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Long-term care is becoming a pressing societal issue as growing numbers of people living with disabilities or chronic diseases increase demand. The 65-and-over population is projected to increase 50% by 2030, and those over age 85 are the fastest-growing segment of older Americans. The session will focus on the effect of COVID-19 on populations using long-term care and the impacts on the long-term care system. It will address creating and implementing new care delivery solutions, including new home-based care models and increased use of technology, that enable people to maintain their autonomy with greater private- and public-sector support services. It also will discuss key strategies for the coming decade, including expanding innovative home- and community-based services through Medicaid and better integrating long-term care with the rest of the health care system.