This testimony addresses the issue of the need for long-term care reform. In particular, it focuses on the problems faced by individuals and families in need of long-term care and to underscore the importance of reforming the way we provide assistance to those in need of long-term care services. The statement provides an overview of the population in need of long-term care, the gaps in the current delivery and financing of services, and the choices and challenges to be addressed in the reform of the long-term care system.