The Basics

The Commission on Long-Term Care: Background Behind the Mission
October 17, 2013


Carol V. O'Shaughnessy, MA


The American Taxpayer Relief Act of 2012 (ATRA, P.L. 112-240) created a Commission on Long-Term Care charged with developing a plan for financing of long-term services and supports (LTSS) and issuing a report in September 2013. Significant research and advocacy have been devoted to LTSS financing issues and perceived inadequacies of the delivery system over the past several decades, but the most recent comprehensive review of financing options was in 1990 by the Pepper Commission. This publication presents brief background behind the mission of the Commission, including a time line of selected federal and national activities on LTSS financing and delivery, and a short summary of the Commission's findings.

Related Materials

From the Forum, see "National Spending for Long-Term Services and Supports (LTSS), 2012," (The Basics, February 1, 2013); and "Private Long-Term Care Insurance: Where Is the Market Heading?" (Forum Session, April 15, 2011).

See also The Pepper Commission, U.S. Bipartisan Commission on Comprehensive Health Care, "A Call for Action," Final Report, September 1990; and Congressional Budget Office, "Rising Demand for Long-Term Services and Supports for Elderly People," June 2013.

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