The Long Term Care Commission Formally Releases Report to Congress

The Long Term Care Commission formally released its report to Congress which included 28 recommendations.  Notably missing were recommendations about how to finance a long term care system in the United States.  Five of the Commission members, who did not vote in favor of the report, issued alternative recommendations, including creation of a public insurance program that would supplement existing private insurance and family caregiver options. At this point, it is not clear what action Congress will take upon receipt of the report which is scheduled for September 30, 2013. To view the full report, visit the Center for Medicare Advocacy.

Long Term Care Commission Fails to Reach Agreement on How to Finance Long Term Services and Supports for People with Disabilities and Seniors

The Long Term Care Commission concluded its work without reaching agreement on how to finance long term services and supports for people with disabilities and seniors. The Commission voted 9 – 6 to issue bipartisan recommendations about the workforce and service delivery issues that it will include in its final report to be delivered to Congress. The commission was created at the end of 2012 and was required to vote on recommendations by September 12, 2013 and a final report by September 30.

Five of the six members who did not vote in favor of the report issued alternative recommendations. The five Commission members said that the time frame did not allow the Commission to make recommendations for a comprehensive long-term services system. The Commission will hold a public meeting on September 18, 2013 to release its final report.

President Obama Announces His Plan to Name Lynnae Ruttledge to The Long Term Care Commission

President Obama announced his plan to name Lynnae Ruttledge to the Long Term Care Commission to replace Julian Harris, former Medicaid Director in Massachusetts, who took a position in the federal government. Ms. Ruttledge is the former Commissioner of the Rehabilitation Services Administration and current Co-Vice Chair of the National Council on Disability.

The Commission, created in the American Tax Payer Relief Act of 2012, has held four public hearings and anticipates producing draft recommendations for addressing the need for long term services and supports in the US by September 12. A final report is due September 30. The Arc submitted comments to the Long-Term Care Commission and urges disability advocates to submit comments through the Commission’s website as soon as possible.

Long-Term Care Commission

The bipartisan Commission on Long-Term Care will meet this week in Washington, DC and hold a public hearing on Populations in Need of LTSS (Long Term Services and Supports) and Service Delivery Issues.  The Public Hearing is scheduled for Wednesday, July 17, from 1:30 to 4:30 in SDG-50 of the Dirksen Senate Office Building.  Dr. David Braddock , Executive Director of the Coleman Institute for Cognitive Disabilities and Senior Associate Vice President of the University of Colorado System has been invited to testify. Dr. Braddock is well known in the I/DD community for his work on the State of the States in Developmental Disabilities, a study of now 35 years of continuous data spanning 1977 through 2011, through the University of Colorado and the University of Illinois at Chicago, supported in part by the Administration on Intellectual and Developmental Disabilities at the Department of Human Services.

Commission on Long-Term Care to Hold Second Public Meeting

The Commission on Long-Term Care will hold its second public meeting on July 17, in the Dirksen Senate Office Building at 1:30 p.m. Included on the agenda are “subpopulations” that need long-term services and supports. One of the White House-appointed Commissioners has withdrawn since his appointment to Associate Director of Health Policy at Office of Management and Budget (OMB).

Long-Term Services and Supports – The Long-Term Care Commission’s First Meeting

The Long-Term Care Commission had its first meeting on Thursday, June 27.  The Chair, Bruce Chernof of the SCAN Foundation, said that the commission would send recommendations to Congress by the end of September on a long-term-care system overhaul.  The 15-member group was created by the American Taxpayer Relief Act of 2012, which repealed the CLASS Act program for a voluntary long term services and supports insurance program supported by premium payments.  Chairman Chernof said that the Commission would launch a website soon because the Commission wants its deliberations to be transparent.

