Weathering the Storm: The Impact of the Great Recession on
Long-Term Services and Supports
Weathering the Storm: The Impact of the Great Recession on Long- Term Services and Supports is a joint report by the AARP Public Policy Institute, the National Association of States United for Aging and Disabilities (NASUAD), and Health Management Associates (HMA). |
Power Point Presentation |
The report is built on NASUAD’s five prior economic surveys and is the most comprehensive analysis to date on the budget cuts to both Medicaid and non-Medicaid–funded long-term services and supports (LTSS) in each state. The 50-state study surveyed each state’s aging department and Medicaid agency to determine the impact the recession has on state programs for older individuals and adults with physical disabilities. The report also illustrates state-by-state how LTSS are financed. In addition, the study provides a very early snapshot of the likelihood of states pursuing some of the LTSS provisions within the Affordable Care Act (ACA). An individual state profile summarizing additional information obtained from each state that participated in the survey is located at the bottom of this page. The report demonstrated that the recession remains a sustained and growing concern for state agencies. States have used many administrative tools to curtail expenditures. At the same time, demand for publicly funded services has grown, and resources—including staff—are stretched thin. Specifically, 31 states cut aging and disability service programs (non-Medicaid) in FY 2010, and 28 states were expecting to cut these programs in FY 2011. Additionally, while the report showed that the American Recovery and Reinvestment Act (ARRA) stimulus funds helped preserve certain programs, many states said that they will need to make additional cuts in LTSS as the enhanced FMAP phases down and terminates. |