2012 State of the States Report: “State Aging and Disability Agencies in Times of Change”

State aging and disability agencies are operating in an unprecedented era of state agency reorganization, re-conceptualization of state government, and restructuring of longterm services and supports delivery systems and financing. NASUAD's 2011 State of the State report: “State Aging and Disability Agencies in Times of Change” highlights the roles and responsibilities of state aging and disabilities agencies. Five key themes related to LTSS systems transformation emerged from our analysis of the 2011 survey data: Nationwide loss of historical knowledge; Frequency of agency restructuring; Rapid expansion of Medicaid Managed Long-Term Care (MMLTC); Limited interest in Affordable Care Act (ACA) provisions due to pending legislation; and State Aging and Disability Agencies' top concerns being budgets and growing demand for services. The 2011 survey captured a snapshot of the states in a period of transition and change. Key elements driving continued change include the economic environment, ACA implementation, uncertainty in the federal budget particularly with the failure of the Congressional Super Committee, changes in state level leadership, and the 2012 elections.