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Friday, February 5, 2016

Voice: 643-ADRC (643-2372)
TTY Line: 643-0889


Welcome to the Hawaii Aging and Disability Resource Center

The Hawaii Aging and Disability Resource Center (ADRC) helps older adults, individuals with disabilites, and family caregivers find options for long term supports and services available to them in the State of Hawaii.  The ADRC is a highly visible and trusted source where people of all incomes and ages can turn for information. ADRC staff will help to determine if you are eligible for government paid programs, assist you in finding providers you may pay for yourself, and work with you to develop an individual plan for meeting your future long-term care needs.  The assistance is paid for by the State and Counties (at no cost to you).



The Feasibility of a Long-Term Services & Supports Social Insurance Program for Hawaii 
The aging of the population requires a careful consideration on the funding and delivery of long-term care.  Most people do not have private long-term care coverage; few people can afford private long-term care insurance, and private health insurance does not cover long-term care. The Executive Office on Aging will feature policy notes that offers recommendations for funding long-term care services and supports for Hawaii residents.
All policy notes are located in the Reports & Publications tab. 
For questions or comments regarding these policy notes,
please email:  Lawrence H. Nitz, Ph.D., at


Policy Note #9

Funding a Public Long-Term Care Programs

The proposed public long-term care program has been shown to be sustainable for over 50 years through a 0.5% GET surcharge.  The projections for the financing of the program depend on policy and economic assumptions, assumptions that could very well affect the sustainability of the program.  This policy note explores to what degree the proposed program is sustainable with a 0.5% GET surcharge, and finds that even under very pessimistic economic conditions (with various economic variables being similar to recession levels), the cap to the benefits distributed can increase each year by more than 3%.

Policy Note #10

Exploring Financing Options for a Public Long-Term Care Program

An argument against the GET surcharge to fund a public long-term care program has been recently gaining steam: the GET surcharge is regressive.  Due to this concern for lower-income households, a closer look at income and payroll taxes as funding mechanisms was suggested.  This policy note looks at issues with the income and payroll tax, and points out problems associated with taxing and giving benefits to current retirees under either income or payroll tax funding mechanism.  The note also points to problems with the sustainability of any tax that does not tax current retirees.  Lasty, the note demonstrates that the program can offer reimbursements to reduce the regressivity of a GET surcharge, thus providing strong evidence to maintain the current financing proposal.


NEWS RELEASE on December 28, 2015  

Executive Office on Aging Survey Shows Many Young Adults Erroneously Believe Government and Health Insurance Cover Long Term Services and Supports


Click here for 2015 Executive Office on Aging LTSS Awareness and Opinion Survey Report