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Block grants and unfunded mandates are two government budgetary practices that can have significant implications for lower levels of government. 

Ensuring the quality of home-care services is difficult. No quality measures can assess every service delivered daily in hundreds of thousands of private homes across the country.

In 2021, an estimated 58.7 million adults age 18 and older in the U.S. had a mental illness. That is 22.8 percent of all adults. Prevalence among those over age 50 is 15 percent. 

The care provided in long-term services and supports (LTSS) settings is only as good as the personnel who provide it.

The primary source of public financing for long-term services and supports (LTSS) is the joint federal and state Medicaid program.

Grandparents and other relatives play an important caregiving role in family well-being. Support from extended family is especially vital in families with low incomes.

State and local governments charge fees for the use of certain services. These fees are based on the principle that people should pay according to the benefits they receive.

Taxes are complicated. Compliance often poses challenges.

The following principles guide AARP’s efforts to further budgetary decisions that reflect the needs of all members of society. 

Taxation is the primary way governments fund essential programs and services. The following principles support this goal while also ensuring equity in how revenues are raised.