The National Association of States United on Aging and Disabilities releasedits 2011 report, Aging and Disability Agenciesin Times of Change,last week. In the report, NASUAD finds that its aging and disability agencies are “operating in an unprecedented era of state agency reorganization, re-conceptualization of state government, and restructuring of long-term services and supports delivery systems and financing.”
NASUAD’s 2011 survey of members captured a snapshot of the states in a period of transition and change. Key elements driving continued change include the economic environment, Affordable Care Act implementation, uncertainty in the federal budget particularly with the failure of the Congressional Super Committee, changes in state level leadership and the 2012 elections.
The report highlights five key themes related to long-term services and supports systems transformation that emerged from its analysis of survey data:
- Nationwide loss of historical knowledge;
- Frequency of agency restructuring;
- Rapid expansion of Medicaid managed long-term care;
- Limited interest in ACA provisions due to pending legislation; and
- State aging and disability agencies’ top concerns being budgets and growing demand for services.