Long-term care

How older and disabled people get help with daily living at home, in their communities or in nursing homes, who pays for it, including Medicaid, and what support family caregivers get.

Help older and disabled people get care at home and in their communities

5 members
Abdul El-Sayed
Senate · Michigan · Democrat
“Yet Medicaid home and community-based services are chronically underfunded, leaving hundreds of thousands of eligible seniors on waiting lists while institutional care remains the default option the system is built to pay for. We must fix this.”
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“Federal investment in home and community-based services (HCBS). Increase the federal Medicaid matching rate for home health and personal care services, incentivizing states to expand eligibility, reduce waiting lists, and improve caregiver wages — addressing both access and the workforce shortage that limits capacity.”
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“End the institutional bias in long-term care financing. Current Medicaid rules make it easier to fund a nursing home bed than a home health aide. This platform directs CMS to revise reimbursement structures so that home and community-based care is funded on equal footing with institutional alternatives, giving seniors and their families a genuine choice.”
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Adam Hamilton
Senate · Kansas · Democrat
“Prioritize home-based care reimbursement to give seniors the option of aging at home instead of in a nursing facility or hospital. At-home care costs a fraction of care in a facility, and is often a better solution for seniors regardless of cost. We should make it financially and logistically feasible for seniors to access the care they need while aging in place with dignity, including by increasing reimbursement rates for home health aides and in-home care services.”
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Troy Jackson
Senate · Maine · Democrat
“Respecting the generations that have come before us is just what we do in Aroostook County, and that means making sure that folks can get the level of care and support they need as they age while also remaining close to home and their loved ones.”
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“At the same time, he voted to boost in-home and community support services for older Mainers in need of daily assistance and supported funding for Meals on Wheels.”
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“Today, Maine Senate Democrats voted in favor of a historic investment in Maine businesses and working families who experienced profound hardship and extraordinary tragedy throughout this pandemic. It will lift up the farmers and fishermen who have suffered greatly after the demand for local foods disappeared overnight when restaurants had to close their dining rooms, while also boosting small businesses all across the state. It will help Maine seniors and individuals with disabilities afford to stay in their homes while supporting family caregivers and working to build a robust direct care workforce. And, it will make long-overdue investments in our career technical education and workforce training programs, while also working to close gaps in our health care workforce and system”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Make it easier for families to care for their aging loved ones: Increase access to eldercare by passing the Older Americans Act Reauthorization Act to expand affordable home- and community-based care for seniors, and prioritize the development of a high-quality elder care workforce.”
View on their website ↗
Josh Turek
Senate · Iowa · Democrat
“In the legislature, Josh has been on the front lines of fighting for better health care. He has sponsored legislation to cap insulin costs at $25/month, to expand access to dental services under Medicaid, to protect patients in nursing homes, and to eliminate long waiting lists for Medicaid home and community-based services waivers.”
View on their website ↗

Protect and expand Medicaid funding for long-term care

4 members
Abdul El-Sayed
Senate · Michigan · Democrat
“Yet Medicaid home and community-based services are chronically underfunded, leaving hundreds of thousands of eligible seniors on waiting lists while institutional care remains the default option the system is built to pay for. We must fix this.”
View on their website ↗
“Federal investment in home and community-based services (HCBS). Increase the federal Medicaid matching rate for home health and personal care services, incentivizing states to expand eligibility, reduce waiting lists, and improve caregiver wages — addressing both access and the workforce shortage that limits capacity.”
View on their website ↗
Peggy Flanagan
Senate · Minnesota · Democrat
“More than a million Minnesotans, including people with disabilities, seniors, and children, rely on Medicaid. The providers they see, including rural hospitals, mental health clinics, and nursing homes, rely on Medicaid. Peggy will fight to restore the inhumane cuts to Minnesotans’ healthcare made by Donald Trump and Republicans.”
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“Medicaid is the primary coverage for two of every three nursing home residents. Peggy supports reversing the cuts to Medicaid in Donald Trump’s ‘One Big Beautiful Bill’ to ensure we don’t jeopardize the healthcare of seniors to pay for billionaire tax cuts.”
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Chris Pappas
Senate · New Hampshire · Democrat
“He also strongly opposed and continues to fight back against the impacts of the “Big Ugly Bill,” which threatened $500 billion in cuts to Medicare, stripped Medicaid funding for nursing homes, and slashed food assistance programs seniors depend on.”
View on their website ↗
Josh Turek
Senate · Iowa · Democrat
“In the legislature, Josh has been on the front lines of fighting for better health care. He has sponsored legislation to cap insulin costs at $25/month, to expand access to dental services under Medicaid, to protect patients in nursing homes, and to eliminate long waiting lists for Medicaid home and community-based services waivers.”
View on their website ↗

