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Welcome to the Long-Term Services and Supports Scorecard website, where you can interact with data from Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers. Use the map to view state-specific rankings and results compared to benchmarks. Use the tool on the right to select performance indicators and states for comparison, and then generate customized, downloadable tables and bar charts.
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Want to know what distinguishes high- from low-ranking states? Read a new series of cases studies available for download.

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    Alabama State Spotlight

    Overall Rank: 50

    Affordability and Access: 46

    Choice of Setting and Provider: 50

    Quality of Life and Quality of Care: 35

    Support for Family Caregivers: 50

    >> View State Table

    Alaska State Spotlight

    Overall Rank: 17

    Affordability and access: 43

    Choice of setting and provider: 1

    Quality of life and quality of care: 1

    Support for family caregivers: 41

    >> View State Table

    Arizona State Spotlight

    Overall Rank: 15

    Affordability and access: 39

    Choice of setting and provider: 18

    Quality of life and quality of care: 26

    Support for family caregivers: 3

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    Arkansas State Spotlight

    Overall Rank: 37

    Affordability and Access: 32

    Choice of Setting and Provider: 26

    Quality of Life and Quality of Care: 41

    Support for Family Caregivers: 22

    >> View State Table

    California State Spotlight

    Overall Rank: 15

    Affordability and Access: 7

    Choice of Setting and Provider: 9

    Quality of Life and Quality of Care: 39

    Support for Family Caregivers: 30

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    Colorado State Spotlight

    Overall Rank: 7

    Affordability and Access: 20

    Choice of Setting and Provider: 10

    Quality of Life and Quality of Care: 19

    Support for Family Caregivers: 6

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    Connecticut State Spotlight

    Overall Rank: 11

    Affordability and Access: 8

    Choice of Setting and Provider: 25

    Quality of Life and Quality of Care: 17

    Support for Family Caregivers: 20

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    Delaware State Spotlight

    Overall Rank: 32

    Affordability and Access: 27

    Choice of Setting and Provider: 49

    Quality of Life and Quality of Care: 7

    Support for Family Caregivers: 28

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    District of Columbia Spotlight

    Overall Rank: 10

    Affordability and Access: 1

    Choice of Setting and Provider: 24

    Quality of Life and Quality of Care: 27

    Support for Family Caregivers: 14

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    Florida State Spotlight

    Overall Rank: 44

    Affordability and Access: 35

    Choice of Setting and Provider: 37

    Quality of Life and Quality of Care: 44

    Support for Family Caregivers: 41

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    Georgia State Spotlight

    Overall Rank: 42

    Affordability and Access: 33

    Choice of Setting and Provider: 44

    Quality of Life and Quality of Care: 31

    Support for Family Caregivers: 24

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    Hawaii State Spotlight

    Overall Rank: 4

    Affordability and Access: 14

    Choice of Setting and Provider: 20

    Quality of Life and Quality of Care: 3

    Support for Family Caregivers: 10

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    Idaho State Spotlight

    Overall Rank: 19

    Affordability and Access: 48

    Choice of Setting and Provider: 8

    Quality of Life and Quality of Care: 23

    Support for Family Caregivers: 12

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    Illinois State Spotlight

    Overall Rank: 23

    Affordability and Access: 12

    Choice of Setting and Provider: 33

    Quality of Life and Quality of Care: 24

    Support for Family Caregivers: 27

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    Indiana State Spotlight

    Overall Rank: 47

    Affordability and Access: 49

    Choice of Setting and Provider: 39

    Quality of Life and Quality of Care: 43

    Support for Family Caregivers: 43

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    Iowa State Spotlight

    Overall Rank: 6

    Affordability and Access: 22

    Choice of Setting and Provider: 22

    Quality of Life and Quality of Care: 5

    Support for Family Caregivers: 5

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    Kansas State Spotlight

    Overall Rank: 9

    Affordability and Access: 9

    Choice of Setting and Provider: 23

    Quality of Life and Quality of Care: 14

    Support for Family Caregivers 17

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    Kentucky State Spotlight

