Organization of Long-Term Care in Government

This publication describes how the California Administration and Legislature are organized to address long-term care policy, programs, and financing as well as how federal departments and agencies support the state.

CA State Budget and Policy, Federal Budget and Policy

At the federal level, most long-term care (LTC) services are administered by the U.S. Department of Health and Human Services (HHS), specifically the Centers for Medicare and Medicaid Services
(CMS) and the Administration on Aging (AoA). CMS is the federal agency responsible for the day-to-day operation of the Medicare program and the federal portion of the Medicaid program. The AoA is the federal agency responsible for advancing the interests and concerns of older adults and their caregivers, and funding supportive services through the Older Americans Act of 1965 and its subsequent reauthorizations.