Long-Term Services & Supports
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Long-Term Services & Supports


Few of us dream of spending our later years in a nursing home. Yet millions of older adults do—simply because they can’t get or pay for the care they need at home.

We’re leading a national, collaborative effort between aging and disability organizations to make it easier for individuals to get help with daily living—right in their own homes and communities.

What are LTSS?

Long-term services and supports (LTSS) help older adults and people with disabilities accomplish everyday tasks that many of us take for granted. Tasks like bathing, getting dressed, fixing meals, and managing a home.

As our population ages, the number of individuals needing this kind of help is projected to double. Long-term services and supports allow millions of individuals to live healthy, secure, and independent.

Protecting LTSS for People in Need

NCOA leads a national coalition of aging and disability organizations, called the Disability and Aging Collaborative, which is working to protect LTSS for those who need it.

The collaborative helped ensure that the Affordable Care Act includes provisions to expand LTSS through Medicaid and other programs. Now, we’re working to make sure that these provisions are put in place in states nationwide.

Learn More

Find out more about these initiatives:

  • Federal Commission on Long-Term Care
    Created by Congress when it repealed the CLASS long-term care program, the Commission was charged with improving Americans' access to affordable long-term care. It released its final report in September 2013, but several commissioners voted against it and issued their own set of recommendations. NCOA was engaged in the discussion and offered its principles for long-term care reform and a statement on the final report.
  • Medicaid Home & Community-Based Services
    The Affordable Care Act includes several provisions that will make it easier for people to access LTSS. Learn more about these programs:
    • Balance Incentive Payments Program
    • Community First Choice Option
    • Medicaid HCBS State Plan Option
  • Duals Integration & Managed LTSS
    About 9 million low-income seniors and younger persons with disabilities are enrolled in both Medicare and Medicaid (referred to as “duals”). NCOA is working with federal and state aging and disability advocates to ensure consumer protections as states develop new systems to coordinate care and lower costs for this population.
  • Caregivers
    NCOA is working with national partners to promote initiatives to assist family caregivers across the lifespan, including adequate appropriations for caregiver programs, development of caregiver assessments, and a refundable tax credit for caregivers.

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Public Policy Priorities

See the issues we're fighting for in the 114th Congress, including the budget, Older Americans Act, and long-term services and supports.