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

o and prepare for the costs of long-term services and supports. Make participation as convenient as possible but give people the limited choice to opt out.
  • Public/Private Partnership -- Provide a strong foundation of protection while providing opportunities for personal planning that include a role for private sector options.
  • Affordability and Risk Pooling -- Provide for broad pooling of risk and appropriate low-income subsidies to make premiums affordable enough so that all people, regardless of income and health status, can participate. Ensure that a new program does not force people to impoverish themselves to qualify.
  • Fiscal Responsibility -- Provide actuarially sound funding, such as through voluntary premiums that build reserves over time sufficient to pay for future needs in a way that is affordable to individuals and to society as a whole.
  • Relieve Pressure on Medicaid -- Provide additional long-term services and supports funding mechanisms that will help take the pressure off of future Medicaid expenditures, while preserving the guaranteed safety net.
  • Consumer Choice and Control -- Promote independence and dignity across the broad continuum of services and supports by ensuring beneficiaries the right to control and choose what services they receive, how and where they are delivered and who provides them.
  • Support Family Caregivers -- Recognize and support the central role families and other informal caregivers play in planning for and providing long-term services and supports, including developing strategies to support working caregivers to maintain their financial security.
  • Invest in Quality Care and Quality of Life -- Target additional funding to ensure sufficient training and compensation for the workforce and to strengthen oversight, enforcement, and advocacy programs that improve quality of
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  • SOURCE Consortium for Citizens with Disabilities
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