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National Senior and Disability Advocates Agree on Principles for Financing Long-Term Services and Supports
Date:11/20/2008

ereby approximately two-thirds of all spending is directed towards nursing homes and other institutions instead of preferred community-based services and supports.

The principles adopted by the two coalitions call for a national solution. The plan should give consumers access to a broad array of support options, including a continuum of home and community-based supportive services. The new public financing system should be as universal as possible with a limited choice to opt out. This new system will relieve pressure on Medicaid. The new system should promote independence and dignity across the lifespan by ensuring beneficiaries the right to control and choose what services they receive, how and where they are delivered, and who provides them.

We urge members of Congress to introduce legislation that is consistent with these principles. For example, legislation introduced by Senator Ted Kennedy and Rep. Frank Pallone, and supported by President-Elect Barack Obama, is compatible with the LCAO-CCD principles. The legislation is the Community Living Assistance Services and Supports Act, or CLASS Act.

Long-term services and supports are essential to the health and economic well-being of millions of Americans. The CCD and LCAO principles provide the next Administration and Congress with a blueprint for inclusion of long-term care within the broader health care reform discussion.

The principles are:

  1. National Problem, National Solution -- Recognize that although states, communities, families, and individuals have important roles to play, financing for long-term services and supports is a national problem that requires a national solution.
  2. Universality with Limited Opt-Out -- Create a public program that allows all people, including individuals with disabilities and those near retirement, the opportunity to contribute t
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SOURCE Consortium for Citizens with Disabilities
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