    Overall Rank: 46

    Affordability and Access: 51

    Choice of Setting and Provider: 43

    Quality of Life and Quality of Care: 50

    Support for Family Caregivers: 24

    >> View State Table

    Louisiana State Spotlight

    Overall Rank: 43

    Affordability and Access: 18

    Choice of Setting and Provider: 46

    Quality of Life and Quality of Care: 46

    Support for Family Caregivers: 36

    >> View State Table

    Maine State Spotlight

    Overall Rank: 8

    Affordability and Access: 24

    Choice of Setting and Provider: 13

    Quality of Life and Quality of Care: 12

    Support for Family Caregivers: 11

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    Maryland State Spotlight

    Overall Rank: 24

    Affordability and Access: 3

    Choice of Setting and Provider: 28

    Quality of Life and Quality of Care: 33

    Support for Family Caregivers: 34

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    Massachusetts State Spotlight

    Overall Rank: 30

    Affordability and Access: 17

    Choice of Setting and Provider: 14

    Quality of Life and Quality of Care: 34

    Support for Family Caregivers: 39

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    Michigan State Spotlight

    Overall Rank: 31

    Affordability and Access: 37

    Choice of Setting and Provider: 15

    Quality of Life and Quality of Care: 21

    Support for Family Caregivers: 33

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    Minnesota State Spotlight

    Overall Rank: 1

    Affordability and Access: 4

    Choice of Setting and Provider: 3

    Quality of Life and Quality of Care: 4

    Support for Family Caregivers: 4

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    Mississippi State Spotlight

    Overall Rank: 51

    Affordability and Access: 49

    Choice of Setting and Provider: 51

    Quality of Life and Quality of Care: 51

    Support for Family Caregivers: 36

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    Missouri State Spotlight

    Overall Rank: 13

    Affordability and Access: 5

    Choice of Setting and Provider: 31

    Quality of Life and Quality of Care: 32

    Support for Family Caregivers: 9

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    Montana State Spotlight

    Overall Rank: 33

    Affordability and Access: 36

    Choice of Setting and Provider: 21

    Quality of Life and Quality of Care: 10

    Support for Family Caregivers: 47

    >> View State Table

    Nebraska State Spotlight

    Overall Rank: 14

    Affordability and Access: 29

    Choice of Setting and Provider: 36

    Quality of Life and Quality of Care: 6

    Support for Family Caregivers: 13

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    Nevada State Spotlight

    Overall Rank: 40

    Affordability and Access: 43

    Choice of Setting and Provider: 38

    Quality of Life and Quality of Care: 38

    Support for Family Caregivers: 8

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    New Hampshire State Spotlight

    Overall Rank: 27

    Affordability and Access: 22

    Choice of Setting and Provider: 29

    Quality of Life and Quality of Care: 20

    Support for Family Caregivers: 28

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    New Jersey State Spotlight

    Overall Rank: 22

    Affordability and Access: 10

    Choice of Setting and Provider: 34

    Quality of Life and Quality of Care: 28

    Support for Family Caregivers: 21

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    New Mexico State Spotlight

