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.
The National Academy for Social Insurance: Designing a State-Based Social Insurance Program for Long-Term Services and Supports
Focuses on an analysis of social insurance solutions and intended as a roadmap for state policymakers. Identifies the key design issues for consideration in the design of a social insurance
program for LTSS. Speaks to the preliminary design and concepts of the Washington State LTSS social insurance program, Washington Cares (WA Cares).
Urban Institute: Microsimulation Analysis of Financing Options for Long-Term Services and Supports
To assess alternative LTSS financing options and better understand how policy changes
could expand the role of insurance.
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.
Georgetown University Long-Term Care Financing Project: Trade-Off Proposal for Funding Long-Term Care
Following a cafeteria benefit model, public social insurance program that “trades” a small portion (5%) of individuals’ Social Security benefits to use for LTC coverage. It would create in the public sector a social insurance program for covering basic LTC by enabling people to exchange a small part of their income protection for LTC protection.
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.
Long Term Care Family Security Act of 1992 (H.R. 6076)
Creates a new state-administered program to provide community and nursing facility
care to individuals with moderate to severe disability.
Secure Choice Act (H.R. 1668)
Creates a new program that provides LTC services for older adults. Creates a statebased, public-private partnership LTSS program for older adults.