On September 30, 2013, the Commission on Long-Term Care formally released its comprehensive Final Report to Congress in which it endorsed a package of 28 recommendations “for addressing our nation’s challenges with delivering and financing long-term care services and supports (LTSS).”
The Commission on Long-Term Care was established under Section 643 of the American Taxpayer Relief Act of 2012 (P.L. 112-240), signed into law January 2, 2013, to be comprised of fifteen commissioners. Three members each were appointed by the President of the United States, the majority leader of the Senate, the minority leader of the Senate, the Speaker of the House of Representatives, and the minority leader of the House of Representatives. The report is the result of the directives of the statute which required the Commission to:
“…develop a plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high-quality system that ensures the availability of long-term services and supports [LTSS] for individuals in need of such services and supports, including elderly individuals, individuals with substantial cognitive or functional limitations, other individuals who require assistance to perform activities of daily living, and individuals desiring to plan for future long-term care needs.”
and "vote on a comprehensive and detailed report based on the long-term care plan… [described above]."
Table of Contents:
Chapter I: A Call to Action
Chapter II: Specific Challenges to Providing LTSS
Chapter III: Recommendations
Part One: Service Delivery
Part Two: Workforce
Part Three: Financing
Chapter IV: Advancing an Agenda on Long-Term Services and Supports
Appendix A: Commissioner Ideas
Appendix B: Public Comments
Appendix C: Hearings and Meetings
The Unsustainable Cost of Health Care is available here: https://bookstore.gpo.gov/products/sku/053-070-00021-3
Federal Register, V. 75, No. 8, Wednesday, January 13, 2010, Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rules is available here: https://bookstore.gpo.gov/products/sku/069-001-00193-5
Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act Of 2010, Public Law 111-192 is available here: https://bookstore.gpo.gov/products/sku/069-000-00186-6
Audience: Target audience are policymakers involved with long-term care services and supports for older and younger people with significant cognitive or physical functional limitations, professional and family caregivers, and facilities, businesses and organizations involved with caregiving and financial planning for long-term care of people with cognitive or physical functional limitations.
Keywords: LTSS, The Commission on Long-Term Care, American Taxpayer Relief Act of 2012, long-term care needs, caregivers, family caregivers, resources for family caregivers, long-term services and supports, commission on long-term care 2013, Commission on Long-Term Care Report to the Congress September 30 2013
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- Commission on Long-Term Care
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Excerpted from the Government Book Talk blog post, "Why Americans Should Care about Long-Term Care:"
In the opening letter of the report addressed to the President and Congressional leaders, the Commissioners broadly explain the Report’s contents:
“Working on a bipartisan basis, the Commission adopted 28 specific public policy recommendations in service delivery, workforce, and financing that set a strong path forward for transforming systems of care to best meet people’s needs while appreciating today’s fiscal realities.”
Among the 28 measures in the report, the recommendations included:
- Expanding use of insurance policies that combine life insurance and annuities with long-term care insurance.
- Using a Partnership for Long-Term Care in which arrangements are made between state and private insurers to enable long-term care insurance policyholders to retain assets equal to the amount of benefits paid under their policy and still qualify for Medicaid.
- Increasing education efforts to enhance public knowledge about long-term care options, especially given “the limitations of Medicare and Medicaid in funding [long-term care services]”
- Recognizing caregivers as members of “care teams,” including information about caregivers in patient records, assessing caregivers’ need for support, and making services like respite care more widely available.