Although Congress has rejected the concept of mandatory cost-sharing under the Older
Americans Act, many states already use client fee systems under state-funded home and …

Since its inception in 1965, the Older Americans Act has provided social services free of
charge to older people, regardless of income. In recent years, the scarcity of resources has …

State policies vary widely on paying friends and family rather than home care agencies to
care for the elderly. We explore two state programs that exemplify different payment options …

At long-term-care the center of the financing debate on long-term-care financing reforms are
the effects of these reforms on increases in both public and private costs. Increases are likely …

Abstract Purpose: Since the 1980s, Ohio counties have pursued a somewhat unique
strategy for funding services for the 60-and-older population. Using local property-tax levies …

This study examined the effect of differing eligibility rules for receipt of long-term care
services in the four sites of the Social/HMO National Demonstration Program. Data from the …

This article presents the latest available expenditure and participation trends (1999-2002)
for three Medicaid home and community-based (HCBS) programs that serve the elderly …

This study assesses consumer-directed home and community services for older persons by
examining public programs that serve this population in eight states. These programs give …

This Congressional Research Service report analyzes state strategies for containing long-
term care costs for older people. To improve finance and delivery systems, states are …

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