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Witnesses tell committee long‑term care costs push families to ‘spend down’; experts urge stronger Medicaid protections and explore Medicare options

2165955 · January 29, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Panelists said the U.S. lacks a coordinated long‑term care system, forcing many families to ‘spend down’ assets to qualify for Medicaid. Witnesses recommended strengthening Medicaid, considering a Medicare long‑term care benefit, and addressing private‑equity ownership in nursing homes.

Committee members and witnesses described long‑term care costs as an immediate and growing crisis for older Americans who lack private coverage.

Alex Lawson told senators “we do not have a long term care system in this country,” and that many families must “spend down” assets until they qualify for Medicaid to pay for long‑term supports and services.…

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