Interactive Compendium of Federal Long-Term Services and Supports (LTSS) Financing Policy Options
Explore finance reform proposals and policy ideas

Long-Term Care Financing
As people live longer and the Baby Boom generation ages, the need for long-term services and support (LTSS) has grown. For decades, policymakers have proposed a range of ideas to address funding gaps—but solutions have been elusive. With a long-term care system in the U.S. that is antiquated, underfunded, poorly coordinated and not centered on meeting the needs of the people it serves, diverse and bipartisan stakeholders believe now is the time for action.
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This interactive compendium organizes a broad range of potential solutions that have been put forward over the last three decades – from enhancing public coverage, expanding private market options, or both. The tool highlights that policymakers and advocates do not need to start from scratch – they can pull from the many innovative policy proposals of the past to inform their work going forward. What is needed now, more than ever, is the elevation of these ideas, and the activation to finally move solutions forward in a meaningful way.

About the Compendium
This interactive compendium highlights major LTSS financing reform proposals from the past 30 years. It was developed through extensive desktop research, including a review of congressional records, commission reports, academic studies, and contributions from key experts and institutions focused on LTSS financing.

Explore Federal LTSS Financing Proposals
Use the dropdown menus to filter proposals by the available categories. Select one or more filters to narrow your results.

Glossary
With so many coverage options and market solutions, the glossary helps define terms used throughout the Compendium.
Collaborators & Funders
With support from The SCAN Foundation, the LeadingAge LTSS Center @UMass Boston and ATI Advisory we created this interactive compendium to bring these ideas together in one place—making it easier than ever to explore, compare, and learn from past and present proposals.
Collaborators
Funders