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.
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.
Well-Being Insurance for Seniors at Home Act (H.R. 4289)
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.
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.
The American Long-Term Care Insurance Program: A Solution to Reduce Cost and Provide Stability
Goals are to make private coverage more affordable for middle-income buyers, relieve
pressure on Medicaid budgets.
LeadingAge: A New Vision for Long-Term Services and Supports
Goals to develop a fairer and more rational financing system to ensure access to quality LTSS. Recommends a flexible and universal LTSS insurance program grounded in the principles of shared risk and consumer flexibility. Re-directs health and LTC dollars already
in the system and creates new funding that relies on a universal public catastrophic
insurance program that insures against the risk of long periods of high need.