History in the Making: Congressional Proposals to Improve Medicare & Medicaid

As President and CEO of the National Council on Aging, Ramsey Alwin is leading a nationwide movement to ensure equitable aging for every American. 

Building on NCOA’s 70 years of service and advocacy for older adults, Alwin is renewing the organization’s commitment to improving the lives of millions, especially those who are struggling. She is sparking critical conversations about the resources every American deserves to age well—and what needs to change to ensure all have access.

A seasoned thought leader and policy advocate, Alwin has changed the way people think about older adult poverty and economic security. She designed a new measure of economic security for older adults that better accounts for out-of-pocket health costs and worked to introduce the Measuring American Poverty Act in Congress to redefine the federal poverty measure for the older population. Thanks to Alwin’s efforts, the U.S. Census Bureau formally implemented the Supplemental Poverty Measure nationwide, virtually doubling the elder poverty count and better demonstrating true needs among this population. 

Prior to leading NCOA, Alwin directed financial resilience global thought leadership at AARP and served as Director of National Economic Security Programs at Wider Opportunities for Women. Currently, she serves on the Executive Committee of the UN NGO Committee on Aging, the America250 Health and Wellness Advisory Council, and the National Academy of Social Insurance Finance Committee.

Kathy Greenlee, Chair-Elect of the NCOA Board of Directors, is an attorney with 25 years of public service experience. She has expertise in aging, long-term care, disability, elder rights, health care, community services, rural aging, and LGBT health.

In 2009, Greenlee was appointed U.S. Assistant Secretary for Aging by President Obama, a position she held for seven years. During her time in Washington, Greenlee created the Administration for Community Living (ACL), an agency that administers a broad range of aging and disability programs. Greenlee provided national and international leadership on preventing and responding to elder abuse. She chaired the Elder Justice Coordinating Council, created a federal home for state adult protective services programs, and created the national elder maltreatment data collection system. Greenlee also co-chaired the HHS LGBT Issues Coordinating Committee, an endeavor that resulted in comprehensive program and policy improvements for LGBTQ individuals.

In fall 2018, Greenlee launched a consulting business, Greenlee Global, LLC, to pursue aging-related projects regionally, nationally, and internationally. In early 2018, the Sunflower Foundation announced a major grant to support her continued work in the areas of elder abuse and neglect. In May 2020, Greenlee began working with the State of Kansas, serving as the Kansas COVID-19 LTSS Liaison.

Greenlee spent 18 years in Kansas state government. She served in numerous high-level positions, such as Secretary of Aging for Governor Kathleen Sebelius, Kansas Long-Term Care Ombudsman, General Counsel for the Kansas Insurance Department, and Assistant Attorney General.

Howard Bedlin has led NCOA's legislative advocacy efforts on issues and programs of concern to older adults for the past 25 years, which include the Older Americans Act, Medicare, Medicaid, long-term care, income security, and community services. Prior to joining NCOA, he worked for the American Association of Homes for the Aging (now LeadingAge), the National Association for Home Care, and AARP. Howard received his law degree and Master of Policy Science from the University of Maryland, and Bachelor’s in Political Science from Binghamton University in New York.