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At the federal level, the two categories of budgetary expenditures are entitlement and discretionary spending.
Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports (LTSS) that includes a new social insurance program to provide a basic level of LTSS.
Ideally, the federal government should finance LTSS through a universal, comprehensive, and publicly administered program such as Medicare or similar social insurance program of shared risk.
Title III of the Older Americans Act (OAA) provides funding for a wide range of long-term services and supports (LTSS), social, and nutritional services.
Federal and state governments should continue to provide public funding for OAA programs and outreach to increase participation by diverse communities in low-income benefit programs.