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.
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).
Long-Term Care Financing Collaborative (LTCFC): Principles for Improving Financing and Delivery of Long Term Services and Supports
Recommends a combination of public and private sector reforms: Universal catastrophic insurance program of financial support for those with extended LTC needs. Various initiatives to revitalize the private LTC insurance market to better address non-catastrophic care needs. Stronger support for family caregivers. Modernization of the Medicaid safety net for LTSS.
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.
Community Living Assistance Services and Supports Act (CLASS)
Creates a federally administered voluntary insurance program offering a cash benefit that eligible individuals can use to purchase various LTSS to enable them to continue to live in the community.
Health Security Act (S.2357)
Creates a state-based HCBS program for hospitalized individuals who need LTSS as an alternative to nursing facility placement. Clarifies favorable tax treatment of private LTC insurance and LTC expenses by treating policies as accident or health insurance contracts and assuring that payments are not taxable because they are treated as reimbursement for expenses actually incurred for medical care.
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.
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.
The Pepper Commission: A Call for Action: Blueprint for Health Care Reform
Proposes mandatory social insurance program for HCBS and the first three months of nursing facility care would be covered for all Americans, regardless of income.