NORC Library

Government Reports


Federal Laws and Regulations


  • Proposed Rule: State Long-Term Care Ombudsman Program (June 18, 2013)
    The Administration on Aging (AoA) of the Administration for Community Living (ACL) within the Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking, with request for comments, to implement provisions of the Older Americans Act, mainly the State Long-Term Care Ombudsman program. This proposed rule replaces AoA's 1994 Notice of Proposed Rulemaking.
    Since 1992, the functions of the State Long-Term Ombudsman program have been delineated in the Older Americans Act; however, regulations have not been promulgated.  In the absence of regulatory guidance, there has been significant variation in the interpretation and implementation of the program among States.  Recent inquiries from States and an AoA compliance review in one State have highlighted the difficulty of determining State compliance in carrying out the Long-Term Care Ombudsman program functions. This rulemaking provides the first regulatory guidance for States' Long-Term Care Ombudsman programs to provide clarity about implementation.
  • State Long-Term Care Ombudsman Programs NPRM: Consumer Voice Briefing (July 2013)
    This presentation by Becky Kurtz, Director, Office of LTCO Programs with AoA of ACL, gives an overview of the proposed rule, as well as information on how and where to submit comments on the rule by the August 19, 2013 deadline.

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State Laws and Regulations


  • Nursing Home Regulations Plus
    An online compilation of state and federal nursing home regulations. Nursing Home Regulations Plus also contains a comparative analysis of numerous topics dealing with nursing home regulations.

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Research About the LTCOP


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Resources & Reference Documents


  • National Spending for Long Term Services and Supports (LTSS) (Carol O'Shaughnessy 2011)
    Long-term services and supports (LTSS) for the elderly and younger populations with disabilities are a significant component of national health care spending. In 2011, spending for these services was $210.9 billion (9.3 percent of all U.S. personal health care spending), almost two-thirds paid by the federal-state Medicaid program. This publication presents data on LTSS spending by major public and private sources.

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