Explore progress made since 2020 in building new long-term services and supports (LTSS) financing programs in four states: California, Massachusetts, Minnesota, and Washington state.

The third and final in a series of briefs outlines the top six lessons from the American Rescue Plan Act (ARPA). The goal is to inform future policy design and implementation of care policy and beyond.

This brief provides an analysis of how equitable the implementation of American Rescue Plan Act (ARPA) programs was, with a focus on what worked well across red, blue and purple states.

The investments in care infrastructure through the American Rescue Plan Act (ARPA) included unprecedented resources to stabilize the child care sector, increase Medicaid payments for long-term supports and services provided to disabled people and aging adults in their homes and communities, otherwise known as home and community-based services (HCBS), and provide relief to states and localities, including for paid leave and related care needs.

Creating a new LTSS social insurance program is a viable approach for many states, but stakeholders must confront many important tradeoffs as they design this new program.

Founder Allison Cook testifies at the NYS Assembly Committee on Aging hearing to “examine the financial, economic, and social challenges non-Medicaid eligible older adults face in accessing home-based long-term care services.”

This report, published by MIT CoLab, examines how Germany, Japan, and Sweden have built systems to pay for long-term services and supports, identifying lessons that can be applied in the United States.

This report, published by MIT CoLab, examines four LTSS financing programs in the United States — exploring their successes, challenges, and impacts on equity.

This report, published by MIT CoLab, examines the different models that a country or state could use to pay for long-term services and supports, and the impact of those models on equity.