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.
What they call for
DemocratsRepublicans32 new members addressed this issue. Many call for more than one thing.
Make long-term and elder care affordable and available19Help older and disabled people get care at home and in their communities15Support family members who care for aging or disabled relatives8Protect and expand Medicaid funding for long-term care6Raise care workers' pay and grow the care workforce6Cover long-term care through Medicare or Medicare for All5Improve the safety and quality of nursing homes4Bar discrimination against residents of long-term care facilities2Fund nursing homes and keep rural care facilities open2
Make long-term and elder care affordable and available
19 members“Fully fund elder care across New Jersey and support our caregivers, because New Jersey seniors deserve respect and dignity without breaking the bank.”View on their website ↗
“That’s why, in Congress, I will fight to help families care for their loved ones, and to lower the cost of child care and long-term care for aging and disabled Americans.”View on their website ↗
“That means expanding access to affordable childcare and eldercare, raising wages for caregivers, and helping families pay for care without going broke.”View on their website ↗
“Lower the cost-burden of long-term care facilities and predatory beneficiaries.”View on their website ↗
“Increase access to long-term care facilities in rural communities and provide tax incentives so Seniors can stay in the communities where their families live and that they’ve called home for decades.”View on their website ↗
“Support caregivers and aging women who need stable, affordable care”View on their website ↗
“Expand funding for long-term care options, including community-based and in-home care.”View on their website ↗
“I also want to lower the cost of long-term care for aging and disabled Americans.”View on their website ↗
“Expand access to gender-affirming care, addiction treatment, and long-term care”View on their website ↗
“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 ↗
“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 ↗
Show the other 9 members
“Affordable child care, elder care, and national paid family and medical leave for all families.”View on their website ↗
“Long-term care: We should ensure that every person can age with dignity by making in-home and community-based care more affordable for aging Iowans, disabled Iowans, or Iowa children with special health care needs.”View on their website ↗
“Universal Child + Eldercare”View on their website ↗
“SUPPORT is a Human right”View on their website ↗
“Access to affordable healthcare, housing, food, childcare and eldercare are essential to providing a robust economy and workforce.”View on their website ↗
“I’ll cut taxes for working families, repeal harmful tariffs that raise prices, build more affordable housing, cap childcare costs, support eldercare, and lower energy bills by making big corporations—not Ohio families—pay for data center infrastructure.”View on their website ↗
“I’m fighting for every underdog who works hard but still can’t get ahead, and for families who can’t afford groceries, child care, health care, or assisted living.”View on their website ↗
“I’ll fight for an economy that actually works for working people: lowering everyday costs, taking on corporate price gouging, expanding affordable housing, bringing down utility bills, and making childcare and elder care more affordable.”View on their website ↗
“Supporting our families also means fixing the child care, elder care and paid leave crisis that’s putting families in impossible positions.”View on their website ↗
“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 ↗
“She is committed to practical policies that bring down the high costs of childcare, healthcare, and senior care — and expand access to paid leave, so no one has to choose between a paycheck and caring for someone they love.”View on their website ↗
“Support families caring for aging parents. A caregiver tax credit, help with assisted living, and a home care workforce that exists.”View on their website ↗
Help older and disabled people get care at home and in their communities
15 members“I’ll support robust Medicaid, Medicare, and Social Security so the folks most at risk in our communities have the support they need. Let’s have robust Medicare services that allow folks to age with dignity — including services such as home and community based care, and dental and vision are covered for Medicare patients.”View on their website ↗
“Expand Medicare to cover home health costs for family caregivers”View on their website ↗
“Increase access to long-term care facilities in rural communities and provide tax incentives so Seniors can stay in the communities where their families live and that they’ve called home for decades.”View on their website ↗
“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 ↗
“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.”View on their website ↗
“Expand funding for long-term care options, including community-based and in-home care.”View on their website ↗
“Increasing home healthcare budgets”View on their website ↗
“Cuidado justo para nuestros adultos mayores
Después de toda una vida de trabajo y contribución, nuestros adultos mayores merecen envejecer con dignidad, seguridad y cuidado. Lucharé por proteger y expandir los beneficios de Medicare y el Seguro Social. Presionaré para invertir en cuidado domiciliario y comunitario para que los adultos mayores puedan envejecer en su hogar con dignidad y aseguraré que los trabajadores de cuidado de adultos mayores reciban salarios dignos.”View on their website ↗“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 ↗
“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 ↗
“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.”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 ↗
“Long-term care: We should ensure that every person can age with dignity by making in-home and community-based care more affordable for aging Iowans, disabled Iowans, or Iowa children with special health care needs.”View on their website ↗
Show the other 5 members
“I will support a National Family Care Agenda that supports families at every stage of their lives together, including Paid Family Leave, expanded Pre-K, a re-evaluation of how we manage senior care, plus defending and expanding home health care options”View on their website ↗
“As a former leader within SEIU Healthcare Michigan, I know our families cannot afford anything less than Medicare for All, which would ensure everyone in this country has healthcare — no matter their employment status, zip code, race, gender, sexuality, or disability. Medicare for All would include coverage for dental, vision, mental health, reproductive health and abortion care. It would also include community-based long term support services, ensuring hundreds of thousands of disabled people are able to finally get the home care they need.”View on their website ↗
“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 ↗
“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 ↗
“Cut the home care waiting lists. Let seniors age at home instead of waiting years for help or being pushed into a nursing home.”View on their website ↗
Support family members who care for aging or disabled relatives
