#LTSS
What is LTSS?
September 27, 2026 at 6:05 PM
Excellent example of why LTSS needs to be a priority. Without doing so, people like DJ’s daughter and SO many others, will be left behind.

Something else to consider, we are all just one accident away from needing LTSS.
To add to the convo, not only kids and seniors. There are so many young adults- like my 27 year old daughter with MS- & middle aged persons who fall into the cracks.
This "admin" has highlighted just how scattered the systems are & how much work needs to be done to address it.
that I can entirely support because it’s actually Medicaid but they’re using Medicare to avoid the stigma.

That said, while I don’t hate what this video is saying, it’s not the solution.

Seniors need LTSS just as much, if not more, than children do, and that’s only going to come from Medicaid.
September 27, 2026 at 6:16 PM
In no way can I support extending Medicare to children until we address LTSS. Children with disabilities will be screwed over tremendously, as will adults.

I get messaging around Medicaid for All being a challenge, but we need to address LTSS. There have been bills promoting Medicare for All
Here's how we get Medicare for All done:

Make Medicare whole (no one can keep all the parts straight!)
Include vision, dental, and hearing.
Begin extending to more people, starting with children.

We arrive at Medicare for All, which means great Medicare for everyone.
September 27, 2026 at 6:01 PM
Medicaid is not just for poor families. Have a relative a long term care facility?
• In 2022, Medicaid spent 58% of its budget on LTSS. 
• In 2020, 78.2% of Medicaid's LTSS spending went to nursing facilities. 
• Medicaid is the main source of public funding for long-term institutional care.
January 28, 2025 at 9:09 PM
RFK Jr believes people with disabilities (and the people who care for them) are worthless. #IHSS #LTSS
While testifying last week, RFK Jr. dismissed Medicaid programs that pay families to care for disabled loved ones as “rife with fraud” and claimed that they pay people to complete menial tasks they “used to do as family members for free.”

Disability rights advocates & family caregivers are furious.
RFK Jr. draws backlash for ripping Medicaid programs that pay people to care for relatives
Advocates for disabled people and those who care for them said they were insulted by Health Secretary Robert F. Kennedy Jr.’s allegations that the programs are "rife with fraud."
www.nbcnews.com
April 23, 2026 at 11:02 PM
closer to Medicaid, but without mentioning LTSS and Community based services, which is where advocacy becomes important so people know what to make sure they demand
September 27, 2026 at 6:32 PM
end up losing access to so much if we don’t make sure LTSS is top priority in an M4A structure
September 27, 2026 at 6:10 PM
Checking in briefly to say to the writers of the Pitt that Medicare does not in fact cover assisted living facilities/LTSS. That annoyed me about last night's episode.
March 27, 2026 at 10:37 AM
Buckle up, buttercups! We are going on a ride.

Let's talk about LTSS! Specifically, home care/HCBS(my favorites) and why we really need to sound the alarm and keep watch on this.

LTSS: long term services/supports
HCBS: Home/Community based services

#Medicaid 🧵

www.kff.org/medicaid/und...
Understanding Medicaid Home Care Amid CMS Focus on Potential Fraud and Abuse | KFF
This issue brief describes how Medicaid home care operates—including who is eligible and the systems in place to promote program integrity in its delivery—and the challenges of using new CMS data to i...
www.kff.org
March 11, 2026 at 2:24 PM
Whether it is LTSS, childcare or the OASI tax base, Trump's decision to destroy immigration loomed large at NASI. Immigration was the great strength of the US economy. This is self-immolation.
February 19, 2026 at 7:06 PM
that I can entirely support because it’s actually Medicaid but they’re using Medicare to avoid the stigma.

That said, while I don’t hate what this video is saying, it’s not the solution.

Seniors need LTSS just as much, if not more, than children do, and that’s only going to come from Medicaid.
September 27, 2026 at 6:01 PM
Medicaid Facts: #Medicaid is the primary funder of long-term services and supports (LTSS). In 2022, Medicaid covered home- and community-based services (HCBS) for 7.8 million people and institutional care for 1.5 million people (1.3 million in nursing homes).
www.medicaid.gov/medicaid/lon...
November 26, 2024 at 4:40 PM
This is one reason I find the idea that the safety net for the elderly comes at the cost of the safety net for everyone else to be crazy. In the absence of sufficient income support and LTSS options, family steps in. And it is usually women who pay the price.

marketrealist.com/retirement/m...
Millennial Daughters Caring for Boomer Parents Are Sacrificing in More Ways Than One
The work and financial responsibility tied to caring for aging parents is more often than not pushed to women. Many Millenial daughters are losing their own futures.
marketrealist.com
May 7, 2026 at 1:13 PM
Medicare doesn’t cover this, at least not in a robust setting, Medicaid is what gets people this kind of access.

