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.
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.
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.
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.
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.
Universal Health Care Act (H.R. 1300)
Creates a national, single-payer health insurance program, under which every U.S. citizen would be eligible for enrollment, that provides protection against the costs of health care and health-related services, including benefits for facility and home-based LTSS.