Federal Policy Compendiums on Long-Term Services and Supports
These evidence-based policy resources bring together leading research and proposals from across the political spectrum to inform policymaking on LTSS financing, family caregiving, and the direct care workforce.
These resources help policymakers and advocates explore approaches to strengthening LTSS for older adults and people with disabilities.
The LeadingAge LTSS Center @ UMass Boston develops and curates evidence-based policy compendiums to support more informed decision-making across long-term services and supports (LTSS).
These compendiums bring together federal legislative proposals and policy recommendations introduced over time to address key components of the LTSS system, including financing, family caregiving, and the direct care workforce.
Rather than presenting proposals in isolation, the compendiums organize them so users can easily compare approaches and understand how different policy solutions work together.
Compendium of Federal LTSS Financing Policy Options
Developed by the LeadingAge LTSS Center @UMass Boston and ATI Advisory, this interactive compendium brings together more than 30 years of federal legislative proposals to improve how long-term services and supports (LTSS) are financed.
The proposals explore ways to make LTSS more affordable and accessible, reduce pressure on state Medicaid budgets, and better support family caregivers and the direct care workforce.
Compendium of Federal Proposals to Support Family Caregivers
Developed by the George Washington University Milken Institute School of Public Health and the LeadingAge LTSS Center @UMass Boston, this interactive compendium brings together federal policy proposals designed to better support family caregivers.
More than 63 million people provide mostly unpaid care to older adults and people with disabilities. This care is essential to the LTSS system, yet public policies have not kept pace with the growing role and needs of family caregivers.
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This compendium brings together federal legislative proposals and policy recommendations introduced over the past decade to strengthen support for family caregivers.
It highlights approaches that:
- Expand caregiver programs and services
- Reduce financial strain
- Improve training and support
- Address workplace challenges
- Better integrate caregivers into care systems
Why These Compendiums Matter
Long-term services and supports are shaped by three deeply interconnected components:
- Financing
- Family caregivers
- Direct care workforce
These elements function as a system. When one is constrained—due to workforce shortages, financing limitations, demographic change, or external disruptions—responsibility often shifts to families.
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Yet policy solutions are frequently developed in isolation.
These compendiums bring proposals together across time, issue areas, and Congresses to support more comprehensive analysis and decision-making.
By organizing proposals using a consistent framework, users can:
- Compare policy approaches
- Identify trends and gaps
- Understand tradeoffs
- Ground discussions in existing legislative activity
The goal is to support clearer analysis, stronger dialogue, and more durable policy design.
Collaborators & Funders
With support from The SCAN Foundation, and The John A. Hartford Foundation; the LeadingAge LTSS Center @UMass Boston, George Washington University Milken Institute School of Public Health, and ATI Advisory created these interactive compendiums to bring decades of policy ideas together in one place, making it easier to explore and compare approaches to strengthening LTSS.
Collaborators
Funders
