Medicare & Medicaid

Medicare is a federal health insurance program for Americans age 65 and older and those younger than 65 with a disability. Medicaid is a federal-state health coverage program for low-income Americans. Separately and together, they provide the backbone of health care for older Americans, particularly those with complex needs.

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This policy brief takes a closer look at how California has implemented federal flexibilities to ensure the state’s long-term services and supports (LTSS) system is responsive to the needs of older adults and people with disabilities during the COVID-19 pandemic.
Enacted on July 12, 2021, California’s 2021-22 budget addresses longstanding system challenges related to health care, long-term services and supports, workforce, and housing for older adults, people with disabilities, and their caregivers. It reflects the recommendations of the governor’s Master Plan for Aging issued earlier in 2021, and includes $4.6 billion to enhance access to home- and community-based services (HCBS), as outlined in California’s proposed HCBS Spending Plan.

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This ATI Advisory white board video describes the need for new long-term care financing solutions and encourages all Americans to join the conversation.