Most older adults want to age at home and in their communities. Many will need long-term care, also known as long-term services and supports (LTSS) to do so. Long-term care must be robust, accessible, and affordable for those who need it most.
Why Long-Term Care Matters
While long-term care is essential to helping older adults live and age where they choose, current systems are not set up to offer and deliver the services and supports most need.
Focus Areas
State and federal policies and programs need to close coverage gaps, simplify systems, and ensure that every older adult has access to home and community-based supports (HCBS).
H.R.1, the federal reconciliation act signed into law in July 2025, will have significant impact on older Californians and Californians with disabilities. Medi-Cal, Medicare, Affordable Care Act (ACA) premium tax credits, and CalFresh will be scaled back, limiting access to these vital programs.
This breakdown from The SCAN Foundation details how the enacted budget for California’s fiscal year (FY) 2025-26 budget will affect older adults and people with disabilities in California.
This breakdown from The SCAN Foundation details how Governor Newsom’s revised proposal for California’s fiscal year (FY) 2025-26 budget will affect older adults and people with disabilities in California.
New Dashboard Breaks Down by State, County the Number of People Using Medicaid HCBS
Jun 2025
National
Long-Term Care
A recent McKnights Home Care article spotlighted a groundbreaking Medicaid home- and community-based services (HCBS) dashboard developed by ATI Advisory with support from The SCAN Foundation.
New State- and County-Based Dashboard Shows Where Critical Medicaid Services are Used by Older Adults and People With Disabilities
Jun 2025
National
Long-Term Care, Medicare-Medicaid Integration
Just under 6 million older adults and people with disabilities nationwide rely on health and supportive services through Medicaid’s Home- and Community-Based Services (HCBS) program, according to a new database showing where these individuals reside.
Addressing Aging in California: Insights from the State Capitol Hearing
Apr 2025
California
Long-Term Care, Medicare Health and Social Supports, Medicare-Medicaid Integration, Multisector Plans for Aging
On April 9, 2025, The SCAN Foundation’s President and CEO Sarita A. Mohanty provided testimony at the Joint Hearing of California Assembly Budget Subcommittees on Human Services and Health.
