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Two federal programs help states provide a broad range of social services important to older adults.

Most states and localities generate a significant portion of state and local revenue from the taxation of retail sales. Such taxes are attractive because they are relatively easy to administer.

Several recent legislative efforts in Congress have included proposals that would cap the federal contribution (overall in a block grant or per person in a per capita cap) to Medicaid.

Providers of long-term services and supports (LTSS) cannot ensure high-quality services without sufficient funding.

Medicaid coverage of long-term services and supports (LTSS) provides a safety net for vulnerable older people—and younger people with disabilities—who have low incomes and few assets.

Under current Medicaid financial eligibility rules, individuals may not have more than $2,000 in assets. In addition, long-term care insurance (LTCI) is difficult to obtain.

Under the U.S. Constitution, people are entitled to compensation when a government takes their property. This is known as a taking.

Poverty is defined by comparing household income with the minimum income required for basic needs. People whose income is below the threshold are considered poor.

Policymakers can take action to stimulate the economy.

Federal and state programs help many older people with low incomes. These programs provide access to vital services like income support and health care.