May is Older Americans Month, and as President Biden stated in his May 3rd proclamation: “During Older Americans Month, we celebrate older Americans and the key role they play in sharing the wisdom and experience that inform today’s decisions and actions, and fostering the connection and engagement that build strong,
Designing Universal Long-Term Services and Supports Programs: Lessons from Germany and Other Countries
In 2019, Washington State enacted the first universal long-term services and supports (LTSS) program in the United States. It is a social insurance program, like Social Security or Medicare Hospital Insurance, into which virtually all workers contribute and from which all who meet the vesting requirements will be eligible to
The COVID-19 pandemic has highlighted both the severe inadequacy and major inequities in our country's caregiving infrastructure, including the high out-of-pocket costs of long-term services and supports (LTSS). For many families, care demands may become unmanageable, or manageable only at significant cost to family members’ health, well-being, income, and careers.
Emphasizing stakeholder voices and new partnerships The Academy’s 33rd annual policy conference, Pathways to Economic Security: Bringing All Voices to the Table, was held virtually on March 2-4, 2021. Stakeholders' perspectives led policy conversations around economic security throughout the keynotes, panel dialogues, and workshops. (While we are all stakeholders in economic security
In a new compendium, The Future of Social Insurance: Insights From the Pandemic, fourteen top experts on Social Security, Medicare, the economy, labor and workforce issues, retirement, aging, disability and long-term care, describe what we have learned from the pandemic so far. Each reflects on how social insurance programs have come to the aid of millions of Americans during today’s extraordinary economic and health catastrophes, and how policymakers might further strengthen the programs for future crises.
The COVID-19 pandemic has highlighted both severe inadequacy and major inequalities in our country's caregiving infrastructure. Prior to the pandemic, needs for child care, as well as long-term services and supports (LTSS) for older adults and adults living with disabilities, were already growing.
For many families, care demands may become unmanageable, or manageable only at significant cost to family members’ health, well-being, income, and careers. This is especially true for women — especially women of color — who face stark disadvantages in terms of financial security and labor force attachment when meaningful access to affordable early child care and education (ECCE), and to paid family and medical leave (PFML), are lacking.
This fact sheet summarizes the temporary paid leave provisions enacted by Congress in March 2020 in response to the COVID-19 pandemic. This includes: background on paid leave in the U.S., provisions in the Families First Coronavirus Response Act, and provisions in the CARES Act, followed by a brief discussion of the impact on workers and their families.
In a new report developed by a Study Panel of the nonpartisan National Academy of Social Insurance, panelists provide state policymakers with a broad range of policy options to better support families in meeting evolving care needs over the lifespan.
The report, Designing Universal Family Care, was developed over a year of deliberations by a Study Panel of 29 experts in care policy from a variety of perspectives. The Panel, convened by the Academy beginning in November 2017, included public health and health policy experts, health researchers, actuaries, and economists. Academy members Marc Cohen, Co-Director of the LeadingAge LTSS Center @UMass Boston, and Heidi Hartmann, President and CEO of the Institute for Women’s Policy Research, served as the Panel Co-Chairs.
Designing Universal Family Care: State-Based Social Insurance Programs for Early Child Care and Education, Paid Family and Medical Leave, and Long-Term Services and Supports
This report explores strategies that states could pursue to better support families in meeting evolving care needs over the lifespan. The first three chapters of the report explore the challenges families face in the realms of early child care and education (ECCE), paid family and medical leave (PFML), and long-term services and supports (LTSS). For each care domain, the panel identifies policy options along with the tradeoffs associated with specific policy choices; this is done within the context of assuring universal access, affordability, and financial stability through well-defined financing mechanisms. The concluding chapter explores how an integrated approach to care policy might be designed—one offering families a single point of access to ECCE, PFML, and LTSS benefits—under an umbrella program called Universal Family Care.
PRESS RELEASE: National Academy of Social Insurance Launches Study of State-Based Social Insurance Programs for Paid Leave, Affordable Child Care, and Long-Term Services and Supports
Washington, DC – The National Academy of Social Insurance announced a new project today, “Designing State-Based Social Insurance Programs for Paid Leave, Affordable Child Care, and Long-Term Services and Supports.” As part of the project, the Academy is forming a study panel to shed light on the design challenges states face in developing programs to meet these needs.