8 members“Fully fund elder care across New Jersey and support our caregivers, because New Jersey seniors deserve respect and dignity without breaking the bank.”View on their website ↗
“Expand Medicare to cover home health costs for family caregivers”View on their website ↗
“That’s why, in Congress, I will fight to help families care for their loved ones, and to lower the cost of child care and long-term care for aging and disabled Americans.”View on their website ↗
“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 ↗
“I have worked to defend benefits, lower healthcare costs, and support caregivers and older women living alone.”View on their website ↗
“Support caregivers and aging women who need stable, affordable care”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 ↗
“Supporting life means fighting for universal healthcare, affordable childcare, paid family leave, and support for those who care for an aging parent or a disabled loved one.”View on their website ↗
“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 families caring for aging parents. A caregiver tax credit, help with assisted living, and a home care workforce that exists.”View on their website ↗
“Let families use pre-tax accounts for a parent's care. Your HSA should cover your mom, not just your kids.”View on their website ↗
Protect and expand Medicaid funding for long-term care
6 members“Immediately reverse the Medicaid cuts that will kick more than 100,000 Iowans off their health care and close rural hospitals and nursing homes”View on their website ↗
“Reversing the Medicaid cuts that will devastate Iowa families, nursing homes, and rural hospitals.”View on their website ↗
“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 ↗
“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.”View on their website ↗
“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.”View on their website ↗
“Protect Medicaid’s role in supporting seniors’ care”View on their website ↗
“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 ↗
“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 ↗
Raise care workers' pay and grow the care workforce
6 members“We need to treat care as essential and worthy of fair pay, especially as so many more Americans live longer into old age.”View on their website ↗
“That means expanding access to affordable childcare and eldercare, raising wages for caregivers, and helping families pay for care without going broke.”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 ↗
“Cuidado justo para nuestros adultos mayores
Después de toda una vida de trabajo y contribución, nuestros adultos mayores merecen envejecer con dignidad, seguridad y cuidado. Lucharé por proteger y expandir los beneficios de Medicare y el Seguro Social. Presionaré para invertir en cuidado domiciliario y comunitario para que los adultos mayores puedan envejecer en su hogar con dignidad y aseguraré que los trabajadores de cuidado de adultos mayores reciban salarios dignos.”View on their website ↗“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 ↗
“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 families caring for aging parents. A caregiver tax credit, help with assisted living, and a home care workforce that exists.”View on their website ↗
Cover long-term care through Medicare or Medicare for All
5 members“I’ll support robust Medicaid, Medicare, and Social Security so the folks most at risk in our communities have the support they need. Let’s have robust Medicare services that allow folks to age with dignity — including services such as home and community based care, and dental and vision are covered for Medicare patients.”View on their website ↗
“Expand Medicare to cover home health costs for family caregivers”View on their website ↗
“Darializa will fight for Medicare for All: a free, universal system that covers primary and mental health care, dental, vision, hearing, reproductive care, long-term care, and lower prescription costs.”View on their website ↗
“Long-term care for our seniors and people with disabilities”View on their website ↗
“Expand Medicare to cover vision, hearing, dental, and long-term care for seniors.”View on their website ↗
“As a former leader within SEIU Healthcare Michigan, I know our families cannot afford anything less than Medicare for All, which would ensure everyone in this country has healthcare — no matter their employment status, zip code, race, gender, sexuality, or disability. Medicare for All would include coverage for dental, vision, mental health, reproductive health and abortion care. It would also include community-based long term support services, ensuring hundreds of thousands of disabled people are able to finally get the home care they need.”View on their website ↗
Improve the safety and quality of nursing homes
4 members“Paige worked with the Pennsylvania Auditor General, uncovering corruption in both parties and working to make nursing homes safer.”View on their website ↗
“Introduced and passed legislation that became law stating that a nursing facility may require a resident residing in an Alzheimer’s disease unit with a history of wandering to wear an identification wristlet (Public Act 100-0293)”View on their website ↗
“I also consistently supported the efforts to reform elder care across the state to keep seniors safe.”View on their website ↗
“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 ↗
Bar discrimination against residents of long-term care facilities
2 members“Expand nondiscriminatory access to medical care, visitation, and care homes for HIV/AIDS positive patients.”View on their website ↗
“SB 219 (Author: Wiener): LGBTQ Senior Bill of Rights in long-term care facilities. SB 219 protects LGBTQ seniors living in long-term care facilities. Our seniors face significant discrimination in long-term care. Some are forced back into the closet, some are separated from their partners, and some trans seniors are forced to conform to their birth-assigned gender. LGBTQ seniors are less likely than other seniors to have adult children to advocate for them, and they need legal protection. SB 219 seeks to end this discrimination by mandating specific standards for how these facilities treat LGBTQ seniors.”View on their website ↗
“In the Senate, Scott has fought to erase discriminatory laws that harmed LGBTQ people, including LGBTQ youth, transgender women, and people living with HIV. He authored nation-leading laws to make PrEP available from a pharmacist without a physician prescription (similar to the birth control pill), establish the nation’s strongest legal protections for LGBTQ seniors in nursing homes and other long-term care, collect voluntary health data to fight health disparities in the LGBTQ community, repeal discriminatory felonies targeting people living with HIV, and end discrimination against LGBTQ people on California’s broken sex offender registry.”View on their website ↗
Fund nursing homes and keep rural care facilities open
2 members“Increase access to long-term care facilities in rural communities and provide tax incentives so Seniors can stay in the communities where their families live and that they’ve called home for decades.”View on their website ↗
“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.”View on their website ↗
“In 2020, President Jackson successfully passed legislation to provide additional funding to Maine’s long-term care facilities, including Maine Veterans’ Homes.”View on their website ↗
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