    Overall Rank: 26

    Affordability and Access: 13

    Choice of Setting and Provider: 5

    Quality of Life and Quality of Care: 35

    Support for Family Caregivers: 45

    >> View State Table

    New York State Spotlight

    Overall Rank: 41

    Affordability and Access: 25

    Choice of Setting and Provider: 17

    Quality of Life and Quality of Care: 39

    Support for Family Caregivers: 48

    >> View State Table

    North Carolina State Spotlight

    Overall Rank: 24

    Affordability and Access: 11

    Choice of Setting and Provider: 7

    Quality of Life and Quality of Care: 45

    Support for Family Caregivers: 35

    >> View State Table

    North Dakota State Spotlight

    Overall Rank: 18

    Affordability and Access: 29

    Choice of Setting and Provider: 41

    Quality of Life and Quality of Care: 2

    Support for Family Caregivers: 16

    >> View State Table

    Ohio State Spotlight

    Overall Rank: 35

    Affordability and Access: 34

    Choice of Setting and Provider: 26

    Quality of Life and Quality of Care: 37

    Support for Family Caregivers: 23

    >> View State Table

    Oklahoma State Spotlight

    Overall Rank: 48

    Affordability and Access: 37

    Choice of Setting and Provider: 42

    Quality of Life and Quality of Care: 49

    Support for Family Caregivers: 51

    >> View State Table

    Oregon State Spotlight

    Overall Rank: 3

    Affordability and Access: 26

    Choice of Setting and Provider: 5

    Quality of Life and Quality of Care: 13

    Support for Family Caregivers: 1

    >> View State Table

    Pennsylvania State Spotlight

    Overall Rank: 39

    Affordability and Access: 47

    Choice of Setting and Provider: 12

    Quality of Life and Quality of Care: 22

    Support for Family Caregivers: 46

    >> View State Table

    Rhode Island State Spotlight

    Overall Rank: 34

    Affordability and Access: 41

    Choice of Setting and Provider: 32

    Quality of Life and Quality of Care: 15

    Support for Family Caregivers: 30

    >> View State Table

    South Carolina State Spotlight

    Overall Rank: 38

    Affordability and Access: 15

    Choice of Setting and Provider: 35

    Quality of Life and Quality of Care: 29

    Support for Family Caregivers: 44

    >> View State Table

    South Dakota State Spotlight

    Overall Rank: 29

    Affordability and Access: 28

    Choice of Setting and Provider: 48

    Quality of Life and Quality of Care: 11

    Support for Family Caregivers: 14

    >> View State Table

    Tennessee State Spotlight

    Overall Rank: 45

    Affordability and Access: 42

    Choice of Setting and Provider: 47

    Quality of Life and Quality of Care: 48

    Support for Family Caregivers: 26

    >> View State Table

    Texas State Spotlight

    Overall Rank: 28

    Affordability and Access: 20

    Choice of Setting and Provider: 19

    Quality of Life and Quality of Care: 42

    Support for Family Caregivers: 19

    >> View State Table

    Utah State Spotlight

    Overall Rank: 36

    Affordability and Access: 45

    Choice of Setting and Provider: 30

    Quality of Life and Quality of Care: 8

    Support for Family Caregivers: 38

    >> View State Table

    Vermont State Spotlight

    Overall Rank: 20

    Affordability and Access: 19

    Choice of Setting and Provider: 4

    Quality of Life and Quality of Care: 30

    Support for Family Caregivers: 39

    >> View State Table

    Virginia State Spotlight

    Overall Rank: 12

    Affordability and Access: 2

    Choice of Setting and Provider: 16

    Quality of Life and Quality of Care: 25

    Support for Family Caregivers: 32

    >> View State Table

    Washington State Spotlight

    Overall Rank: 2

    Affordability and Access: 6

    Choice of Setting and Provider: 2

    Quality of Life and Quality of Care: 18

    Support for Family Caregivers: 2

    >> View State Table

    West Virginia State Spotlight

    Overall Rank: 49

    Affordability and Access: 40

    Choice of Setting and Provider: 45

    Quality of Life and Quality of Care: 46

    Support for Family Caregivers: 49

    >> View State Table

    Wisconsin State Spotlight

    Overall Rank: 5

    Affordability and Access: 16

    Choice of Setting and Provider: 11

    Quality of Life and Quality of Care: 9

    Support for Family Caregivers: 17

    >> View State Table

    Wyoming State Spotlight

    Overall Rank: 20

    Affordability and Access: 29

    Choice of Setting and Provider: 40

    Quality of Life and Quality of Care: 15

    Support for Family Caregivers: 7

    >> View State Table

    Podcast

    Scorecard Offers Vision of Improved Long Term Services

    The first of 70 million baby boomers turn 65 this year, and long-term services and supports (LTSS), which include home care, assisted living, and nursing home care, are on the rise. To help states identify gaps, AARP’s Public Policy Institute, The Commonwealth Fund, and The SCAN Foundation, developed the first state LTSS scorecard.

    Download MP3 >>