It’s why I get so concerned when we discuss moving to Medicare for All without making sure LTSS is clearly presented and addressed.

For children especially who have disabilities, they’d
September 27, 2026 at 6:10 PM
The first mistake is believing (quite reasonably) that Medicare covers long-term supportive services like nursing homes. Nope...that is Medicaid. And you'll have to burn assets and income to qualify. The second is thinking Medicaid will be able to covers your LTSS after HR1.
Many Americans assume that if they can afford paid help in older age, they won’t need to rely on kin—but this myth will leave them incredibly unprepared, Stephanie H. Murray argues. theatln.tc/M9c5n1SA

🎨: Hokyoung Kim
June 27, 2026 at 3:44 PM
Insights from #NACoLeg: many think “Medicare is for the old, Medicaid is for the poor” yet Medicaid is the primary funder of long-term supports and home-based care services. The proposed $880B cuts to Medicaid would directly impact seniors.

www.kff.org/health-polic...
March 2, 2025 at 4:25 PM
There is literally NOTHING on your little photo that addresses LTSS, which is the whole fucking problem.

You’re a hoot
September 28, 2026 at 1:02 AM
Please take some time to learn about HCBS and LTSS. I was completely ignorant to these things and they are so so critical to those who receive these waivers and services.

The things that arent required by law are the first to lose funding when states are forced to choose how to fill funding gaps.
I’m going to rant and rave A LOT about how there are (almost certainly) going to be major cuts to state provided HCBS.

(Home and Community Based Services, separate from mandated Long Term Services/Supports)

Why not give ya a quick breakdown of what some of those community focused programs are!?
November 11, 2025 at 2:07 AM
I am so scared. Especially as a caretaker for parents who are stroke survivors. My mom was left bed-bound after her major stroke in 2023. She’s currently on Long-Term Services and Supports (LTSS) and this program could be affected by cuts to Medicaid. I’m not sure what we would do afterwards 😭
jama.com JAMA @jama.com · Mar 27
Viewpoint: Proposed #Medicaid cuts may eliminate coverage for millions and impact services for children, people with disabilities, and older adults. https://ja.ma/4j5DPnW
April 4, 2025 at 5:12 AM
#Medicaid is the primary payer of LTSS. See our 10 Things to Know about LTSS. www.kff.org/medicaid/iss...
October 10, 2023 at 7:33 PM
Medicaid LTSS and housing investment were the big two I remember but that is policy I work very close to so I'm probably an outlier in awareness
June 5, 2025 at 4:05 PM
These ghouls, man. We need robust public LTSS funding, not this garbage, and a pox on people who say that people should 'just save money' for shit that is wildly expensive and out of reach for all but the wealthy.
State Medicaid offices target dead people’s homes to recoup their health care costs
Many Americans rely on Medicaid when fighting diseases. But there's a catch. Often, states try to recoup the costs after the recipients die.
apnews.com
March 17, 2024 at 5:45 AM
If you're in the U.S., and you're a caregiver or a human being who is aging, Medicaid is a key lifeline. Long-term care/services are not covered under Medicare and many older adults spend down their assets before becoming eligible for Medicaid, which is the major payor for HCBS and LTSS.
April 1, 2026 at 9:50 PM
ALSO A MAJOR PAY OF LTSS FOR OLDER ADULTS

Until Medicare is able to, say, pay for home care services....oh
MEDICAID IS THE NUMBER ONE INSURER OF AMERICAN CHILDREN.

They are also going to be the ones hit hardest when herd immunity is lost for so many vaccine preventable diseases.
“Trump allies eye overhauling Medicaid, food stamps in tax legislation”

Reminder: Medicaid is the #1 insurer of American children.
www.washingtonpost.com/business/202...
November 18, 2024 at 11:11 PM
Follow here if you’re interested in #Medicaid #Medicare #LTSS #Disability #Aging #Care #Caregivers or #CareWork

We must protect what we have won on care, and keep fighting for what we need.

#CareCantWait
November 15, 2024 at 9:38 PM