•HRES 197 IH 
65 years of age or older to increase from 40,000,000 to 
70,000,000 during the next 2 decades; 
Whereas 12,000,000 adults, nearly half of whom are under 
65 years of age, need long-term services and supports 
due to functional limitations; 
Whereas the decision of the Supreme Court in Olmstead v. 
L.C., 527 U.S. 581 (1999), mandates the end of unnec-
essary segregation of individuals with disabilities in insti-
tutions, and requires that individuals with disabilities re-
ceive services in the most integrated setting appropriate 
to their needs; 
Whereas the vast majority of individuals in the United States 
prefer to receive long-term services and supports in their 
homes so that they may continue to live independently 
and with dignity; 
Whereas the costs of long-term services and supports for sen-
iors and individuals with disabilities are high; 
Whereas the great expense of long-term services and supports 
can affect all individuals, regardless of income; 
Whereas 70 percent of individuals who are 65 years of age 
or older will need some form of long-term services and 
supports; 
Whereas the number of individuals who need long-term serv-
ices and supports is projected to grow from 12,000,000 
to 27,000,000 by 2050; 
Whereas there are approximately 3,200,000 workers in the 
direct care workforce, leaving a huge gap between the 
services needed and the size of the current workforce; 
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•HRES 197 IH 
Whereas the United States is experiencing a jobs crisis, as 
25,000,000 individuals are unemployed or under-
employed; 
Whereas home care is one of the fastest growing industries 
in the United States economy, providing critical daily 
care, services, and supports to millions of individuals and 
families across the country; 
Whereas an estimated 1,800,000 additional home care work-
ers will be needed during the next decade to serve the 
growing population of seniors and individuals with dis-
abilities; 
Whereas the quality of home care jobs is poor, with low 
wages, few benefits, high turnover, and a high level of job 
stress and hazards; 
Whereas home care and personal assistance workers earn a 
median hourly wage of $9.53, and nearly half of such 
workers live in households that also rely on public assist-
ance; 
Whereas approximately 55 percent of home care workers 
work part-time, and approximately 44 percent of those 
part-time workers would prefer to work more hours; 
Whereas nearly 21 percent of the individuals who provide 
home care services were born outside the United States; 
Whereas a stabilized home care workforce would lead to im-
proved continuity and quality of long-term services and 
supports; 
Whereas the issue of long-term services and supports is a 
critical issue for women, as 70 percent of individuals who 
need such care are women 65 years of age or older, 90 
percent of paid caregivers are women, and 85 percent of 
family members and friends who informally provide care 
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