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United States General Accounting
Office
 Long-Term Care: Implications of Supreme
Court's Olmstead Decision Are Still Unfolding
Statement of Katherine G. Allen, Director, Health Care
Medicaid and Private Health Insurance Issues
Before the Special Committee on Aging
Monday, September 24, 2001 Excerpt: The extent to
which the Olmstead decision will dictate major shifts in
long-term care services from institutional to home and
community-based settings - and for whom - is uncertain. What
is more certain, however, is that responses to the decision will
take place in the larger context of preparing for the tidal wave
of aging baby boomers who will increasingly tax the current
capacity of public and private resources. This aging
generation, with the associated expected increase in the numbers
of people with disabilities, could increase the number of disabled
elderly people who will need care between 2 and 4 times the
current number. While many public programs support people
with disabilities, institutional and home and community-based
services, accounting for about 44 percent of the $134 billion
spent for these services nationwide in 1999. 
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