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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 bas

The cost of a new social insurance LTSS program should be paid for with premiums, individual contributions through cost-sharing requirements, and general revenues.

Policymakers should require a comprehensive national background check prior to employment for all LTSS workers.

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

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 Medi

Congress and the states should ensure adequate Medicaid funding and maintain existing guarantees for Medicaid long-term

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

Federal and state governments should ensure that Medicaid reimbursement is sufficient to guarantee access to the full range of high-quality long-term services and supports i

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 f