Mark Warshawsky, National Affairs: Financing Long-Term Care
Directs public program resources to those who cannot afford care and otherwise encourages self-reliance among those who could afford care through private funds or insurance.
Amend Title XIX of the Social Security Act
Seeks to amend title XIX of the Social Security Act to enhance transparency and broaden coverage options for HCBS under Medicaid waivers.
HCBS Access Act
Expands access to HCBS and ends the Medicaid funding institutional bias by: Requiring state Medicaid programs to provide HCBS at the same level as they must cover nursing facility services. Eliminating the need for HCBS waivers when HCBS becomes a mandatory benefit. Creating additional programs and requirements to support providers who furnish HCBS.
Better Care Better Jobs Act
Creates new programs and funding for state Medicaid programs to improve HCBS and the
direct care workforce by: Requiring states to submit an HCBS infrastructure improvement plan to increase access to HCBS and strengthen the direct care workforce. Increasing federal matching rate for HCBS in states that develop plans and meet specified benchmarks for improvements.
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.
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.