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
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Research About the LTCOP
- Webinar: Evaluation Study Design for Long-Term Care Ombudsman Programs under the Older Americans Act: Research Design Options (July 2013)
This webinar discussed the new Evaluation Study Design for Long-Term Care Ombudsman Programs under the Older Americans Act: Research Design Options, developed by NORC at the University of Chicago and funded by the Administration for Community Living/Administration on Aging. Click here to read the full report. The researchers from NORC Chicago gave an overview of the new evaluation tool, and participants were given an opportunity for questions and discussion. Representatives from the Administration on Aging at the Administration for Community Living also gave a quick update on next steps for the evaluation tool.
- Long-Term Care Ombudsman Program Strategy Session (December 2011)
Prepared by the National Ombudsman Resource Center
- State LTC Ombudsman Program: A Primer For State Unit Directors and Executive Staff (2011), Prepared by the National Association of State Unit Directors of Aging and Disabilities
- The Role of Ombudsmen in Assuring Quality for Residents of Long-Term Care Facilities:Straining to Make Ends Meet (National Health Policy Forum, December 2009)
- Real People, Real Problems: An Evaluation of the Long-Term Care Ombudsman Programs of the Older Americans Act (Institute of Medicine (IoM), 1995)
- Study of the State LTCOP (2001), by Carroll Estes et al, Institute for Aging and Health, University of California, San Francisco - follow up to the IoM study
- Enhancing Effectiveness of Local LTCOPs (Carroll Estes, et al)
- Systems Advocacy and the Local Long-Term Care Ombudsman Program (2008, Brooke Hollister, PhD)
- The LTCOP: Rethinking and Retooling for the Future (2003 - The Bader Report)
- State Ombudsman Data: Nursing Home Complaints (1999)
- Long-Term Care Ombudsman Program: Bibliography of Published Articles, Developed by Wayne Nelson, PhD, Professor, Department of Health Science, Towson University
- LTCOP: Overall Capacity (1999)
- State Ombudsman Data - Nursing Home Complaints (2003)
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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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