Long-Term Services and Support


People with disabilities often need community-based long term supports and services to support their needs and to live as independently as possible. These include assistance with activities of daily living, such as getting dressed, taking medication, preparing meals, job coaching, residential supports and managing money. Learn more about the connection between LTSS and Medicaid.


Older Americans Act (OAA)

The Older Americans Act (OAA) of 1965 was the first federal level initiative aimed at providing comprehensive services for older adults. It created the National Aging Network comprised of the Administration on Aging on the federal level, State Units on Aging, and Area Agencies on Aging at the local level. The network provides funding for nutrition and supportive home and community-based services, disease prevention/health promotion services, elder rights programs, the National Family Caregiver Support Program, and the Native American Caregiver Support Program.


History of OAA Legislation

OAA of 2016 (P.L. 114-144)

  • Amendment to OAA
  • Enacted April 18, 2016

OAA of 2006

  • Reauthorization of OAA
  • Enacted December 6, 2006

OAA of 2000

  • Reauthorization of OAA
  • Included the National Family Caregiver Support Act
  • Enacted November 13, 2000

OAA of 1965

  • Established Medicare and Medicaid
  • Enacted July 14, 1965

Lifespan Respite Care Act

The Lifespan Respite Care Program was authorized by Congress in 2006 under Title XXIX of the Public Health Service Act (42 U.S.C 201). Lifespan Respite Care programs are coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Such programs reduce duplication of effort and assist in the development of respite care infrastructures at the state and local levels.


History of Lifespan Respite Care Act Legislation

Lifespan Respite Care Act (PL 109-442)

  • Authorized Lifespan Respire Care Programs
  • Enacted December 21, 2006

Other Topics for 116th Congress

Disability Integration Act

Institutions still get in the way of freedom for disabled people and older Americans. The Disability Integration Act would tell states that they can't get in the way of disabled peoples' right to freedom by not giving Long Term Services and Supports (LTSS) in the community. The Disability Integration Act (DIA) is a bill that makes sure that people with disabilities have a right to live and get services in their own homes. The Disability Integration Act (S. 117, H.R. 555) was introduced in the House and the Senate by both Republicans and Democrats together. More information about the DIA here.