Make long-term and elder care affordable and available

3 members
Adam Hamilton
Senate · Kansas · Democrat
“Prioritize home-based care reimbursement to give seniors the option of aging at home instead of in a nursing facility or hospital. At-home care costs a fraction of care in a facility, and is often a better solution for seniors regardless of cost. We should make it financially and logistically feasible for seniors to access the care they need while aging in place with dignity, including by increasing reimbursement rates for home health aides and in-home care services.”
View on their website ↗
Troy Jackson
Senate · Maine · Democrat
“Respecting the generations that have come before us is just what we do in Aroostook County, and that means making sure that folks can get the level of care and support they need as they age while also remaining close to home and their loved ones.”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Make it easier for families to care for their aging loved ones: Increase access to eldercare by passing the Older Americans Act Reauthorization Act to expand affordable home- and community-based care for seniors, and prioritize the development of a high-quality elder care workforce.”
View on their website ↗

Support family members who care for aging or disabled relatives

3 members
Abdul El-Sayed
Senate · Michigan · Democrat
“Support family caregivers who are already doing the work. Millions of family members provide unpaid care that delays or prevents costlier interventions. A federal caregiver tax credit and access to respite care services recognizes that contribution and helps sustain it—keeping seniors at home longer without burning out the people who make it possible.”
View on their website ↗
Troy Jackson
Senate · Maine · Democrat
“Today, Maine Senate Democrats voted in favor of a historic investment in Maine businesses and working families who experienced profound hardship and extraordinary tragedy throughout this pandemic. It will lift up the farmers and fishermen who have suffered greatly after the demand for local foods disappeared overnight when restaurants had to close their dining rooms, while also boosting small businesses all across the state. It will help Maine seniors and individuals with disabilities afford to stay in their homes while supporting family caregivers and working to build a robust direct care workforce. And, it will make long-overdue investments in our career technical education and workforce training programs, while also working to close gaps in our health care workforce and system”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Make it easier for families to care for their aging loved ones: Increase access to eldercare by passing the Older Americans Act Reauthorization Act to expand affordable home- and community-based care for seniors, and prioritize the development of a high-quality elder care workforce.”
View on their website ↗

Raise care workers' pay and grow the care workforce

3 members
Abdul El-Sayed
Senate · Michigan · Democrat
“Federal investment in home and community-based services (HCBS). Increase the federal Medicaid matching rate for home health and personal care services, incentivizing states to expand eligibility, reduce waiting lists, and improve caregiver wages — addressing both access and the workforce shortage that limits capacity.”
View on their website ↗
Troy Jackson
Senate · Maine · Democrat
“In 2021, President Jackson focused his efforts on addressing long-term care workforce issues, property tax relief and the high cost of prescription medication.”
View on their website ↗
“Today, Maine Senate Democrats voted in favor of a historic investment in Maine businesses and working families who experienced profound hardship and extraordinary tragedy throughout this pandemic. It will lift up the farmers and fishermen who have suffered greatly after the demand for local foods disappeared overnight when restaurants had to close their dining rooms, while also boosting small businesses all across the state. It will help Maine seniors and individuals with disabilities afford to stay in their homes while supporting family caregivers and working to build a robust direct care workforce. And, it will make long-overdue investments in our career technical education and workforce training programs, while also working to close gaps in our health care workforce and system”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Make it easier for families to care for their aging loved ones: Increase access to eldercare by passing the Older Americans Act Reauthorization Act to expand affordable home- and community-based care for seniors, and prioritize the development of a high-quality elder care workforce.”
View on their website ↗

Improve the safety and quality of nursing homes

1 member
Josh Turek
Senate · Iowa · Democrat
“In the legislature, Josh has been on the front lines of fighting for better health care. He has sponsored legislation to cap insulin costs at $25/month, to expand access to dental services under Medicaid, to protect patients in nursing homes, and to eliminate long waiting lists for Medicaid home and community-based services waivers.”
View on their website ↗
“Crack down on private equity purchasing elder care facilities and health care centers, which increases cost and worsens care.”
View on their website ↗

Fund nursing homes and keep rural care facilities open

1 member
Troy Jackson
Senate · Maine · Democrat
“This past legislative session, President Jackson successfully led the charge to prevent the Maine Veterans’ Homes in Caribou and Machias from closing, while championing investments in nursing homes, residential care facilities and other long-term care providers.”
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“In 2020, President Jackson successfully passed legislation to provide additional funding to Maine’s long-term care facilities, including Maine Veterans’ Homes.”
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