The Congressional Budget Office has released a report examining more than 100 proposals (pdf 2.7MB) that would affect health care. In a section specifically on long-term care, the  following proposals are examined:

• Make Home- and Community-Based Services a Mandatory Benefit Under Medicaid
• Increase the Federal Matching Rate for Home- and Community-Based Services and Decrease the Federal Matching Rate for Nursing Home Services
• Clarify Medicaid’s Definition of Permissible Asset Transfers
• Increase the “Look-Back” Period for Transfers of Assets in Medicaid
• Implement Policies That Encourage the Use of Advance Directives
• Require Deposits to Individual Accounts for Purchasing Long-Term Care Insurance

The report includes arguments in support of and against each option with many of the arguments “against” noting substantial administrative and fiscal challenges to the states.

(Hat tip McKnight’s)