Methodology
This interactive compendium reflects a comprehensive effort to capture the major long-term services and supports (LTSS) financing reform proposals advanced over the past three decades.
Building This Digital Resource
To build this digital resource, the authors conducted extensive desktop research to identify legislation, commission reports, and research proposals dating back to 1990.
Sources included congressional websites, government archives, and commentary pieces on legislative activity, as well as targeted searches for notable authors, academic publications, and organizations that have consistently focused on LTSS financing through research and advocacy.
Initial Inventory
The initial inventory was carefully vetted by subject matter experts and refined to ensure that only the most relevant proposals were included. Additional proposals referenced within the identified legislation and reports were also incorporated, broadening the scope of the compendium. This iterative process allowed the research team to develop a thorough and reliable resource that captures both the breadth and depth of federal LTSS financing policy options.
Strengthening the Inventory
To further strengthen the inventory, the authors engaged with leading LTSS financing experts, including Stuart Butler of the Brookings Institution and Judy Feder of Georgetown University. Their review and feedback helped validate the selection and interpretation of proposals, resulting in a compendium that is not only comprehensive but also informed by decades of scholarly expertise and policy experience.
This rigorous methodology ensures that the compendium provides policymakers, researchers, and advocates with a trusted foundation for understanding and advancing solutions to the nation’s LTSS financing challenges.