County governments play an essential role in ensuring the health and safety of older Americans and individuals with disabilities as key administrators of safety net programs and services. Through 758 county-owned or operated long-term care facilities and community-based services, counties ensure that the more than 27 percent of adults age 65 and older, and the 61 million individuals with disabilities in the U.S. who require assistance to perform everyday activities, have the resources needed to live a long, healthy and independent life.

This brief provides an overview of the critical role counties play in providing services for aging Americans and individuals with disabilities through long-term care and supportive services, and offers policy recommendations for our federal partners on ways to strengthen county long-term care infrastructure.

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