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More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law

Friday, October 01, 2010

Most of the emphasis during the health reform debate centered on affordable health coverage for the uninsured, strategies to control the growth in health care spending, and delivery system reforms. Relatively little attention was given to the many provisions of the new law that deal directly with long-term care.

For instance, the Affordable Care Act increases access to home and community-based services through Medicaid waiver programs. The law includes the CLASS Act, a new national, voluntary insurance program to help working adults finance services and supports that they may need in the future.

To provide a look at the various provisions of the new health reform law on long-term care, the Alliance for Health Reform and the Kaiser Family Foundation sponsored an Oct. 1 briefing. A distinguished panel addressed questions such as: What exactly are the provisions in the new law pertaining to long-term care? How will consumers, providers and states be affected? What are the major components of the CLASS Act, including its interaction with Medicaid? What opportunities do these provisions present and what are some of the challenges for states and the federal government in implementation?

Panelists were: Richard Frank, deputy assistant secretary for policy and evaluation at the U.S. Department of Health and Human Services; Suzanne Bosstick of the Centers for Medicare and Medicaid Services; Tom Akins, president of the North Carolina Association of Non-Profit Homes for the Aging; and JoAnn Lamphere of AARP. Ed Howard of the Alliance and Diane Rowland of the Kaiser Family Foundation co-moderated.


Ed Howard, Alliance for Health Reform, Moderator
Diane Rowland, Kaiser Family Foundation, Moderator
 Richard Frank, U.S. Dept. of Health and Human Services, Speaker
 Suzanne Bosstik, Centers for Medicare and Medicaid Services, Speaker
 Tom Akins, N.C. Assoc. of Non-Profit Homes for the Aging, Speaker
 JoAnne Lamphere, AARP, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law (Word Document), 10/1/2010
Full Webcast/Podcast: More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Suzanne Bosstick (PowerPoint), 10/1/2010
Tom Akins (PowerPoint), 10/1/2010
JoAnn Lamphere (PowerPoint), 10/1/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 10/1/2010
Source List (Word Document), , 10/1/2010
Materials List (Word Document), , 10/1/2010

Offsite Materials (briefing documents saved on other websites)

Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law (Adobe Acrobat PDF),Kaiser Family Foundation, 6/1/2010
Long-Term Care: Who Gets It, Who Provides It, Who Pays and How Much?, Health Affairs, 1/1/2010
- Kaye, Stephen, Charlene Harrington and Mitchell P. LaPlante
Medicaid and Long-Term Care: New Challenges, New Opportunities (Adobe Acrobat PDF),The Lewin Group, 6/25/2010
Bringing CLASS to Long-Term Care through the Affordable Care Act (Adobe Acrobat PDF),The Scan Foundation, 3/1/2010
Six National Fact Sheets on Long-Term Care, The Scan Foundation, 9/13/2010
Helping People with Long-Term Health Care Needs: Improving Access to Home- and Community- Based Services in Medicaid (Adobe Acrobat PDF),FamiliesUSA, 4/1/2010
Medicaid and Long-Term Care Services and Supports (Adobe Acrobat PDF),Kaiser Family Foundation, 2/1/2009
Re: Improving Access to Home and Community-Based Services, Letter to State Medicaid Directors (Adobe Acrobat PDF),Centers for Medicare and Medicaid Services, 8/6/2010
- Mann, Cindy
The Medicaid Long-Term Services and Supports Provisions in the Health Care Reform Law, National Senior Citizens Law Center, 4/1/2010
Health Care Reform Improves Access to Medicaid Home and Community Based Services (Adobe Acrobat PDF),AARP Policy Institute, 6/1/2010
- Walker, Lina
Critical Issues in Health Reform: Community Living Assistance Services and Support Act (Adobe Acrobat PDF),American Academy of Actuaries, 11/1/2009
The Opportunities of CLASS, The American Prospect, 8/2/2010
- Feder, Judith, Harriet L. Komisar and Paul Van De Water
Public Policy and Aging Report: Bringing CLASS to Long-Term Care Through the Affordable Care Act (Adobe Acrobat PDF),The Scan Foundation, 3/1/2010
- Hudson, Robert B., et al
The Community Living Assistance Services and Supports (CLASS) Act (Adobe Acrobat PDF),Kaiser Family Foundation, 10/1/2009
Community Living Assistance Services and Supports (CLASS) Provisions in the Patient Protection and Affordable Care Act (PPACA) (Adobe Acrobat PDF),Congressional Research Service, 5/3/2010
- Mulvey, Janemarie and Kirsten J. Colello
Implementing the CLASS Act: Six Decisions for the Secretary of Health and Human Services (Adobe Acrobat PDF),RTI International, 9/1/2010
- Wiener, Joshua M.
Health Care Reform and Family Caregivers (Adobe Acrobat PDF),Family Caregiver Alliance, 1/1/2010
2010 Cost of Care Summary, Genworth Financial, 1/1/2010
Key Provisions of the Patient Protection and Affordable Care Act (Adobe Acrobat PDF),PHI National, 6/2/2010


Richard Frank of of the U.S. Dept. of Health and Human Services describes how the CLASS Act provisions in the new health reform law will help those who enroll to get needed long-term care services. From the Oct. 1 briefing cosponsored by the Kaiser Family Foundation.  (12 min.)

Suzanne Bosstick of CMS discusses the Community First Choice Option and other long-term care provisions in the new health reform law. From the Oct. 1 briefing cosponsored by the Kaiser Family Foundation. (14 min.)

Tom Akins of the N.C. Association of Non-Profit Homes for the Aging discussed four key long-term care improvements in the Affordable Care Act, at the Oct. 1 briefing cosponsored by the Kaiser Family Foundation. (10 min.)

JoAnne Lamphere of AARP discusses how the health reform law will boost home- and community-based services for those needing long-term care. From the Oct. 1 briefing cosponsored by the Kaiser Family Foundation. (12 min.)


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