Commission on Long Term Care has Scheduled First Meeting

The Commission on Long Term Care, which was created by the American Taxpayer Relief Act of 2012, has scheduled its first meeting for June 27. The 15-member panel selected Bruce A. Chernof, president and CEO of the SCAN Foundation, as its chairman. The SCAN Foundation is a nonprofit organization dedicated to transforming the current long-term care system. Chernof, who is a doctor, was appointed by House Minority Leader Nancy Pelosi (D-CA). The vice-chairman will be Mark Warshawsky, director of retirement research at the consulting firm Towers Watson. Warshawsky was named by Senate Minority Leader Mitch McConnell (R-KY). Christopher Jacobs, a senior policy analyst at the Heritage Foundation, will replace former Louisiana Secretary of Health and Hospitals, Bruce Greenstein, who resigned from his state job. The commission has until October to plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high-quality system that ensures the availability of long-term services and supports for individuals in need.

President Makes Final Appointments

The White House announced President Obama’s appointments to the Commission on Long Term Care.  These final three appointments complete the Commission which will have six months to make recommendations regarding long term services and supports.  President Obama’s appointments to the Commission are:

  • Henry Claypool – Executive Vice President of the American Association of People with Disabilities.  He recently served as Principal Deputy Administrator of the Administration for Community Living at the U.S. Department of Health and Human Services (HHS), where he also advised the Secretary on disability policy.
  • Julian Harris – Director of the Office of Medicaid in Massachusetts, a position he has held since July 2011.  He oversees the state’s $11 billion Medicaid program that provides comprehensive health insurance for children, families, seniors, and people with disabilities.
  • Carol Raphael – Vice Chair of the American Association of Retired Persons (AARP) Board of Directors, a position she has held since May 2012.  From 1989 to 2011, she was Chief Executive Officer and President of Visiting Nurse Service of New York.

The other appointments, three each by the Republican and Democratic leaders of the House and Senate, were previously announced and reported in Capitol Insider.  The President’s appointees bring the total to 15 members as envisioned by the law.

Congressional Leadership Appoint Members to New Commission on Long Term Care

Last week, Senator Mitch McConnell (R-KY) and House Majority Leader John Boehner (R-OH) each appointed three members to a new Commission on Long Term Care. Senator Harry Reid (D-NV) and House Minority Leader Nancy Pelosi (D-CA) each appointed three members to the Commission as well. The Commission was created in the American Taxpayer Relief Act that took effect on January 1, 2013 and replaced the Community Living Assistance Services and Supports (CLASS) Act.

The commission will be comprised of members named by President Obama, Senate Majority Leader Reid, Senate Minority Leader McConnell, House Speaker Boehner, and House Minority Leader Pelosi. Below is a list of the current members of the commission, President Obama has not made his appointments to the commission.

  • Bruce D. Greenstein is the Secretary of the Louisiana Department of Health and Hospitals.
  • Neil L. Pruitt, Jr. is Chairman and Chief Executive officer of UHS-Pruitt Corporation, an integrated health care company.
  • Mark J. Warshawsky, former Assistant Secretary for Economic Policy, Treasury Department.
  • Judith Brachman currently serves as a member of the Ohio State Crime Victims Assistance Advisory Board.
  • Stephen L. Guillard serves as Chief Executive Officer and President of Belmont Nursing Center Corp.
  • Grace-Marie Turner is president of the Galen Institute, a public policy research organization that she founded in 1995 to promote an informed debate over free-market ideas for health reform.
  • Dr. Bruce Allen Chernof currently serves as the President and Chief Executive Officer of The SCAN Foundation, with the mission to advance the development of a sustainable continuum of care for seniors.
  • Judith Stein is the founder and Executive Director of the Center for Medicare Advocacy, Inc.
  • George Vrandenburg is a civic activist, philanthropist, and President of the Vrandenburg Foundation.
  • Laphonza Butler is the President of SEIU ULTCW – the United Long Term Care Workers’ Union which represents in-home attendants and nursing facility workers in California.
  • Judith “Judy” Feder is a Professor of Public Policy at Georgetown University and was Dean of the Georgetown Public Policy Institute from 1999 through 2007.
  • Javaid Anwar, M.D. is the CEO of Quality Care Consultants which provides consultant services in health care strategy and policy development for employers and health care organizations.