Passing responsibilities down to lower levels of government should be undertaken primarily to place services closer to the people being served and to maximize administrative
When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.
DeficitThe amount by which annual expenditures exceed annual revenues.
Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports (LTSS) that includes a new
The cost of a new social insurance LTSS program should be paid for with premiums, individual contributions through
Program participant cost-sharingThe share of insurance-covered costs that a person pays ou
Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.
The federal government should create some type of public social insurance benefit.
Until a comprehensive national LTSS program is implemented, intermediate steps should be taken: