The Brookings Institution: Home Care Benefit for Medicare
Develop and finance a universal home care benefit program for Medicare beneficiaries, which would have a measurable impact on access for individuals with functional and/or cognitive impairments who do not financially qualify for Medicaid.
Medicare for All Act (H.R.3421)
Establish a national, single-payer health insurance program to provide comprehensive protection against the costs of health care and health-related services, including a home and community-based LTSS benefit.
Bipartisan Policy Center: An Updated Policy Roadmap: Caring for Those with Complex Needs
Federal Catastrophic Long-Term Care Insurance. Presents a mix of publicly funded programs and private insurance approaches to financing LTSS as a package of solutions designed to be financially and politically viable.
Milken Institute: New Approaches to Long-Term Care Access for Middle-Income Households
Goal to develop complementary public-private LTSS financing solutions focused on front-end protection provided by the state. Identifies three promising areas for increased financing and delivery opportunities: Medicare expansion solutions, Technology solutions, Public and private LTC insurance solutions.
Medicare Long-Term Care Services and Supports Act of 2018
Create a universal, catastrophic LTC insurance program meant to: Improve access to LTSS by bringing additional money into LTSS system, Reduce family out-of-pocket spending, Stabilize and improve the private market by reducing the tail-end risk and Reduce Medicaid spending.
U.S. Senate Commission on Long-Term Care: Report to the Congress
Section 643 of the American Taxpayer Relief Act of 2012 directed the Commission to develop a plan for the establishment, implementation, and financing of LTSS for individuals, including older adults, those with cognitive or functional limitations, and others who require assistance to perform ADLs.
Health Security Act. Subtitle B. Long Term Care
Expands Medicare by (1) extending Medicare Part A coverage to extended care services to chronically dependent individuals; and (2) providing coverage of home care services under Medicare Part B. Requires states to establish and support state plans to provide home and
community-based care to individuals with disabilities without regard to age or
income.
Comprehensive Care Act of 1992
Expands Medicare by providing: Medicare Part A coverage of facility care without requiring a prior hospital stay for chronically dependent individuals. Medicare Part B coverage of home care services to severely dependent individuals.
MediPlan Long-Term Care Act (H.R. 651)
Creates a “MediPlan” universal social insurance program within Medicare to provide coverage of LTSS for all U.S. citizens. Removes Medicare’s existing post-hospitalization requirement and extends nursing home coverage beyond the existing 100-day limit.
Long-Term Care Assistance Act of 1988 (S. 2305)
Establishes LTC benefits under Medicare Part B to cover chronic home care services, respite, and nursing care for eligible individuals. Provides chronic home and community-based care to severely disabled individuals under the existing Medicare program, with deductibles and cost-sharing for those who are not low-income.