[20030122]RS20992_长期护理：第107届国会立法.pdf

Congressional Research Service The Library of CongressCRS Report for CongressReceived through the CRS WebOrder Code RS20992Updated January 22, 2003Long Term Care: 107th Congress LegislationCarol OShaughnessy and Bob LykeSpecialists in Social LegislationDomestic Social Policy DivisionSummaryThe need for long-term care is expected to grow substantially in the future,straining both public and private resources. Total spending on long-term care servicesfor people of all ages was over $151 billion in FY2001, with over 48% paid by Medicaidand about 22% paid out-of-pocket by recipients of long-term care and their families.Steady expansion will be required simply to meet the needs of the growing elderlypopulation, expected to double by 2030. While most care is provided by familymembers, most public funding is for institutional care. Home and community-basedservices, which can help heavily burdened families, are unevenly available. The U.S.Supreme Court decision in Olmstead v. L.C. focused federal and state attention ondevelopment of policies that would expand home and community-based care for peoplewith disabilities. Most bills introduced in the 107th Congress would have continued incremen