National Health Policy Forum

Forum Session

Date: NOVEMBER 25, 2003
Title: Expanding Community-Based Care: Is the Olmstead Decision Making a Difference?
Manager: Randy A. Desonia
Summary: This meeting reviewed the Olmstead v. L.C. Supreme Court decision requiring states to provide long-term care services in the least-restrictive setting. Speakers reviewed the political milestones on the route towards living independently, culminating with the Americans with Disabilities Act, which serves as the legal foundation for the decision; the Supreme Court’s guidance for determining state compliance; subsequent lower court cases addressing the ambiguities of the ruling; and the federal government’s initiatives to expand Medicaid home- and community-based services. The meeting concluded with a discussion of emerging models for placing people in the community setting and of the potential impact of pending Supreme Court cases over state sovereignty.
Speakers: Lex Frieden, Chairperson, National Council on Disabilities, and Senior Vice President, The Institute for Rehabilitation and Research, Houston; Sara Rosenbaum, JD, Harold and Jane Hirsh Professor of Health Law and Policy, and Chair, Department of Health Policy, George Washington University Medical Center; Steven Lutzky, PhD, Director, Division for Community Systems Improvement, Disabled and Elderly Health Programs Group, Center for Medicare and Medicaid Services, U.S. Department of Health and Human Services
Related
Materials:
More information available in the related background paper.

Other related Forum products include "National Spending for Long-Term Services and Supports" (The Basics, April 30, 2010), and Forum sessions on Medicaid managed long-term care (April 2008), consumer direction and Money Follows the Person (November 2008), and informal caregiving (September 2007.