Ways and Means www.cbo.gov/publication/...
cbo.gov
Estimated Budgetary Effects of a Bill to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14, the One Big Beautiful Bill Act
As ordered reported by the House Committee on the Budget on May 18, 2025
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Rachel Gershon @otherrbg.bsky.social · 15/05/2025
Congratulations professor!
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Reposted by Rachel Gershon
Edwin Park @edwincpark.bsky.social · 13/05/2025
Budget reconciliation SNAP cuts shift large costs to states at same time state use of provider taxes will be restricted and make it more difficult to finance states’ share of #Medicaid costs. States have to balance their budgets so inevitable result will be severe cuts to SNAP and Medicaid.
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Ty Jones Cox @tyjonescox.bsky.social · 13/05/2025
The House Ag bill released tonight would take away or cut #SNAP food benefits for millions of low-income people struggling to afford groceries—families w/ children, seniors, ppl w/ disabilities, veterans & workers in low-wage jobs.
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Natalie Kean @nataliekean.bsky.social · 10/05/2025
And we expect the Energy & Commerce Committee to repeal #Medicaid rules that will take cost-sharing assistance from ~1.4 million people with Medicare, making it unaffordable for low-income seniors & people with disabilities to see the doctor or meet their basic needs. #ProtectMedicaid
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Reposted by Rachel Gershon
Natalie Kean @nataliekean.bsky.social · 10/05/2025
Make no mistake: Republicans in Congress are coming after #Medicare too! The legislative text they will consider next week would strip Medicare coverage from immigrants who have been living, working, and paying taxes in the U.S. for decades.
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Rachel Gershon @otherrbg.bsky.social · 30/04/2025
Imagine working 90 hours in a month and still losing Medicaid due to work requirements.
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Rachel Gershon @otherrbg.bsky.social · 30/04/2025
We've tried work requirements. We've studied it. It does not work (weighed against the policy aims of the people implementing it). It just cuts benefits. www.urban.org/research/pub...
urban.org
Assessing Potential Coverage Losses among Medicaid Expansion Enrollees under a Federal Medicaid Work Requirement
We assess potential coverage losses under federal Medicaid work requirements for adults ages 19 to 55 enrolled in the Affordable Care Act’s Medicaid expansion.
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Rachel Gershon @otherrbg.bsky.social · 30/04/2025
Work requirements cut Medicaid for working people. Work requirements cut Medicaid for parents and caregivers. Work requirements cut Medicaid for people with disabilities and chronic conditions. #Medicaid
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Rachel Gershon @otherrbg.bsky.social · 20/04/2025
I don’t think it matters, but am curious. Is the eyeball wearing a sundress?
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Justice in Aging @justiceinaging.org · 02/04/2025
Breaking: Today, we filed a lawsuit against the Social Security Administration and DOGE for creating roadblocks that prevent Americans from getting their retirement and disability benefits. 🧵Thread
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