Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. A. State Constraints and Policy Variables


As in our previous study, we differentiate two types of state characteristics likely to affect the role of HCBS in LTSS systems: (1) factors over which states have little influence in the short run, such as the cost of living; and (2) factors that states could, in principle, alter, such as their LTSS policies or policies that affect the supply of LTSS.

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